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Patient safety in hospital acute care units.
Annu Rev Nurs Res. 2006; 24:103-25.AR

Abstract

The most visible threats to patient safety associated with nursing care occur on hospital inpatient units. Patient safety research is a new phenomenon, but it builds on the knowledge provided by quality-of-care research done previously. The purpose of this chapter is to describe the current state of the science in the area of nurse staffing and patient safety. The results of research studies published since the last round of reviews (1996-2005) are described by level of analysis, measures of nurse staffing and patient outcomes. Although research linking nurse staffing to the quality of patient care has increased markedly since 1996, the results of recent research projects do not yet provide a thorough and consistent foundation for producing solutions to the crisis in hospital nursing care. The inconsistencies are largely due to differing units of analysis (hospital, patient, care unit), variability in measures of nurse staffing, the variety of quality indicators chosen, the difficulty finding accurate measures of these indicators, and the difficulty creating risk-adjustment strategies for the indicators most sensitive to nursing care. Nursing administration and policy most urgently need research conducted with standardized data collected at the patient care unit level.

Authors+Show Affiliations

Blegen MA
Center for Collaboration in Patient Safety, School of Nursing, University of California-San Francisco, USA.

MeSH

Accidental FallsAcute DiseaseAmerican Hospital AssociationCross InfectionForecastingHealth Services Needs and DemandHospital MortalityHumansMedical ErrorsMedication ErrorsNursing Evaluation ResearchNursing Staff, HospitalOutcome Assessment, Health CarePersonnel Staffing and SchedulingPressure UlcerQuality Indicators, Health CareRisk AdjustmentRisk FactorsSafety ManagementUnited StatesUnited States Agency for Healthcare Research and QualityWorkload

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

17078412

Citation

Blegen, Mary A.. "Patient Safety in Hospital Acute Care Units." Annual Review of Nursing Research, vol. 24, 2006, pp. 103-25.
Blegen MA. Patient safety in hospital acute care units. Annu Rev Nurs Res. 2006;24:103-25.
Blegen, M. A. (2006). Patient safety in hospital acute care units. Annual Review of Nursing Research, 24, 103-25.
Blegen MA. Patient Safety in Hospital Acute Care Units. Annu Rev Nurs Res. 2006;24:103-25. PubMed PMID: 17078412.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Patient safety in hospital acute care units. A1 - Blegen,Mary A, PY - 2006/11/3/pubmed PY - 2006/12/9/medline PY - 2006/11/3/entrez SP - 103 EP - 25 JF - Annual review of nursing research JO - Annu Rev Nurs Res VL - 24 N2 - The most visible threats to patient safety associated with nursing care occur on hospital inpatient units. Patient safety research is a new phenomenon, but it builds on the knowledge provided by quality-of-care research done previously. The purpose of this chapter is to describe the current state of the science in the area of nurse staffing and patient safety. The results of research studies published since the last round of reviews (1996-2005) are described by level of analysis, measures of nurse staffing and patient outcomes. Although research linking nurse staffing to the quality of patient care has increased markedly since 1996, the results of recent research projects do not yet provide a thorough and consistent foundation for producing solutions to the crisis in hospital nursing care. The inconsistencies are largely due to differing units of analysis (hospital, patient, care unit), variability in measures of nurse staffing, the variety of quality indicators chosen, the difficulty finding accurate measures of these indicators, and the difficulty creating risk-adjustment strategies for the indicators most sensitive to nursing care. Nursing administration and policy most urgently need research conducted with standardized data collected at the patient care unit level. SN - 0739-6686 UR - https://www.unboundmedicine.com/medline/citation/17078412/Patient_safety_in_hospital_acute_care_units_ DB - PRIME DP - Unbound Medicine ER -