Nursing References

REFERENCES

Agency for Healthcare Research and Quality. (2002). 20 tips to help prevent medical errors in children: Patient fact sheet (AHRQ Pub No. 02-P034). Retrieved from http://permanent.access.gpo.gov/LPS110726/LPS110726_20tipkid.pdf

Agency for Healthcare Research and Quality. (2013a). AHRQ toolkit can help hospitals lower preventable readmissions. Retrieved from http://www.ahrq.gov/news/newsletters/e-newsletter/372.html

Agency for Healthcare Research and Quality. (2013b). Guide to patient and family engagement in hospital quality and safety. Retrieved from http://www.ahrq.gov/professionals/systems/hospital/engagingfamilies/index.html

Agency for Healthcare Research and Quality. (2013c). Preventing falls in hospitals: A toolkit for improving quality of care. Retrieved from http://www.ahrq.gov/sites/default/files/publications/files/fallpxtoolkit.pdf

Agency for Healthcare Research and Quality. (2015a). 2013 Annual hospital-acquired condition rate and estimates of cost savings and deaths averted from 2010 to 2013 (AHRQ Pub No. 16-0006-EF). Retrieved from http://www.ahrq.gov/professionals/qualitypatient-safety/pfp/index.html

Agency for Healthcare Research and Quality. (2015b). AHRQ quality indicators: Patient safety indicators (AHRQ Pub No. 15-M053-4-EF). Retrieved from http://www.qualityindicators.ahrq.gov/Downloads/Modules/PSI/V50/PSI_Brochure.pdf

Agency for Healthcare Research and Quality. (2015c). Communicate clearly: Tool #4. Retrieved from http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/healthlittoolkit2-tool4.html

Agency for Healthcare Research and Quality. (2015d). CUSP toolkit. Retrieved from http://www.ahrq.gov/professionals/education/curriculum-tools/cusptoolkit/index.html

Agency for Healthcare Research and Quality. (2015e). Efforts to improve patient safety result in 1.3 million fewer patient harms. Retrieved from http://www.ahrq.gov/professionals/quality-patient-safety/pfp/interimhacrate2013.html

Agency for Healthcare Research and Quality. (2015f). Use the teach-back method: Tool #5. Retrieved from http://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/healthlittoolkit2-tool5.html

Agency for Healthcare Research and Quality. (2016a). AHRQ’s healthcare-associated infections program. Retrieved from http://www.ahrq.gov/professionals/quality-patient-safety/hais/index.html

Agency for Healthcare Research and Quality. (2016b). Blood thinner pills: Your guide to using them safely. Retrieved from http://www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/btpills/btpills.html

Agency for Healthcare Research and Quality. (2016c). Healthcare-associated infections. Retrieved from https://psnet.ahrq.gov/primers/primer/7/health-care-associated-infections

Agency for Healthcare Research and Quality. (2016d). Improving patient safety through simulation research. Retrieved from http://www.ahrq.gov/research/findings/factsheets/errors-safety/simulproj11/index.html

Agency for Healthcare Research and Quality. (2016e). Patient safety organizations program. Retrieved from http://www.ahrq.gov/cpi/about/otherwebsites/pso.ahrq.gov/index.html

Agency for Healthcare Research and Quality. (2016f). Surveys on patient safety culture. Retrieved from http://www.ahrq.gov/professionals/quality-patient-safety/patientsafetyculture/index.html

Agency for Healthcare Research and Quality. (2016g). TeamSTEPPS® 2.0. Retrieved from http://www.ahrq.gov/teamstepps/instructor/index.html

Agency for Healthcare Research and Quality. (2016h). WebM&M cases & commentaries. Retrieved from https://psnet.ahrq.gov/webmm

AHRQ Healthcare Innovations Exchange. (2016). Taking care of myself: A guide for when I leave the hospital. Retrieved from https://innovations.ahrq.gov/qualitytools/taking-care-myself-guide-when-i-leave-hospital

