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Author McBride-Henry, K.; Foureur, M. openurl 
  Title Organisational culture, medication administration and the role of nurses Type Journal Article
  Year 2006 Publication Practice Development in Health Care Abbreviated Journal  
  Volume 5 Issue 2 Pages (down) 208-222  
  Keywords Patient safety; Medical errors; Organisational culture; Nursing; Drug administration  
  Abstract This research study was designed to identify ways of enhancing patient safety during the administration of medications within the New Zealand context. The researchers employed a multi-method approach that included a survey using the Safety Climate Survey tool, focus groups and three clinical practice development groups. The authors conclude that the outcomes of this study indicate that practice development initiatives, such as the ones outlined in this project, can have a positive effect on nurses' perceptions of organisational safety, which in turn has been demonstrated to have a positive impact on patient safety.  
  Call Number NRSNZNO @ research @ Serial 784  
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Author McBride-Henry, K.; Foureur, M. openurl 
  Title Medication administration errors: Understanding the issues Type Journal Article
  Year 2006 Publication Australian Journal of Advanced Nursing Abbreviated Journal  
  Volume 23 Issue 3 Pages (down) 33-41  
  Keywords Nursing; Patient safety; Medical errors; Drug administration; Quality assurance  
  Abstract This literature review focused on research that primarily addresses the issues related to medications that arise in tertiary care facilities. It finds that investigations into medication errors have primarily focused on the role of nurses, and tended to identify the nurse as deliverer of unsafe practice. Over the past few years a shift in how medication errors are understood has led to the identification of systems-related issues that contribute to medication errors. The author suggests that nurses should contribute to initiatives such as the 'Quality and Safe Use of Medicines' and develop nursing led research, to address some of the safety related issues with a view to enhancing patient safety.  
  Call Number NRSNZNO @ research @ Serial 715  
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Author Evans, S. openurl 
  Title Silence kills: Challenging unsafe practice Type Journal Article
  Year 2007 Publication Kai Tiaki: Nursing New Zealand Abbreviated Journal  
  Volume 13 Issue 3 Pages (down) 16-19  
  Keywords Medical errors; Organisational change; Organisational culture; Patient safety; Interprofessional relations  
  Abstract The author reviews the national and international literature on medical errors and adverse events. Contributing factors are identified, such as organisational culture, the myth of infallibility, and a one size fits all approach to health care. Conflict and communication difficulties between different health professionals is discussed in detail, as is the issue of disruptive behaviour, which includes intimidation, humiliation, undermining, domination and bullying. Some strategies for addressing these issues are proposed, such as promoting a no-blame culture, and addressing conflict between health professionals.  
  Call Number NRSNZNO @ research @ Serial 994  
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Author Elbe, E. url  openurl
  Title The private world of nursing related to incident reporting Type
  Year 2002 Publication Abbreviated Journal ResearchArchive@Victoria  
  Volume Issue Pages (down)  
  Keywords Medical errors; Organisational culture; Risk management; Nursing  
  Abstract The purpose of this project was to explore the experience of nurses related to incident reporting. The reporting of incidents is important as it identifies professional risks for nurses. A descriptive qualitative approach was the methodology used and individual interviews of five senior nurses was the method of data collection. Attention was given to finding out about the supports for and barriers against nurses in reporting incidents; the outcomes for nurses of incident reporting; and the organisational culture and scope of 'professional' behaviour of nurses around incident reporting. The findings revealed that nurses identified themselves as the major reporters of incidents. They considered there was not 'a level playing field' for all professionals around who, how and why incidents were reported, investigated and within the post incident processes. The nurses reported that they made daily decisions about what was an incident, and whether to report events as incidents. They identified aids and supports to the decisions they made such as the medium for reporting and fear of what happened when the incident form left the nurse and went to management. A number of significant implications were identified for nursing, management and organisations in this research. Nurses need to feel they work in organisations which have a culture of safety around incident reporting. Management need to clearly communicate policies, processes and organisational expectations related to incident reporting. This should include how incidents will be reported, investigated and the purposes for which management use incident reporting information. It is also important that adequate structures are in place to support nurses when an incident occurs as thay can have stressful consequences for the nurses involved.  
  Call Number NRSNZNO @ research @ Serial 1147  
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