Applied Nursing Research
Volume 17, Issue 4 , Pages 224-230 , November 2004

The prevalence and nature of errors and near errors reported by hospital staff nurses

  • Michele C. Balas

      Affiliations

    • Doctoral Student, School of Nursing, University of Pennsylvania, Philadelphia, PA, USA
    • ,
  • Linda D. Scott

      Affiliations

    • Kirkhof School of Nursing, Grand Valley State University, Grand Rapids, MI, USA
    • ,
  • Ann E. Rogers

      Affiliations

    • School of Nursing, Center for Sleep and Respiratory Neurology, University of Pennsylvania, Philadelphia, PA, USA
    • Corresponding Author InformationAddress reprint requests to Ann E. Rogers PhD, RN, FAAN, University of Pennsylvania School of Medicine, 420 Guardian Drive, Philadelphia, PA 19104, USA

References 

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  2. Bates DW, Cullen DJ, Laird N, Petersen LA, Small SD, Sevi D, et al. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. JAMA. 1998;280:1211–1316
  3. Berenholtz SM, Dorman T, Pronovost PJ. Improving quality and safety in the ICU. Contemporary Critical Care. 2003;1(1):1–8
  4. Dinges DF, Whitehouse WG, Orne ED, Bloom PB, Carlin MM, Bauer NK, et al. Self-hypnosis training as an adjunctive treatment in the management of pain associated with sickle-cell disease. International Journal of Clinical and Experimental Hypnosis. 1997;45:417–432
  5. Ebright P, Patterson E, Chalko B, Render M. Understanding the complexity of registered nurse work in acute care settings. Journal of Nursing Administration. 2003;33:630–638
  6. Kohn LT, Corrigan JM, Donaldson MS. To err is human (Building a safer health system). Washington DC: Committee on Quality of Health Care in America. Institute of Medicine, National Academy Press; 1999;
  7. Johnson JA, Bootman LJ. Drug-related morbidity and mortality and the economic impact of pharmaceutical care. American Journal of Health-System Pharmacy. 1997;54:554–558
  8. Leape LL. The preventability of medical injury. In:  Bogner MS editors. Human error in medicine. Hillsdale, NJ: Lawrence Erlbaum Associates; 1994;p. 13–25
  9. Leape LL. Out of darkness (Hospitals begin to take mistakes seriously). Health Systems Review. 1995;28:24–27
  10. Leape LL, Bates DW, Cullen DJ, Cooper J, Ives J, Laird N, et al. Systems analysis of adverse drug events. JAMA. 1995;274:35–43
  11. Leape LL, Brennan TA, Laird N, Lawthers AG, Localio AR, Barnes BA, et al.  The nature of adverse events in hospitalized patients. New England Journal of Medicine. 1991;324:377–384
  12. Low DK, Belcher JV. Reporting medication errors through computerized medication administration. CIN (Computers, Informatics, Nursing). 2002;20:178–183
  13. Osborne J, Blais K, Hayes JS. Nurses’ perceptions (When is it a medication error?). Journal of Nursing Administration. 1999;29(4):33–38
  14. Pape TM. Applying airline safety practices to medication administration. MedSurg Nursing. 2003;12:77–93
  15. Rogers AE, Hwang W-T, Scott LD, Aiken LH, Dinges DF. Hospital staff nurse work hours and patient safety. Health Affairs. 2004;23:202–212
  16. Reason J. Human error (Models and management). British Medical Journal. 2000;320:768–770
  17. Wakefield DS, Wakefield BJ, Uden-Holman T, Blegen MA. Perceived barriers in reporting medication administration errors. Best Practices and Benchmarking in Healthcare. 1996;1:191–197

☆ Supported by the Agency for Health Care Research and Quality (R01 HS11963-01): Ann E. Roger, PhD, RN, PI.

PII: S0897-1897(04)00072-2

doi: 10.1016/j.apnr.2004.09.002

Applied Nursing Research
Volume 17, Issue 4 , Pages 224-230 , November 2004

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