Patient Safety and Quality Improvement Across the Nursing Practice Continuum

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Nursing".

Deadline for manuscript submissions: 31 July 2025 | Viewed by 2539

Special Issue Editor


E-Mail Website
Guest Editor
School of Nursing and Midwifery, Centre for Quality and Patient Safety Research in the Institute for Health Transformation, Deakin University, Melbourne, VIC 3125, Australia
Interests: nursing; nursing education; simulation; patient safety; patient safety incidents; second victim experiences

Special Issue Information

Dear Colleagues,

As healthcare complexity continues to rise, the commitment to patient safety and quality improvement has never been more critical. Nurses, as frontline caregivers, play a pivotal role in identifying and mitigating risks, enhancing patient outcomes, and fostering a culture of safety within healthcare settings across the continuum of care. Research indicates that effective nursing interventions can significantly reduce adverse events, improve patient satisfaction, and enhance the quality of healthcare delivery in acute, subacute, community, and residential care environments.

To bridge gaps in knowledge and promote best practices across these diverse healthcare environments, this Special Issue will cover the intersection of nursing research, patient safety initiatives, and quality improvement methodologies. We invite contributions that explore various aspects of patient safety and quality improvement in nursing practice, including but not limited to assessment and management of risk, nursing workforce development, and working with patients and family to improve health outcomes and experiences.

Through rigorous peer-reviewed original research and reviews, this Special Issue will aim to provide a comprehensive resource for nurses, healthcare leaders, and policymakers dedicated to advancing patient safety and quality improvement.

In this Special Issue, original research articles and reviews are welcome. Research areas may include (but are not limited to) the following:

  • Investigating, evaluating, and identifying innovations to improve the effectiveness, efficiency, and capacity of the nursing workforce across the continuum of healthcare.
  • Examining the experience and perspectives of patients and family members to facilitate/support participatory co-design in patient safety and/or quality improvement initiatives with consumers.
  • Researching areas of risk in nursing practice to identify, prevent, reduce, and manage such risks.

We look forward to receiving your contributions. 

Dr. Monica Peddle
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • nursing
  • patient safety
  • healthcare quality
  • patient outcomes
  • quality improvement
  • patient experience
  • nursing workforce
  • qualitative
  • quantitative
  • mixed methods

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • Reprint: MDPI Books provides the opportunity to republish successful Special Issues in book format, both online and in print.

Further information on MDPI's Special Issue policies can be found here.

Published Papers (2 papers)

Order results
Result details
Select all
Export citation of selected articles as:

Research

Jump to: Review

13 pages, 225 KiB  
Article
The Effect of Alarm Fatigue on the Tendency to Make Medical Errors in Surgical Intensive Care Nurses: A Correlational Study Examining the Role of Moderating Factors
by Muaz Gülşen and Sevban Arslan
Healthcare 2025, 13(6), 631; https://doi.org/10.3390/healthcare13060631 - 14 Mar 2025
Viewed by 1500
Abstract
Introduction: In surgical intensive care units, monitoring and interventions are performed utilizing advanced technologies. The warning alarms of these devices jeopardize patient safety by inducing fatigue in staff. Aim: The objective is to assess the impact of alarm fatigue on the tendency for [...] Read more.
Introduction: In surgical intensive care units, monitoring and interventions are performed utilizing advanced technologies. The warning alarms of these devices jeopardize patient safety by inducing fatigue in staff. Aim: The objective is to assess the impact of alarm fatigue on the tendency for medical errors among nurses in surgical intensive care units. Method: The current study employed a cross-sectional and correlational design. Data were gathered from 201 surgical intensive care nurses through an online survey approach and snowball sampling technique. The data collection instruments employed were the “Personal Information Form”, the “Alarm Fatigue Scale”, and the “Medical Error Tendency Scale in Nursing”. Results: The mean total score for alarm fatigue among nurses in surgical intensive care units was found to be 16.42 ± 5.47, while the mean total score for the tendency to make medical errors was 180.57 ± 24.32. A negative moderate correlation was identified between alarm fatigue and a tendency for medical errors. This finding indicates that as alarm fatigue increases, the score reflecting the tendency to make medical errors decreases; however, this decrease suggests an actual increase in the tendency for medical errors. Nurses’ alarm fatigue accounted for 14.5% of the total variance in the tendency to commit medical errors. A unit increase in alarm fatigue was found to correlate with a 0.381 unit increase in the likelihood of medical errors. Conclusions: Nurses exhibited moderate levels of alarm fatigue and a tendency for medical mistakes. The tendency for medical errors escalated markedly with the rise in alarm fatigue. Full article

Review

Jump to: Research

22 pages, 520 KiB  
Review
Experiences and Perceptions of Registered Nurses Who Work in Acute Care Regarding Incident Reporting: A Scoping Review
by Clara Smit and Monica Peddle
Healthcare 2025, 13(11), 1250; https://doi.org/10.3390/healthcare13111250 - 26 May 2025
Viewed by 467
Abstract
Background/Objectives: Clinical incidents can be valuable learning tools to improve patient safety. However, failure to report or underreporting of clinical incidents is a global phenomenon. Understanding nurses’ experiences is essential to identifying challenges and developing strategies to enhance incident reporting behaviours. This [...] Read more.
Background/Objectives: Clinical incidents can be valuable learning tools to improve patient safety. However, failure to report or underreporting of clinical incidents is a global phenomenon. Understanding nurses’ experiences is essential to identifying challenges and developing strategies to enhance incident reporting behaviours. This review aimed to explore the experiences and perceptions of acute care bedside nurses regarding incident reporting. Methods: This review used scoping review methods. A search of the MEDLINE and CINAHL databases returned 16 papers that were included in the review. Results: Five main themes were identified—Fear of Reporting, Levels of Reporting, Lack of Knowledge, Education and Training on Reporting, Benefits of Reporting, and Changing the Culture. Conclusions: Nurses experience fear of incident reporting stemming from negative repercussions and the organisational blame culture. Lack of knowledge and training about errors and incident reporting processes limits incident reporting behaviours. To enhance reporting behaviours, promoting a just culture that includes the support of managers, open communication, and feedback on incidents is important. Education and training can also enhance nurses’ awareness and capability of incident reporting. Full article
Show Figures

Figure 1

Back to TopTop