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Search results for "Nurse Managers"

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Journal Article > Study

Engaging frontline staff in performance improvement: the American Organization of Nurse Executives implementation of Transforming Care at the Bedside collaborative.

Needleman J, Pearson ML, Upenieks VV, Yee T, Wolstein J, Parkerton M. Jt Comm J Qual Patient Saf. 2016;42:61-74.

This evaluation of the Transforming Care at the Bedside initiative—a collaborative intended to drive engagement of bedside nurses in enhancing safety through unit-based quality improvement projects—found highly positive perceptions of the program and evidence of widespread implementation of new innovations.

Journal Article > Commentary

Standardized handoff report form in clinical nursing education: an educational tool for patient safety and quality of care.

Lim F, Pajarillo EJY. Nurse Educ Today. 2016;37:3-7.

Due to variability in handoff practices across teams, units, and organizations, the process is vulnerable to error. This commentary describes a standardized change-of-shift form designed to help improve nursing students' communication skills and clinical reasoning.

Journal Article > Study

Nurses' perspectives regarding the disclosure of errors to patients: a qualitative study.

McLennan SR, Diebold M, Rich LE, Elger BS. Int J Nurs Stud. 2016;54:16-22.

In this qualitative interview study, most nurses believed that errors should be disclosed to patients, but few of them reported actually disclosing errors. Barriers to error disclosure included insufficient training, lack of organizational support, and personal fears. These findings are consistent with prior studies of physicians and underscore the difficulty in making error disclosure the standard of care.

Journal Article > Study

Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training.

West P, Neily J, Warner L, et al. Jt Comm J Qual Patient Saf. 2014;40:235-239.

This study surveyed nurse managers to evaluate the implementation of pre-surgical briefings and post-surgical debriefings recommended by the World Health Organization's Safe Surgery program. Researchers found that practices were variably sustained and team training appeared to augment implementation.

Audiovisual

Making health care safer: stopping C. difficile infections.

CDC Vital Signs. March 2012:1-4.

This newsletter article and accompanying set of infographics describes strategies to help patients and health care providers prevent health care–associated infections.

Journal Article > Commentary

Strategies for improving patient safety: linking task type to error type.

Mattox EA. Crit Care Nurse. 2012;32:52-78.

This commentary discusses types of errors associated with specific nursing tasks to illustrate how cognitive factors can affect safety.

Journal Article > Study

Speaking up, being heard: registered nurses' perceptions of workplace communication.

Garon M. J Nurs Manag. 2012;20:361-371.

This qualitative study emphasizes the role of nurse managers in establishing a culture where nurses feel free to voice their concerns.

Journal Article > Study

Prevalence of medication administration errors in two medical units with automated prescription and dispensing.

Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. J Am Med Inform Assoc. 2012;19:72-78.

Technological solutions such as computerized provider order entry (CPOE) hold promise for reducing medication errors at the prescribing and dispensing stage, but patients may still be harmed by incorrect administration of medications, which have been shown to be disturbingly common in prior studies. Conducted at an academic hospital in Spain that had an established CPOE system, this study found an overall administration error rate of 22%, consistent with prior studies. The hospital in question did not have a barcoding medication administration system. Combining barcoding with CPOE in a closed-loop system has been shown to significantly reduce the overall medication error rate.

Audiovisual

Empowering Better Nursing Care.

Robert Wood Johnson Foundation.

This photo essay includes interviews with three nurses participating in a nationwide initiative to empower nurses and improve care.

Journal Article > Commentary

Perinatal patient safety from the perspective of nurse executives: a round table discussion.

Thorman KE, Capitulo KL, Dubow J, Hanold K, Noonan M, Wehmeyer J.  J Obstet Gynecol Neonatal Nurs. 2006;35:409-416.

The authors summarize a discussion between six nurse executives in issues related to perinatal patient safety, such as communication gaps and regulatory pressures. The discussants share stories of initiatives implemented at their institutions to help reduce medical errors.

Journal Article > Study

The impact of nursing work environments on patient safety outcomes: the mediating role of burnout engagement.

Spence Laschinger HK, Leiter MP. J Nurs Adm. 2006;36:259-267.

