The list of several nursing areas with safety issues, the healthcare setting they were observed and the relevant nursing interventions to augment patient safety
| Nursing areas with safety issues | Settings | Nursing intervention | Statistically significant intervention |
|---|---|---|---|
| Acute asthma events | Outpatient healthcare setting | Patient-centred home management plan for asthma care | No |
| Adherence with outpatient follow-up appointments | Hospital setting for adults and children | Patient-centred bedside rounds | No |
| Agitation | Patients with dementia/long term facilities, older people | Person-centred care and activities for dementia patients, Dementia care mapping | Yes |
| Hospitalisation | Outpatient healthcare settings | Patient education, digital and technology patient support | Yes |
| Emergency Room (ER) visits | Outpatient healthcare settings | Patient education, digital and technology patient support | Yes |
| Falls, fall related injuries | Long-term and acute care facilities | Person-centred care and activities, interventions | Yes |
| Infection rate | Long term aged care facilities | Person-centred care approaches | No |
| Infection (hospital- acquired) + clinical deterioration (combined) | Hospital setting for adults and children | Patient-centred bedside rounds | No |
| Medications – reduced use or dose of benzodiazepine (BZD) or z-drugs | Long-term and acute care facilities | Patient-centred interventions, information, communication, clinicians' characteristics | Yes |
| Medications – discontinuation of rates of Benzodiazepine (BZD) or z-drugs use | Long-term and acute care facilities | Patient-centred interventions, information, communication, clinicians' characteristics | Yes |
| Medications – appropriate prescribing of benzodiazepine (BZD) or z-drugs | Long-term and acute care facilities | Patient-centred interventions, information, communication, clinicians' characteristics | Yes |
| Medications – reductions in anti-psychotic medications | Long term aged care facilities | Patients with dementia/long term facilities, older people, person-centred activities for dementia patients | Yes |
| Medication errors | Acute care | Patient-centred interventions | No |
| Mortality (unadjusted) | Hospital setting for adults and children | Patient-centred bedside rounds | Yes |
| Mortality (all cause) | All settings | Patient-centred integrated care, digital patient support, communication | Yes |
| Mortality (cardiac and cardiovascular) | All settings | Patient-centred integrated care | No |
| Neuro- psychiatric symptoms (NPS) | Long term care facilities | Multi-modal patient-centred care approaches at organisation level | No |
| Pressure ulcers | Acute care | Person-centred care | No |
| Readmission with heart failure within 12/12 | Hospital setting | Person-centred care and education on self-care, activity and nutrition | Yes |
| Readmission | Psychiatric inpatient facilities | Specified intervention | Yes |
| Unscheduled primary care visits | Outpatient healthcare settings | Patient-centred technology for asthma care | No |
| Ventilator- assisted pneumonia | Hospital setting for adults and children | Patient-centred bedside rounds | Yes |
| Nursing areas with safety issues | Settings | Nursing intervention | Statistically significant intervention |
|---|---|---|---|
| Acute asthma events | Outpatient healthcare setting | Patient-centred home management | No |
| Adherence with outpatient follow-up appointments | Hospital setting for adults and children | Patient-centred bedside rounds | No |
| Agitation | Patients with dementia/long term facilities, older people | Person-centred care and activities for dementia patients, Dementia care mapping | Yes |
| Hospitalisation | Outpatient healthcare settings | Patient education, digital and technology patient support | Yes |
| Emergency Room (ER) visits | Outpatient healthcare settings | Patient education, digital and technology patient support | Yes |
| Falls, fall related injuries | Long-term and acute care facilities | Person-centred care and activities, interventions | Yes |
| Infection rate | Long term aged care facilities | Person-centred care approaches | No |
| Infection (hospital- acquired) + clinical deterioration (combined) | Hospital setting for adults and children | Patient-centred bedside rounds | No |
| Medications – reduced use or dose of benzodiazepine (BZD) or z-drugs | Long-term and acute care facilities | Patient-centred interventions, information, communication, clinicians' characteristics | Yes |
| Medications – discontinuation of rates of Benzodiazepine (BZD) or z-drugs use | Long-term and acute care facilities | Patient-centred interventions, information, communication, clinicians' characteristics | Yes |
| Medications – appropriate prescribing of benzodiazepine (BZD) or z-drugs | Long-term and acute care facilities | Patient-centred interventions, information, communication, clinicians' characteristics | Yes |
| Medications – reductions in anti-psychotic medications | Long term aged care facilities | Patients with dementia/long term facilities, older people, person-centred activities for dementia patients | Yes |
| Medication errors | Acute care | Patient-centred interventions | No |
| Mortality (unadjusted) | Hospital setting for adults and children | Patient-centred bedside rounds | Yes |
| Mortality (all cause) | All settings | Patient-centred integrated care, digital patient support, communication | Yes |
| Mortality (cardiac and cardiovascular) | All settings | Patient-centred integrated care | No |
| Neuro- psychiatric symptoms (NPS) | Long term care facilities | Multi-modal patient-centred care approaches at organisation level | No |
| Pressure ulcers | Acute care | Person-centred care | No |
| Readmission with heart failure within 12/12 | Hospital setting | Person-centred care and education on self-care, activity and nutrition | Yes |
| Readmission | Psychiatric inpatient facilities | Specified intervention | Yes |
| Unscheduled primary care visits | Outpatient healthcare settings | Patient-centred technology for asthma | No |
| Ventilator- assisted pneumonia | Hospital setting for adults and children | Patient-centred bedside rounds | Yes |
Source(s): Rossiter et al. (2020)
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