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The Impact of Safety Organizing, Trusted Leadership, and Care Pathways on Reported Medication Errors in Hospital Nursing Units

Bibliographic Data

ID9099716
AuthorsTimothy J Vogus (0000-0002-3164-8104, Vanderbilt University, corresponding author), Kathleen M Sutcliffe (0000-0002-7804-6274, Johns Hopkins University)
Year2007
Volume45
Issue10
Pages997-1002
Publication date2007-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e318053674f
PMID17890998
OpenAlexW2119503224
LanguageEN
Citations received14
References cited37

CONTEXT: Prior research has found that safety organizing behaviors of registered nurses (RNs) positively impact patient safety. However, little research exists on the joint benefits of safety organizing and other contextual factors that help foster safety. OBJECTIVES: Although we know that organizational practices often have more powerful effects when combined with other mutually reinforcing practices, little research exists on the joint benefits of safety organizing and other contextual factors believed to foster safety. Specifically, we examined the benefits of bundling safety organizing with leadership (trust in manager) and design (use of care pathways) factors on reported medication errors. SUBJECTS: A total of 1033 RNs and 78 nurse managers in 78 emergency, internal medicine, intensive care, and surgery nursing units in 10 acute-care hospitals in Indiana, Iowa, Maryland, Michigan, and Ohio who completed questionnaires between December 2003 and June 2004. RESEARCH DESIGN: Cross-sectional analysis of medication errors reported to the hospital incident reporting system for the 6 months after the administration of the survey linked to survey data on safety organizing, trust in manager, use of care pathways, and RN characteristics and staffing. RESULTS: Multilevel Poisson regression analyses indicated that the benefits of safety organizing on reported medication errors were amplified when paired with high levels of trust in manager or the use of care pathways. CONCLUSIONS: Safety organizing plays a key role in improving patient safety on hospital nursing units especially when bundled with other organizational components of a safety supportive system

Context (archaeology) · Environmental health · Health care · Medical emergency · Patient safety · Poisson regression · Staffing · Medicine · Nursing · Nursing education and management · Occupational Health and Safety Research · Patient Safety and Medication Errors · Psychology

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Unique citing works14
Citations per year0,82
Citation span2009 - 2024 (16)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 14

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