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Role of registered nurses in error prevention, discovery and correction
A E Rogers1, G E Dean, W-T Hwang
1University of Pennsylvania School of Nursing, 420 Guardian Drive, Philadelphia Pennsylvania 19104, USA. aerogers@nursing.upenn.edu
Quality & Safety in Health Care
|April 4, 2008
Summary
Critical care nurses frequently detect medication and procedural errors, identifying contributions from various healthcare professionals. Further research is needed to enhance nurses
Area of Science:
- Healthcare quality and patient safety research.
- Nursing practice and medical error analysis.
Background:
- Registered nurses play a crucial role in identifying and rectifying medical errors within healthcare settings.
- Patient safety initiatives heavily rely on the vigilance of nursing staff.
Purpose of the Study:
- To categorize the types and frequency of medical errors discovered by critical care nurses in America.
- To determine the professional roles of individuals responsible for the errors that nurses identified.
Main Methods:
- A prospective study design utilizing daily logbooks.
- Data collected from a random sample of 502 critical care nurses over a 28-day period.
- Systematic recording of errors discovered and corrected by participants.
Main Results:
- Medication errors were the most frequently discovered type (163/367), followed by procedural errors (n = 115).
- Charting and transcription errors were identified less often.
- Errors originated from diverse healthcare personnel, including nurses, physicians, pharmacists, technicians, and unit secretaries.
Conclusions:
- Nurses are pivotal in detecting and correcting healthcare errors, significantly impacting patient safety.
- Future research should focus on identifying factors that bolster nurses' capabilities in preventing, intercepting, and correcting medical errors.
- Enhancing nurses' effectiveness is key to improving overall healthcare error management.
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