AHRQ Patient Safety Network. (2015). Medica­tion errors. Retrieved from https://psnet.ahrq.gov/primers/primer/23/medication-errors

AHRQ Patient Safety Network. (2016a). Physi­cian work hours and patient safety. Retrieved from https://psnet.ahrq.gov/primers/primer/19/physician-work-hours-and-patient-safety

AHRQ Patient Safety Network. (2016b). Safety culture. Retrieved from https://psnet.ahrq.gov/primers/primer/5/safety-culture

AHRQ Patient Safety Network. (2016c). Wrong-site, wrong-procedure, and wrong-patient surgery. Retrieved from https://psnet.ahrq.gov/primers/primer/18/wrong-site-wrong-procedure-and-wrong-patient-surgery

Alamry, A., Owais, A., Souzan, M., Marini, A. M., Al-Dorzi, H., Alsolamy, S., & Arabi, Y. (2014). Application of failure mode effect analysis to improve the care of septic patients admitted through the emergency department. Journal of Patient Safety, published ahead of print, 12 Aug 2014. doi: 10.1097/PTS.0000000000000118

American Association of Critical-Care Nurses. (2005). AACN standards for establishing and sustaining healthy work environments: A journey to excellence. American Journal of Critical Care, 14(3), 187-197.

American Nurses Association (ANA). (2016a). 2016 culture of safety. Retrieved from http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/2016-Culture-of-Safety

American Nurses Association (ANA). (2016b). Nurse staffing. Retrieved from http://www.nursingworld.org/nursestaffing

Andel, C., Davidow, S. L., Hollander, M., & Moreno, D. A. (2012). The economics of health care quality and medical errors. Journal of Health Care Finance, 39(1), 39-50.

Association of periOperative Registered Nurses (AORN). (2014). AORN position statement on managing distractions and noise during perioperative patient care. AORN Journal, 99(1), 22-26. doi: 10.1016/j.aorn.2013.10.010

Bergen, G., Stevens, M. R., & Burns, E. R. (2016). Falls and fall injuries among adults aged ≥65 years - United States, 2014. (2016). MMWR Morbidity Mortality Weekly Report, 65, 993-998. doi: 10.15585/mmwr.mm6537a2

Berry, J. C., Davis, J. T., Bartman, T., Hafer, C. C., Lieb, L. M., Khan, N., & Brilli, R. J. (2016). Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. Journal of Patient Safety, July, published ahead of print. doi: 10.1097/PTS.0000000000000251

Brennan, C. W., Daly, B. J., & Jones, K. R. (2013). State of the science: The relationship between nurse staffing and patient outcomes. Western Journal of Nursing Research, 35(6), 760-794. doi: 10.1177/0193945913476577

Brock, D., Abu-Rish, E., Chiu, C.-R., Hammer, D., Wilson, S., Vorvick, L., … Zierler, B. (2013). Interprofessional education in team communication: Working together to improve patient safety. BMJ Quality & Safety, 22(5), 414-423. doi: 10.1136/bmjqs-2012-000952

Castlight Health. (2014). The Leapfrog Group hand-hygiene safe practice: 2014 Leapfrog hospital survey results. Retrieved from http://www.leapfroggroup.org/sites/default/files/Files/2014LeapfrogReport_HandHygiene.pdf

Centers for Disease Control and Prevention. (2012). Injection safety: Protect patients against preventable harm from improper use of single-dose/single-use vials. Retrieved from http://www.cdc.gov/injectionsafety/CDCposition-SingleUseVial.html

Centers for Disease Control and Prevention. (2016a). Hand hygiene in healthcare settings: Show me the science. Retrieved from http://www.cdc.gov/handhygiene/science/index.html

Centers for Disease Control and Prevention. (2016b). Healthcare-associated infections. Central line-associated blood stream infection (CLASBI). Retrieved from http://www.cdc.gov/hai/bsi/bsi.html

