Data on nursing-sensitive outcomes, beyond traditional isolated indicators such as pressure ulcers, are often unavailable for nurses to evaluate the overall quality of their care. This article describes a quality improvement effort to provide nurses with both a positive and a negative patient outcomes score. The approach can make visible the often invisible role of nurses in the growing field of patient safety.
"Patient safety, in the current health care arena, is an important indicator of health care quality, and in turn the survival of any health care institution (Benjamin 2003). Ten to 18% of all reported hospital injuries are attributed to medication errors (Hume 1999, Stetler et al. 2000). Medication errors result from many causes; these include but are not limited to poor hand writing, inadequate documentation and the nursing shortage (Board of Nurse Examiners 2001, Fontan et al. 2003). "
[Show abstract][Hide abstract] ABSTRACT: The aim of the study was to describe Jordanian nurses' perceptions about various issues related to medication errors.
This is the first nursing study about medication errors in Jordan.
This was a descriptive study. A convenient sample of 799 nurses from 24 hospitals was obtained. Descriptive and inferential statistics were used for data analysis.
Over the course of their nursing career, the average number of recalled committed medication errors per nurse was 2.2. Using incident reports, the rate of medication errors reported to nurse managers was 42.1%. Medication errors occurred mainly when medication labels/packaging were of poor quality or damaged. Nurses failed to report medication errors because they were afraid that they might be subjected to disciplinary actions or even lose their jobs. In the stepwise regression model, gender was the only predictor of medication errors in Jordan.
Strategies to reduce or eliminate medication errors are required.
[Show abstract][Hide abstract] ABSTRACT: An integrative literature review was conducted to investigate studies on adverse events reported in medical, health services, and nursing literature. The review was guided by the method proposed by Jackson (1980) and Ganong (1987). Three questions shaped the review: (a) What terms are used to denote adverse events? (b) What purposes drive adverse events research? and (c) What data sources are used to study adverse events? Adverse events was the dominant term, the study of adverse events as an outcome variable was the prevailing research purpose, and monitoring or screening the patient clinical record and self-reported incidents by health care professionals were the main data sources. Future research is recommended to conceptualize and study adverse events.
Research in Nursing & Health 10/2003; 26(5):398-408. DOI:10.1002/nur.10103 · 1.27 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: This study describes nurse perceptions about medication errors. Findings reveal that there are differences in the perceptions of nurses about the causes and reporting of medication errors. Causes include illegible physician handwriting and distracted, tired, and exhausted nurses. Only 45.6% of the 983 nurses believed that all drug errors are reported, and reasons for not reporting include fear of manager and peer reactions. The study findings can be used in programs designed to promote medication error recognition and reduce or eliminate barriers to reporting.
Journal of nursing care quality 09/2004; 19(3):209-17. · 1.39 Impact Factor
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