Innovations in patient safety management: Bedside nurses' assessment of near misses

Topics in Emergency Medicine

Volumn 28, Issue 2, 2006, Pages 154-160

  Richardson, Wesley ^a,b  

^a UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO   (United States)

^b Methodist Healthcare System   (United States)

Author keywords

Error reporting; Errors; Near miss; Near misses; Near miss reporting; Patient safety management; Reporting; Systems

Indexed keywords

COGNITION; EMERGENCY NURSE PRACTITIONER; EMERGENCY WARD; HEALTH CARE MANAGEMENT; HEALTH CARE ORGANIZATION; HOSPITAL PHARMACY; MEDICATION ERROR; MODEL; NURSING ASSESSMENT; PATIENT CARE; PATIENT SAFETY; PHYSICIAN; PRIORITY JOURNAL; REVIEW; THEORY;

EID: 33746635573     PISSN: 01642340     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (17)

1. Hohenhaus SM, Frush KS. Revolutionizing healthcare in the emergency department: enhancing patient safety in the safety net. Top Emerg Med. 2005;27(3):206-212.
2. Institute of Medicine. To Err Is Human. Washington, DC: The National Academies Press; 2000.
3. Institute of Medicine. Patient Safety: Achieving a New Standard for Care. Washington, DC: The National Academies Press; 2004.
4. Leap L, Epstein AM, Hamel MB. A series on patient safety. N Engl J Med. 2002;347(16):1272-1273.
5. Agency for Healthcare Research and Quality. The Patient Safety and Quality Improvement Act of 2005. 2005. Available at: http://www.ahrq.gov/qual/ psoact.htm. Accessed March 24, 2006.
6. Killen AR, Beyea SC. Learning from near misses in an effort to promote patient safety. AORN J. 2003;77(2):423-425.
7. Hronek C, Bleich. The less-than-perfect medication system: a systems approach to improvement. J Nurs Care Qual. 2002;16(4):17-23.
8. McEwen M, Wills EM. Theoretical Basis for Nursing. Philadelphia: Lippincott Williams & Wilkins; 2002.
9. Agency for Healthcare Research and Quality. Patient Safety Network: A National Patient Safety Resource. 2006. Available at: http://psnet.ahrq.gov/ glossary.aspx.#S. Accessed March 24, 2006.
10. Phimister JR, Oktem U, Kleindorfer PR, Kunreuther H. Near-miss incident management in the chemical process industry. Risk Anal. 2003;23(3):445-459.
11. Plews-Ogan ML, Nadkarni MM, Forren S, et al. Patient safety in the ambulatory setting: a clinical-based approach. J Gen Intern Med. 2004;19:719-725.
12. Balas MC, Scott LD, Rogers AE. The prevalence and nature of errors and near errors reported by hospital staff nurses. Appl Nurs Res. 2004;17(4):224-230.
13. Chaudhry SI, Olofinboba KA, Krumholz HM. Detection of errors by attending physicians on a general medicine service. J Gen Intern Med. 2003;18:595-600.
14. Wolf ZR, Serembus JF, Smetzer J, Cohen H, Cohen M. Responses and concerns of health providers to medication errors. Clin Nurse Spec. 2000;14(6):278-290.
15. Weingart SN, Callanan LD, Ship AN, Aronson MD. A physician-based voluntary reporting systems for adverse events and medical errors. J Gen Intern Med. 2001;16:809-814.
16. France DJ, Cartwright J, Jones V, Thompson V, Whitlock J. Improving pediatric chemotherapy safety through voluntary incident reporting: lessons from the field. J Pediatr Oncol Nurs. 2004;21(4):200-206.
17. Glanz K, Lewis FM, Rimer BK, eds. Health Behavior and Health Education: Theory, Research, and Practice. 2nd ed. San Franscisco: Jossey-Bass; 1997.