Centers for Disease Control and Prevention. (2016c). Healthcare-associated infections (HAI) progress report. Retrieved from https://www.cdc.gov/hai/surveillance/progress-report/index.html

Centers for Disease Control and Prevention. (2016d). Healthcare-associated infections (HAI) progress report: Florida acute care hospitals. Retrieved from https://www.cdc.gov/hai/pdfs/stateplans/factsheets/fl.pdf

Centers for Disease Control and Prevention. (2016e). Important facts about falls. Retrieved from http://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html

Centers for Disease Control and Prevention. (2016f). Learn about health literacy: What is health literacy? Retrieved from http://www.cdc.gov/healthliteracy/learn/index.html

Centers for Medicare & Medicaid Services. (2007). 482.23 Condition of participation: Nursing services. Retrieved from https://www.gpo.gov/fdsys/pkg/CFR-2007-title42-vol4/pdf/CFR-2007-title42-vol4-sec482-23.pdf

Centers for Medicare & Medicaid Services. (2009). Decision memo for surgery on the wrong patient (CAG-00403N). Retrieved from https://www.cms.gov/medicare-coverage-database/details/nca-decision-memo.aspx?NCAId=221&ver=17&NcaName=Surgery+on+the+Wrong+Patient&bc=BEAAAAAAEAAA&&fromdb=true

Centers for Medicare & Medicaid Services. (2015). Hospital acquired conditions. Retrieved from https://www.cms.gov/medicare/medicare-fee-for-service-payment/hospitalacqcond/hospital-acquired_conditions.html

Clancy, C.M. (2009). AHRQ Patient safety: One decade after To err is human. Retrieved from http://www.psqh.com/analysis/september-october-2009-ahrq/

Committee on Diagnostic Errors in Health Care, Board on Health Care Services, Institute of Medicine, The National Academies of Sciences, Engineering, and Medicine. (2015). Overview of diagnostic error in health care. In E. P. Balogh, B. T. Miller, & J. R. Ball (Eds.), Improving diagnosis in health care (pp. 81-144). Washington, DC: National Academies Press. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK338594/

Daley, B. J., & Cervero, R. M. (2016). Learning as the basis for continuing professional education. New Directions for Adult & Continuing Education, 2016(151), 19-29. doi: 10.1002/ace.20192.

DeRosier, J., Stalhandske, E., Bagian, J. P., & Nudell, T. (2002). Using health care Failure Mode and Effect Analysis: The VA National Center for Patient Safety’s prospective risk analysis system. Joint Commission Journal of Quality Improvement, 28(5), 248-267, 209.

DiCuccio, M. H. (2015). The relationship between patient safety culture and patient outcomes: A systematic review. Journal of Patient Safety, 11(3), 135-142. doi:10.1097/PTS.0000000000
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Duruk, N., Zencir, G., & Eşer, I. (2016). Interruption of the medication preparation process and an examination of factors causing interruptions. Journal of Nursing Management, 24(3), 376-383. doi: 10.1111/jonm.12331

Evans, S. (2015). The nurse licensure compact: A historical perspective. Journal of Nursing Regulation, 6(3), 11-16. doi: 10.1016/S2155-8256(15)30778-X

Finkelman, A. (2016a). Acute care organizations: An example of a healthcare organization. In A. Finkelman (Ed.), Leadership and management for nurses: Core competencies for quality care (3rd ed., pp. 155-183). Boston, MA: Pearson Education, Inc.

Finkelman, A. (2016b). Implementing healthcare quality improvement. In A. Finkelman (Ed.), Leadership and management for nurses: Core competencies for quality care (3rd ed., pp. 419-446). Boston, MA: Pearson Education, Inc.

Fisher, E. (2014). Patient safety in pediatrics. In A. Agrawal (Ed.), Patient safety: A case-based comprehensive guide (pp. 249-262). New York, NY: Springer.

