Multidisciplinary approaches to reducing error and risk in a patient care setting.
Connor M, Ponte PR, Conway J. Crit Care Nurs Clin N Am. 2002;14:359-367.
This article describes the multifaceted response of Dana-Farber Cancer Institute after a highly publicized medication error in 1995. The authors review a series of interventions designed through the multidisciplinary efforts of nursing, pharmacy, physician, administrative, and other clinical staff. Factors discussed include the role of the patient and family, the need for executive leadership,
root cause analyses
, a shift to nonpunitive environments, and development of better processes for care. The authors share how a single
catalyzed 7 years of efforts to bring patient safety to the forefront and explain what future steps must occur in the area of patient safety.
Recommendations for Safe Use of Insulin in Hospitals.
Bethesda, MD: American Society of Health-System Pharmacists; 2006.
Nurse decision making in the prearrest period.
Gazarian PK, Henneman EA, Chandler GE. Clin Nurs Res. 2010;19:21-37.
A model for developing high-reliability teams.
Riley W, Davis SE, Miller KK, McCullough M. J Nurs Manag. 2010;18:556-563.
Do no harm.
Kalb C. Newsweek. Oct 4, 2010;156:48.
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