The investigators surveyed Canadian nurses to explore the relationship between ineffective working conditions and patient safety. Their findings suggest a correlation between a supportive working environment and high-quality, safe care.

Journal Article > Study

Structural empowerment, magnet hospital characteristics, and patient safety culture: making the link.

Armstrong KJ, Laschinger H. J Nurs Care Qual. 2006;21:124-132.

The authors surveyed nurses in one rural Canadian hospital to examine how organizational structures and magnet hospital status support a culture of safety through staff empowerment.

Journal Article > Study

Findings from the ISMP Medication Safety Self-Assessment for hospitals.

Smetzer JL, Vaida AJ, Cohen MR, Tranum D, Pittman MA, Armstrong CW. Jt Comm J Qual Saf. 2003;29:586-597.

This article reports the results of the first national survey of mediation safety readiness in hospitals, which identified a wide range of opportunities for improvement.

Meeting/Conference > New Jersey Meeting/Conference

ISMP Medication Safety Intensive.

Institute for Safe Medication Practices. September 21-22, 2017, Maggiano's Little Italy Hackensack, Hackensack, NJ.

This workshop will explore tactics to ensure medication safety, including strategic planning, risk assessment, and Just Culture principles.

Journal Article > Commentary

Implementation of a modified bedside handoff for a postpartum unit.

Wollenhaup CA, Stevenson EL, Thompson J, Gordon HA, Nunn G. J Nurs Adm. 2017;47:320-326.

Ineffective team communication can contribute to sentinel events. This commentary describes how a rural hospital's postpartum unit redesigned its handoff process to create a bedside handoff model and utilized structured educational modalities and nurse champions to drive improvement and acceptance of the approach.

Journal Article > Commentary

AORN Position Statement on Patient Safety.

AORN J. 2017;105:501-502.

This position statement outlines recommendations from the Association of periOperative Registered Nurses on core components of safe perioperative nursing and its role in strengthening patient safety. Elements discussed include error reduction, patient engagement, and appropriate staffing levels.

Journal Article > Study

Cost–benefit analysis of a support program for nursing staff.

Moran D, Wu AW, Connors C, et al. J Patient Saf. 2017 Apr 27; [Epub ahead of print].

Medical errors and adverse events can have a devastating psychological impact on the providers involved, often referred to as second victims. Increasingly, health care institutions are implementing programs designed to provide emotional support to team members who experience emotional distress as a result of adverse events. This study provides an economic cost–benefit evaluation of the Resiliency In Stressful Events (RISE) program at Johns Hopkins Hospital. Investigators estimate a savings of $22,576.05 per nurse who used the RISE program and suggest that the hospital might save as much as $1.81 million annually as a result of RISE. These findings are consistent with a previous study, which demonstrated the positive impact of an emotional support program on work-related outcomes such as turnover intentions and absenteeism. In a past PSNet perspective, Susan Scott discussed the second victim phenomenon and its impact on health care providers.

Journal Article > Study

Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions?

Byrne C, Sierra H, Tolhurst R. Br J Nurs. 2017;26:464-467.

Checklists can improve patient safety across multiple settings. This pre–post study found that use of a checklist to help nurses dispense medications upon hospital discharge led to a reduction in errors in discharge prescriptions.

Journal Article > Study

Exploring the experience of nurse practitioners who have committed medical errors: a phenomenological approach.

Delacroix R. J Am Assoc Nurse Pract. 2017 Apr 27; [Epub ahead of print].

This qualitative interview study of nurse practitioners who had made errors found that they experience complex reactions, including self-blame, concern for the patient, worries about their professional future, and feelings of failure. These results echo prior work about health care team members as second victims of medical errors.

Journal Article > Study

Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting.

Garcia BH, Elenjord R, Bjornstad C, Halvorsen KH, Hortemo S, Madsen S. BMJ Qual Saf. 2017 Apr 21; [Epub ahead of print].

Look-alike and sound-alike medications can be erroneously substituted for each other, leading to adverse drug events. Use of nonproprietary medication names can prevent look-alike and sound-alike errors. In this simulation study, investigators compared how nurses handle medication packages with a prominent nonproprietary name versus standard medication packages. Participants prepared medications with nonproprietary labeling more quickly, but errors were rare across all packaging types.

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