Florida Hospital Association. (2015). Working together to prevent patient harm and reduce costs FHA Hospital Engagement Network update. Retrieved from http://www.fha.org/health-care-issues/quality-and-safety/partnership-for-patients-hospital-engagement-network-.aspx

Florida Legislature. (2016a). The 2016 Florida Statutes Chapter 395: Hospital licensing and regulation, 395.0197, internal risk management program. Retrieved from http://www.leg.state.fl.us/statutes/index.cfm?mode=View%20Statutes&SubMenu=1&App_mode=Display_Statute&Search_String=395.0197&URL=0300-0399/0395/Sections/0395.0197.html

Florida Legislature. (2016b). The 2016 Florida Statutes Chapter 395: Hospital licensing and regulation, 395.1051, duty to disclosure. Retrieved from http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0300-0399/0395/Sections/0395.1051.html

Foronda, C., MacWilliams, B., & McArthur, E. (2016). Interprofessional communication in healthcare: An integrative review. Nurse Education in Practice, 19(July), 36-40. doi: 10.1016/j.nepr.2016.04.005

Fritter, E., & Shimp, K. (2016). What does certification in professional nursing practice mean? MedSurg Nursing, 25(2), S8+.

Gandhi, T. K., Berwick, D. M., & Shojania, K. G. (2016). Patient safety at the crossroads. Journal of the American Medical Association, 315(17), 1829-1830. doi:10.1001/jama.2016.1759

Garrett, P. R., Sammer, C., Nelson, A., Paisley, K. A., Jones, C., Shapiro, E., … Housman, M. (2013). Developing and implementing a standardized process for global trigger tool application across a large health system. Joint Commission Journal on Quality and Patient Safety, 39(7), 292-297.

Griffin, F. A. (2007). 5 million lives campaign, reducing methicillin-resistant Staphylococcus aureus (MRSA) infections. The Joint Com­mission Journal on Quality and Patient Safety, 33(12), 726-731.

Griffin, F. A., & Resar, R. K. (2009). IHI global trigger tool for measuring adverse events (2nd ed.). IHI innovation series white paper. Cambridge, MA: Institute for Healthcare Improvement. Retrieved from http://www.ihi.org

Griffiths, P., Dall’Ora, C., Simon, M., Ball, J., Lindqvist, R., Rafferty, A.-M., … Aiken, L. H. (2014). Nurses’ shift length and overtime working in 12 European countries: The association with perceived quality of care and patient safety. Medical Care, 52(11), 975-981. doi: 10.1097/mlr.0000000000000233

Hanlon, C., Sheedy, K., Kniffin, T., & Rosenthal, J. (2015). 2014 guide to state adverse event reporting systems. Retrieved from http://www.nashp.org/sites/default/files/2014_Guide_to_State_Adverse_Event_Reporting_Systems.pdf

Headrick, L., Barton, A., Ogrinc, G., Strang, C., Aboumatar, H., Aud, M., ... Patterson, J. (2012). Results of an effort to integrate quality and safety into medical and nursing school curricula and foster joint learning. Health Affairs, 31(12), 2669-2680. doi: 10.1377/hlthaff.2011.0121

Hempel, S., Newberry, S., Wang, Z., Booth, M., Shanman, R., Johnsen, B., … Ganz, D. A. (2013). Hospital fall prevention: A systematic review of implementation, components, adherence, and effectiveness. Journal of the American Geriatrics Society, 61(4), 483-494. doi: 10.1111/jgs.12169

Hempel, S., Maggard-Gibbons, M., Nguyen, D. K., Dawes, A. J., Miake-Lye, I., Beroes, J. M., … Shekelle, P.G. (2015). Wrong-site surgery, retained surgical items, and surgical fires: A systematic review of surgical never events. JAMA Surgery, 150(8), 796-805. doi: 10.1001/jamasurg.2015.0301

Houck, N. M., & Colbert, A. M. (2016). Patient safety and workplace bullying: An integrative review. Journal of Nursing Care Quality, 31(4), E1-E8. doi: 10.1097/NCQ.0000000000000209

