Journal of Nursing Care Quality · 2009 · 31 citations · 28 references
Health ProfessionsHealth AdministrationHealthcare AdministrationHealthcare Organizational BehaviorPatient SafetyMedication Administration SystemsMedication Error ReportingMedication Error Reporting SystemsMedication ErrorsMedication Management SystemsError ReportingMedical Error ReportingMedication Incident ReportingPsychosocial Work EnvironmentWork Environment AdaptationWork Environment FitWork Environment Quality
This study examined nurses' reasons for medication errors, reasons for not reporting errors, and perceived unit-reporting practices. It compared nurses' anonymous reports of medication errors with those from institutional reporting mechanisms. Qualities of the work environment, staffing, and workload were evaluated to determine associations with perceived error-reporting practices. The study findings have immediate applicability as a baseline for system improvements.
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The Nature of Adverse Events in Hospitalized Patients
Lucian L. Leape, Troyen A. Brennan, Nan M. Laird et al. · New England Journal of Medicine · 1991 · 3.8K citations
Incidence of Adverse Drug Events and Potential Adverse Drug Events
David W. Bates · JAMA · 1995 · 2.1K citations
Systems analysis of adverse drug events. ADE Prevention Study Group