Nursing Patient Safety Research in Rural Health Care Settings

2008 ◽  
Vol 26 (1) ◽  
pp. 195-218 ◽  
Author(s):  
Deirdre K. Thornlow

Adverse events occur in virtually all health care arenas, and while rural health care settings are no exception, these facilities often face unique financial burdens and personnel shortages. That may hamper patient safety efforts. Many of the interventions recommended to improve patient safety have largely been based on research conducted in urban hospitals. This chapter demonstrates the extent and type of nursing research being conducted to advance rural-specific patient safety research. The studies were conducted in various settings, with topics ranging from error reporting in hospitals to safety screening in the community. Limitations of these works are discussed, and the chapter offers guidance for a future nursing research agenda to include the need for interdisciplinary research; cross-national and international collaboration; and, at a minimum, the necessity for nurse researchers to sample rural hospitals in larger studies of patient safety.

2017 ◽  
Vol 57 (1) ◽  
pp. 62-75 ◽  
Author(s):  
Antonia Stang ◽  
Denise Thomson ◽  
Lisa Hartling ◽  
Jocelyn Shulhan ◽  
Megan Nuspl ◽  
...  

Children are particularly vulnerable to patient safety concerns due to pediatric-specific and general health care challenges. This scoping review identifies and describes the vulnerabilities of those aged 0 to 18 years to iatrogenic harm in various health care settings. Six databases were searched from 1991 to 2012. Primary studies were categorized using predetermined groupings. Categories were tallied and descriptive statistics were employed. A total of 388 primary studies exploring interventions that improved patient safety, deficiencies, or errors leading to safety concerns were included. The most common issues were medication (189 studies, 48.7%) and general medical (81 studies, 20.9%) errors. Sixty studies (15.5%) evaluated or described patient safety interventions, 206 studies (53.1%) addressed health care systems and technologies, 17 studies (4.4%) addressed caregiver perspectives and 20 studies (5.2%) discussed analytic models for patient safety. Further work is needed to ensure consistency of definitions in patient safety research to facilitate comparison and collation of results.


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