Institute for Healthcare Improvement. (2016a). Develop a culture of safety. Retrieved from http://www.ihi.org/resources/Pages/Changes/DevelopaCultureofSafety.aspx

Institute for Healthcare Improvement. (2016b). Failure mode and effects analysis (FMEA) tool. Retrieved from http://www.ihi.org/resources/pages/tools/failuremodesandeffectsanalysistool.aspx

Institute for Healthcare Improvement. (2016c). What is a bundle? Retrieved from http://www.ihi.org/resources/Pages/ImprovementStories/WhatIsaBundle.aspx

Institute for Safe Medication Practices. (2012a). ISMP survey reveals user issues with carpu­ject prefilled syringes. Retrieved from https://www.ismp.org/newsletters/acutecare/showarticle.aspx?id=28

Institute for Safe Medication Practices. (2012b). Side tracks on the safety express. Interruptions lead to errors and unfinished… wait, what was I doing? Retrieved from https://www.ismp.org/Newsletters/acutecare/showarticle.aspx?id=37

Institute for Safe Medication Practices. (2013). ISMP guidelines. Retrieved from http://www.ismp.org/Tools/guidelines/default.asp

Institute for Safe Medication Practices. (2014). ISMP list of high-alert medications. Retrieved from https://www.ismp.org/tools/highalertmedications.pdf

Institute for Safe Medication Practices. (2015a). ISMP’s list of confused drug names. Retrieved from http://www.ismp.org/Tools/confuseddrugnames.pdf

Institute for Safe Medication Practices. (2015b). ISMP safe practice guidelines for adult IV push medications. A compilation of safe practices from the ISMP adult IV push medication safety summit. Retrieved from http://www.ismp.org/Tools/guidelines/IVSummitPush/IVPushMedGuidelines.pdf

Institute for Safe Medication Practices. (2016). ISMP newsletters. Retrieved from https://www.ismp.org/newsletters/default.asp

Institute of Medicine. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. Washington, DC: National Academies Press.

Interprofessional Education Collaborative. (2016). What is interprofessional education? Retrieved from https://ipecollaborative.org/About_IPEC.html

James, J. T. (2013). A new, evidence-based estimate of patient harms associated with hospital care. Journal of Patient Safety, 9(3), 122-128. doi: 10.1097/PTS.0b013e3182948a69

Keers, R. N., Williams, S. D., Cooke, J., & Ashcroft, D. M. (2013). Causes of medication administration errors in hospitals: A systematic review of quantitative and qualitative evidence. Drug Safety, 36(11), 1045-1067. doi: 10.1007/s40264-013-0090-2

Kerfoot, K. M. (2016). Patient safety and leadership intentions: Is there a match? Nursing Economic$, 34(1), 44-45.

Koh, H. K., Berwick, D. M., Clancy, C. M., Baur, C., Brach, C., Harris, L. M., & Zerhusen, E. G. (2012). New federal policy initiatives to boost health literacy can help the nation move beyond the cycle of costly ‘crisis care’. Health Affairs, 31(2), 434-443. doi: 10.1377/hlthaff.2011.1169

Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.). (2000). To err is human: Building a safer health system. Washington, DC: National Academy Press. Available at http://books.nap.edu/catalog.php?record_id=9728#toc

Leape, L., Berwick, D., Clancy, C., Conway, J., Gluck, P., Guest, J., … Isaac, T. (2009). Transforming healthcare: A safety imperative. Quality and Safety in Health Care, 18(6), 424-428. doi: 10.1136/qshc.2009.036954

Lee, S.-H., Phan, P. H., Dorman, T., Weaver, S. J., & Pronovost, P. J. (2016). Handoffs, safety culture, and practices: Evidence from the hospital survey on patient safety culture. BMC Health Services Research, 16(1), 254. doi: 10.1186/s12913-016-1502-7

Lehne, R. A. (2013a). Adverse drug reactions and medication errors. In R. A. Lehne & L. Rosenthal (Eds.), Pharmacology for nursing care (8th ed., pp. 67-78). St. Louis, MO: Elsevier Saunders.

