Nonpunitive Medication Error Reporting:3-Year Findings From One Hospital's Primum Non Nocere Initiative

Journal of Nursing Administration

Volumn 36, Issue 7, 2006, Pages 370-376

  Potylycki, Mary Jean ^a   Kimmel, Sharon R ^a   Ritter, Marlene ^b   Capuano, Terry ^b   Gross, LaDene ^b   Riegel Gross, Kelly ^b   Panik, Anne ^b  

^a Patient Care Specialist   (United States)

^b LEHIGH VALLEY HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ATTITUDE; CLINICAL PRACTICE; CULTURAL FACTOR; DISEASE SEVERITY; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH CARE QUALITY; HOSPITAL CARE; LEGAL LIABILITY; MEDICAL RECORD; MEDICATION ERROR; QUESTIONNAIRE; RISK ASSESSMENT;

ATTITUDE OF HEALTH PERSONNEL; EDUCATION, NURSING, CONTINUING; EMPLOYEE DISCIPLINE; EVIDENCE-BASED MEDICINE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; INSERVICE TRAINING; INSTITUTE OF MEDICINE (U.S.); MEDICATION ERRORS; NURSING ADMINISTRATION RESEARCH; NURSING EDUCATION RESEARCH; NURSING METHODOLOGY RESEARCH; NURSING STAFF, HOSPITAL; ORGANIZATIONAL CULTURE; ORGANIZATIONAL POLICY; PENNSYLVANIA; PROGRAM DEVELOPMENT; PROGRAM EVALUATION; PUNISHMENT; RISK MANAGEMENT; TOTAL QUALITY MANAGEMENT; UNITED STATES;

EID: 33747137571     PISSN: 00020443     EISSN: 15390721     Source Type: Journal    
DOI: 10.1097/00005110-200607000-00010     Document Type: Article

References (15)

1. Institute of Medicine. To Err Is Human: Building a Safer Health System. Committee on Quality of Health Carein America. Washington, DC: National Academy Press; 1999.
2. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Committee on Quality of Health Care in America. Washington, DC: National Academy Press; 2001.
3. Wolf Z, Serembus J. Medication errors: ending the blame-game. Nurs Manage. 2004;35(8):41-48.
4. Leape L. Promoting patient safety by preventing medical error. JAMA. 1998;280(16):1444-1447.
5. Stetina P, Groves M, Pafford L. Managing medication errors: a qualitative study. Med Surg Nurs. 2005;14(3):174-178.
6. Leape L. Reciprocal Accountability: An Overlooked Dimension of Safety. Washington, DC: 2002. Keynote speaker at The Partnership Symposium.
7. Osborne J, Blais K, Hayes J. Nurses' perceptions: when is it a medication error? JONA. 1999;29(4):33-38.
8. Benner P, Sheets V, Uris P, Malloch K, Schwed K, Jamison D. Individual, practice, and system causes of errors in nursing. JONA. 2002;32(10):509-523.
9. Deming E. Out of the Crisis. Cambridge, Mass: Massachusetts Institute of Technology, Center for Advanced Engineering Study; 1982, 1986.
10. Senge P. The Fifth Discipline: The Art & Practice of The Learning Organization. New York: Currency Doubleday; 1990.
11. Dennison R. Creating an organizational culture for medication safety. Nurs Clin North Am. 2005;40(1):1-23.
12. ISMP survey on perceptions of a non punitive culture produces some surprising results. ISMP Medication Safety Alert. August 22, 2001. Accessed August 24, 2005.
13. Mawji Z. First do no harm: integrating patient safety and quality improvement. Jt Comm J Qual Improv. 2002;28(7):373-386.
14. Suskin D, Super DM. Metstat. Department of Pediatrics, Metro Health Medical Center, Case Western Reserve University; 1990.
15. Siegel S, Castellan NJ Jr. Nonparametric Statistics for the Behavioral Sciences. 2nd ed. New York: McGraw-Hill; 1988.