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Publikace detail

Adverse Events in Nursing: A Review
Rok: 2025
Druh publikace: ostatní - přednáška nebo poster
Strana od-do: nestránkováno
Tituly:
Jazyk Název Abstrakt Klíčová slova
eng Adverse Events in Nursing: A Review “Do no harm” remains a fundamental principle of healthcare; however, patient safety continues to represent a persistent challenge worldwide. It is estimated that approximately one in ten patients experiences some form of harm during healthcare provision. Globally, around 134 million adverse events occur each year in low- and middle-income countries, resulting in up to 2.6 million deaths. Nurses, as the largest professional group in healthcare and key providers of direct patient care, play a central role in maintaining patient safety. The aim of this review was to synthesise current evidence on the relationship between nurse staffing, work environment, and their impact on adverse events and patient safety outcomes. The review was conducted in accordance with PRISMA guidelines and methodological standards of the Joanna Briggs Institute (JBI). Literature searches were performed in the Web of Science and PubMed databases using a PEO framework. The population included nurses and healthcare workers; exposures comprised nurse staffing, work environment, working conditions, leadership, and management style; and outcomes focused on adverse events, medication errors, patient safety, quality of care, and patient satisfaction. Studies published between 2024 and 2025 in English or Czech were eligible for inclusion. In total, eight studies met the inclusion criteria and were included in the final analysis. The findings indicate that nursing is a high-stress profession characterised by excessive workloads, long working hours, and shift work, all of which contribute to increased fatigue and a higher risk of adverse events. Higher patient-to-nurse ratios were consistently associated with increased rates of medication errors, patient falls, pressure injuries, fractures, and mortality. In contrast, adequate staffing levels, supportive leadership, positive workplace culture, and healthy work environments—characterised by open communication, teamwork, collaborative decision-making nurses; patient safety; adverse events; nurse staffing; work environment; quality of care