Lehne, R. A. (2013b). Application of pharmacology in nursing practice. In R. A. Lehne & L. Rosenthal (Eds.). Pharmacology for nursing care (8th ed., pp. 5-14). St. Louis, MO: Elsevier Saunders.

Leotsakos, A., Ardolino, A., Cheung, R., Zheng, H., Barraclough, B., & Walton, M. (2014a). Educating future leaders in patient safety. Journal of Multidisciplinary Healthcare, 7, 381-388. doi: /10.2147/JMDH.S53792

Leotsakos, A., Zheng, H., Croteau, R., Loeb, J., Sherman, H., Hoffman, C., & ... Munier, B. (2014b). Standardization in patient safety: the WHO High 5s project. International Journal for Quality In Health Care, 26(2), 109-116. doi: 10.1093/intqhc/mzu010

Leung, A. A., Denham, C. R., Gandhi, T. K., Bane, A., Churchill, W. W., Bates, D. W., & Poon, E. G. (2015). A safe practice standard for barcode technology. Journal of Patient Safety, 11(2), 89-99. doi: 10.1097/pts.0000000000000049

Levy, H., & Janke, A. (2016). Health literacy and access to care. Journal of Health Communication, 21(suppl. 1), 43-50. doi: 10.1080/10810730.2015.1131776

Mansur, J. (2016). Medication safety systems and the important role of pharmacists. Drugs Aging, 33(3), 213-221. doi: 10.1007/s40266-016-0358-1

Mardis, T., Mardis, M., Davis, J., Justice, E., Riley Holdinsky, S., Donnelly, J., … Riesenberg, L. A. (2016). Bedside shift-to-shift handoffs: A systematic review of the literature. Journal of Nursing Care Quality, 31(1), 54-60. doi: 10.1097/NCQ.0000000000000142

McDonald, K. M., Matesic, B., Contopoulos-Ioannidis, D. G., Lonhart, J., Schmidt, B., Pineda, N., & Ioannidis, J. (2013). Patient safety strategies targeted at diagnostic errors: A systematic review. Annals of Internal Medicine, 158(5 Part 2), 381-389. doi: 10.7326/0003-4819-158-5-201303051-00004

MedlinePlus. (2013). Acetaminophen. Retrieved from https://medlineplus.gov/druginfo/meds/a681004.html

Meeks, D. W., Smith, M. W., Taylor, L., Sittig, D. F., Scott, J. M., & Singh, H. (2014). An analysis of electronic health record-related patient safety concerns. Journal of the Amer­ican Medical Informatics Association, 21(6), 1053-1059. doi:10.1136/amiajnl- 2013-002578

Mehtsun, W. T., Ibrahim, A. M., Diener-West, M., Pronovost, P. J., & Makary, M.A. (2013). Surgical never events in the United States. Surgery, 153(4), 465-472. doi: 10.1016/j.surg.2012.10.005

Midelfort, L. (2011). Medication reconciliation review. Retrieved from http://www.ihi.org/resources/Pages/Tools/MedicationReconciliationReview.aspx

Murphy, D. R., Laxmisan, A., Reis, B. A., Thomas, E. J., Esquivel, A., Forjuoh, S. N., … Singh, H. (2014). Electronic health record-based triggers to detect potential delays in cancer diagnosis. BMJ Quality Safety, 23(1), 8-16. doi: 10.1136/bmjqs-2013-001874

Nanji, K., Patel, A., Shaikh, S., Seger, D., & Bates, D. (2016). Evaluation of perioperative medication errors and adverse drug events. Anesthesiology, 124(1), 25-34. doi: 10.1097/ALN.0000000000000904

National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP). (2016). About medication errors. What is a medication error? Retrieved from http://www.nccmerp.org/about-medication-errors

National Patient Safety Foundation (NPSF). (2016a). Ask Me 3: Good questions for your health. Retrieved from http://www.npsf.org/?page=askme3

