Search results for "Nurse Managers"
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Journal Article > Study
Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices.
Armstrong GE, Dietrich M, Norman L, Barnsteiner J, Mion L. J Nurs Care Qual. 2017;32:226-233.
Medication administration errors are common and account for a significant fraction of medication errors. This study sought to assess how bedside nurses' reported attitudes and skills with safety practices affect medication administration errors. Researchers determined that system, local, and individual bedside nurse factors contribute to medication administration errors.
Journal Article > Study
The occurrence of adverse events potentially attributable to nursing care in medical units: cross sectional record review.
D'Amour D, Dubois CA, Tchouaket É, Clarke S, Blais R. Int J Nurs Stud. 2014;51:882-891.
Accurately detecting safety events remains challenging, and health care organizations are still struggling to determine the incidence of adverse outcomes associated with nursing care. This study used chart reviews to identify the rates of six adverse events considered to be directly related to nursing care: pressure sores, falls, medication administration errors, pneumonia, urinary infections, and inappropriate use of restraints. One in seven hospitalized adults experienced at least one of these adverse events.
Journal Article > Study
Why don't nurses consistently take patient respiratory rates?
Ansell H, Meyer A, Thompson S. Br J Nurs. 2014;23:414-418.
Basic nursing care, such as measuring and recording vital signs, is often left undone. This qualitative study found that nurses frequently fail to accurately record patients' respiratory rates due to more urgent work tasks, confirming findings from prior studies.
Cases & Commentaries
The Unfamiliar Catheter
- Web M&M
Sonia C. Swayze, RN, MA, and Angela James, RN, BSN; March 2013
While drawing labs on a woman admitted after a lung transplant, a nurse failed to clamp the patient's large-bore central line, allowing air to enter the catheter. The patient suffered a cerebral air embolism and was transferred to the ICU for several days.
Cases & Commentaries
CVC Placement: Speak Now or Do Not Use the Line
- Web M&M
Mark Ault, MD, and Bradley Rosen, MD, MBA; February 2013
A woman found unresponsive at home presented to the ED via ambulance. The cardiology team used the central line placed during resuscitation to deliver medications and fluids during pacemaker insertion. Hours later, a chest radiograph showed whiteout of the right lung, and clinicians realized that the tip of the line was actually within the lung.
Book/Report
Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities.
Washington, DC: VA Office of Inspector General; April 20, 2012. Report No. 12-00956-159.
This publication presents findings from an investigation, prompted by reports of alarm fatigue, which identified gaps in training and competencies of nurses in 29 Veterans Health Administration facilities.
Journal Article > Study
Patient perceptions of missed nursing care.
Kalisch BJ, McLaughlin M, Dabney BW. Jt Comm J Qual Patient Saf. 2012;38:161-167.
Missed nursing care (failure to perform required patient care elements) is surprisingly common. This qualitative study found that patients were able to reliably identify episodes of missed nursing care and their perceptions correlated with nurses' opinions.
Newspaper/Magazine Article
Promoting patient safety in continence care.
Mangnall J. Nurs Stand. 2012;26:49-56.
This commentary discusses the patient safety ramifications of continence care.
Cases & Commentaries
Are We Pushing Graduate Nurses Too Fast?
- Web M&M
Nancy Spector, PhD, RN ; March 2011
While caring for a complex patient in the surgical intensive care unit, a nurse incorrectly set up the continuous renal replacement therapy (CRRT) machine, raising questions about how new nurses should be trained in high-risk procedures.