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Approach to Improving Safety
Search results for "Nurse Managers"
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- Psychiatric Facilities
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Journal Article > Study
Nursing staff's perceptions of patient safety in psychiatric inpatient care.
Kanerva A, Lammintakanen J, Kivinen T. Perspect Psychiatr Care. 2016;52:25-31.
Although patient safety has been a focus of nursing care in hospitals, this study found significant gaps in nurses' perceptions of patient safety in psychiatric inpatient units. For example, none of the interviewed nurses mentioned the importance of preventing inpatient suicide, which was the topic of a recent Joint Commission sentinel event alert.
Journal Article > Study
Medication-administration errors in an urban mental health hospital: a direct observation study.
Cottney A, Innes J. Int J Ment Health Nurs. 2015;24:65-74.
In this prospective observational study at a psychiatric hospital, errors were identified in 3% of medication administration episodes, with omission being the most common error type. As in prior studies, interruptions and higher patient volume were associated with increased risk of mistakes.
Journal Article > Study
The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings.
Hemingway S, McCann T, Baxter H, Smith G, Burgess-Dawson R, Dewhirst K. Int J Nurs Pract. 2015;21:733-740.
Medication errors are common in mental health care. This survey of nurses and nursing students identified interruptions and insufficient medication knowledge as major barriers to ensuring medication safety in outpatient mental health.
Journal Article > Study
Barriers to the reporting of medication administration errors and near misses: an interview study of nurses at a psychiatric hospital.
Haw C, Stubbs J, Dickens GL. J Psychiatr Ment Health Nurs. 2014;21:797-805.
Researchers interviewed mental health nurses to determine perceived obstacles to reporting medication administration errors or near misses. Many factors were identified, including insufficient knowledge, fear of consequences, or burden of work associated with reporting. These have also been cited as reasons for under-reporting of errors in prior nursing studies.
Journal Article > Study
Supporting a psychiatric hospital culture of safety.
Mahoney JS, Ellis TE, Garland G, Palyo N, Greene PK. J Am Psychiatr Nurses Assoc. 2012;18:299-306.
The TeamSTEPPS teamwork training program was successfully implemented at a psychiatric hospital, with resulting improvement in staff perceptions of teamwork.
Journal Article > Study
Identifying the 'right patient': nurse and consumer perspectives on verifying patient identity during medication administration.
Kelly T, Roper C, Elsom S, Gaskin C. Int J Ment Health Nurs. 2011;20:371-379.
This qualitative study demonstrated marked similarities between nurse and consumer perspectives for safe patient identification. Technical aids, such as wristbands and photographs, were deemed important but not replacements for the nurse–patient encounter.
Journal Article > Study
Making patients safer: nurses' responses to patient safety alerts.
Lankshear A, Lowson K, Harden J, Lowson P, Saxby RC. J Adv Nurs. 2008;63:567-575.
This study demonstrated that simply designing "system" safeguards fails to prevent errors in subsequent monitoring and implementation. Investigators used three safety alerts, including latex allergy, as markers of how well these alerts were being adopted in practice by bedside nurses.
Journal Article > Study
An observational study of medication administration errors in old-age psychiatric inpatients.
Haw C, Stubbs J, Dickens G. Int J Qual Health Care. 2007;19:210-216.
The researchers observed clinical staff administering medications in an elderly psychiatric patient population and saw that errors were common yet rarely of serious clinical consequence.
Journal Article > Study
Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study.
Bowers L, Allan T, Simpson A, Nijman H, Warren J. Int J Soc Psychiatry. 2007;53:75-84.
The authors analyzed untoward events in psychiatric wards and found them more likely to coincide with a high male patient population, staff absences, and the occurrence of other incidents.
Legislation/Regulation > Pennsylvania Legislation
Prohibition of Excessive Overtime for Nurses Act.
The General Assembly of Pennsylvania. HB957 (2005).
This bill calls for a prohibition of mandatory overtime and limiting the work week to 12 hours a day or 60 hours a week for non-supervisory health care employees in Pennsylvania. It is presently under consideration by Pennsylvania's General Assembly.