National Patient Safety Foundation (NPSF). (2016b). Free from harm: Accelerating patient safety improvement fifteen years after To Err is Human. Retrieved from http://www.npsf.org/?page=freefromharm

National Quality Forum. (2014). Audit of 2010 safe practices for better healthcare. Retrieved from http://www.qualityforum.org/Publications/2014/05/2010_Safe_Practices_Audit.aspx

National Quality Forum. (2016a). NQF’s mission and vision. Retrieved from http://www.qualityforum.org/about_nqf/mission_and_vision/

National Quality Forum. (2016b). Patient safety. Retrieved from http://www.qualityforum.org/Topics/Patient_Safety.aspx

O’Neill, P. A., & Klein, E. N. (2014). Wrong-site surgery. In A. Agrawal (Ed.), Patient safety: A case based comprehensive guide (pp. 145-160). New York, NY: Springer.

O’Connor, S., & Carlson, E. (2016). Safety culture and senior leadership behavior. Journal of Nursing Administration, 46(4), 215-220. doi:10.1097/NNA.0000000000000330

Parry, M. F., Grant, B., & Sestovic, M. (2013). Successful reduction in catheter-associated urinary tract infections: Focus on nurse-directed catheter removal. American Journal of Infection Control,41(12), 1178-1181. doi: 10.1016/j.ajic.2013.03.296

Pfoh E., Thompson, D., & Dy, S. (2013). High-alert drugs: Patient safety practices for intravenous anticoagulants. In: Making health care safer II: An updated critical analysis of the evidence for patient safety practices. Rockville, MD: Agency for Healthcare Research and Quality (US); 2013 Mar. (Evidence Reports/Technology Assessments, No. 211, Chapter 3). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK133376/

Pham, J. C., Aswani, M. S., Rosen, M., Lee, H., Huddle, M., Weeks, K., & Pronovost, P. J. (2012). Reducing medical errors and adverse events. Annual Review of Medicine, 63, 447-463. doi: 10.1146/annurev-med-061410-121352

Pop, M., & Finocchi, M. (2016). Medication errors: A case-based review. AACN Advanced Critical Care, 27(1), 5-11. doi: 10.4037/aacnacc2016172

Quality and Safety Education for Nurses Institute. (2014a). Project overview: The evolution of the Quality and Safety Education for Nurses (QSEN) Initiative. Retrieved from http://qsen.org/about-qsen/project-overview/

Quality and Safety Education for Nurses Institute. (2014b). Teaching strategies. Retrieved from http://qsen.org/teaching-strategies/strategy-search/

Rainer, J. (2015). Speaking up: Factors and issues in nurses advocating for patients when patients are in jeopardy. Journal of Nursing Care Quality, 30(1), 53-62. doi: 10.1097/NCQ.0000000000000081

Reason, J. (1990). Human error. New York, NY: Cambridge University Press.

Reason, J. (2016). Managing the risks of organizational accidents. New York, NY: Routledge Taylor & Francis.

Roth, C., Brewer, M., & Wieck, K. L. (2016). Using a Delphi Method to identify human factors contributing to nursing errors. Nursing Forum, July 19, 0(0), Epublished ahead of print. doi: 10.1111/nuf.12178

Sevdalis, N., Nestel, D., Kardong-Edgren, S., & Gaba, D. M. (2016). A joint leap into a future of high-quality simulation research—standardizing the reporting of simulation science. Simulation in Healthcare, 11(4), 236-237. doi: 10.1097/sih.0000000000000179

Singh, H., Meyer, A., & Thomas, E. (2014). The frequency of diagnostic errors in outpatient care: Estimations from three large observational studies involving US adult populations. BMJ Quality and Safety, 23(9), 727-731. doi:10.1136/bmjqs-2013-002627

Snoots, L. R. (2016). Use of personal electronic devices by nurse anesthetists and the effects on patient safety. American Association of Nurse Anesthetists Journal, 84(2), 114-119.

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