Role of registered nurses in error prevention, discovery and correction

Qual Saf Health Care. 2008 Apr;17(2):117-21. doi: 10.1136/qshc.2007.022699.

Abstract

Background: Registered nurses have a vital role in discovering and correcting medical error.

Objective: To describe the type and frequency of errors detected by American critical care nurses, and to ascertain who made the errors discovered by study participants.

Methods: Daily logbooks were used to collect information about errors discovered by a random sample of 502 critical care nurses during a 28-day period.

Results: Although the majority of errors discovered and corrected by critical care nurses involved medications (163/367), procedural errors were common (n = 115). Charting and transcription errors were less frequently discovered. The errors discovered by participants were attributed to a wide variety of staff members including nurses, doctors, pharmacists, technicians and unit secretaries.

Conclusions: Given the importance of nurses in maintaining patient safety, future studies should identify factors that enhance their effectiveness to prevent, intercept and correct healthcare errors.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Clinical Nursing Research
  • Critical Care
  • Female
  • Humans
  • Intensive Care Units / organization & administration
  • Male
  • Medical Errors / nursing*
  • Medical Errors / prevention & control
  • Medical Errors / statistics & numerical data
  • Medication Errors / prevention & control*
  • Medication Errors / statistics & numerical data
  • Middle Aged
  • Nurse's Role*
  • Nursing Records
  • Nursing Staff, Hospital*
  • Safety Management*
  • Surveys and Questionnaires
  • United States
  • Workforce