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The Impact Of Bedside Reporting On Patient Safety Events Patient Satisfaction And Nurse Accountability In A Pediatric Unit
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Book Synopsis The Impact of Bedside Reporting on Patient Safety Events, Patient Satisfaction, and Nurse Accountability in a Pediatric Unit by : Ginger McEarl
Download or read book The Impact of Bedside Reporting on Patient Safety Events, Patient Satisfaction, and Nurse Accountability in a Pediatric Unit written by Ginger McEarl and published by . This book was released on 2019 with total page 114 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the fundamental elements of nursing practice is the transfer of patient information from one provider to another known as a bedside report. However, an unstructured bedside report that occurs away from the bedside, places patient safety, quality of patient care, and patient satisfaction in jeopardy. The purpose of this quality improvement (QI) project is to determine if the implementation of bedside reporting in an acute care pediatric unit will: decrease preventable errors reported through an event reporting system known as Safety Tracker, increase patient satisfaction in provider communication, and improve nurse accountability. The study included a convenience sample of 65 inpatient bedside nurses on a 30-bed, acute care pediatric unit in a large urban hospital. The participants were recruited on a voluntarily basis and informed consent was obtained prior to the study. Data were collected through pre-and post-questionnaires. Each questionnaire included, demographic data and two open-ended questions relating to the new Situation, Background, Assessment, Recommendation (SBAR) bedside handoff reporting tool. Education regarding the pre-and post-questionnaires and the new SBAR handoff reporting tool was provided by the primary investigator. Fifty-five participants, or (85%) completed both questionnaires for comparison. Results of this QI project indicated participants liked the consistency and structure of the new SBAR reporting tool; however, barriers identified were arousing and discussing sensitive information at the patient’s bedside. Patient satisfaction scores increased from 68.4% to 75%.
Book Synopsis Patient Safety and Quality by : Ronda Hughes
Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/
Book Synopsis Qualitative Interviewing by : Herbert J. Rubin
Download or read book Qualitative Interviewing written by Herbert J. Rubin and published by SAGE. This book was released on 2005 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2nd edition of this work has been completely rewritten to add new examples & to better integrate the presentation of topics. Readers will see how the choice of topic influences question wording & how the questions asked influence the analysis.
Book Synopsis Patient Safety and Quality: sect.IV: Working conditions and environment by : Ronda Hughes
Download or read book Patient Safety and Quality: sect.IV: Working conditions and environment written by Ronda Hughes and published by . This book was released on 2008 with total page 664 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Essentials for Nursing Practice - E-Book by : Patricia A. Potter
Download or read book Essentials for Nursing Practice - E-Book written by Patricia A. Potter and published by Elsevier Health Sciences. This book was released on 2018-03-12 with total page 1299 pages. Available in PDF, EPUB and Kindle. Book excerpt: Get a solid foundation in essential nursing principles, concepts, and skills! Essentials for Nursing Practice, 9th Edition combines everything you need from your fundamentals course and streamlines it into a format that’s perfect for busy nursing students. The ninth edition retains many classic features, including chapter case studies, procedural guidelines, and special considerations for various age groups, along with new content including a chapter on Complementary and Alternative Therapies, interactive clinical case studies on Evolve, a new Reflective Learning section, and QSEN activities to encourage active learning. Thoroughly reviewed by nursing clinical experts and educators, this new edition ensures you learn nursing Essentials with the most accurate, up-to-date, and easy-to-understand book on the market. Progressive case studies are introduced at the beginning of the chapter and are then used to tie together the care plan, concept map, and clinical decision-making exercises. Focused Patient Assessment tables include actual questions to help you learn how to effectively phrase questions to patients as well as target physical assessment techniques. Nursing skills at the end of each chapter feature full-bleed coloring on the edge of the page to make them easy to locate. Safety guidelines for nursing skills sections precede each skills section to help you focus on safe and effective skills performance. Detailed care plans in the text and on Evolve demonstrate the application of the 5-step nursing process to individual patient problems to help you understand how a plan is developed and how to evaluate care. Unexpected outcomes and related interventions for skills alert you to possible problems and appropriate nursing action. Patient Teaching boxes help you plan effective teaching by first identifying an outcome, then developing strategies on how to teach, and finally, implementing measures to evaluate learning. Care of the Older Adult boxes highlight key aspects of nursing assessment and care for this growing population. Key points neatly summarize the most important content for each chapter to help you review and evaluate learning. Evidence-Based Practice boxes include a PICO question, summary of the results of a research study, and a F description of how the study has affected nursing practice — in every chapter. Patient-Centered Care boxes address racial and ethnic diversity along with the cultural differences that impact socioeconomic status, values, geography, and religion. 65 Skills and procedural guidelines provide clear, step-by-step instructions for providing safe nursing care. 5-step nursing process provides a consistent framework for clinical chapters. Concept maps visually demonstrate planning care for patients with multiple diagnoses. NOC outcomes, NIC interventions, and NANDA diagnoses are incorporated in care plans to reflect the standard used by institutions nationwide.
Book Synopsis Safety and Reliability in Pediatrics, An Issue of Pediatric Clinics by : Brian Jacobs
Download or read book Safety and Reliability in Pediatrics, An Issue of Pediatric Clinics written by Brian Jacobs and published by Elsevier Health Sciences. This book was released on 2012-12-28 with total page 176 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Guest Editors have assembled an international list of top experts to present the most current information to pediatricians about patient safety. The issue has a primarily clinical focus with a few articles addressing the business and practice of patient safety. Articles are devoted to the following topics: Developing performance standards and expectations for safety; The role of CPOE in patient safety; The role of smart infusion pumps on patient safety; Abstracted detection of adverse events in children; The role of effective communication (including handoffs) in patient safety; Reducing mortality resulting from adverse events; Optimizing standardization of case reviews (morbidity and mortality rounds) to promote patient safety; Impact of (resident) duty work hours on patient safety; Role of simulation in safety; The role of diagnostic errors in patient safety; The role of collaborative efforts to reduce hospital acquired conditions; Patient safety in ambulatory care; Role of FDA and pediatric safety; and Patient safety through the eyes of a parent.
Book Synopsis Pediatric Patient Safety and Quality Improvement by : Karen S. Frush
Download or read book Pediatric Patient Safety and Quality Improvement written by Karen S. Frush and published by McGraw Hill Professional. This book was released on 2014-11-05 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: The guidance you need to protect your pediatric patients from medical error From front-line treatment to critical policy issues, Pediatric Patient Safety and Quality Improvement provides all the knowledge and insight you need to ensure your pediatric patients are treated safely and effectively. This unique guide addresses the specific challenges of medical professionals treating young patients. Packed with the newest research findings and best practices from top figures in the patient safety community, Pediatric Patient Safety and Quality Improvement will ensure that you provide optimum child care free of the oversights and errors for better patient outcomes. Pediatric Patient Safety and Quality Improvement offers the scientific information and current perspectives you need to: Build your expertise on the latest quality improvement methods Deepen your understanding of the human factors in medical mistakes Improve team efficacy for better care and outcomes in any setting
Book Synopsis Evidence-Based Critical Care by : Robert C. Hyzy
Download or read book Evidence-Based Critical Care written by Robert C. Hyzy and published by Springer Nature. This book was released on 2020-03-24 with total page 796 pages. Available in PDF, EPUB and Kindle. Book excerpt: This extensively updated textbook comprehensively reviews the latest developments in evidence-based critical care. Topics are covered in a case study format with an emphasis on the principles of diagnosis and therapy. Each topic is covered using a variety of case studies and features a case vignette, clinical question and an additional discussion section to clarify areas of particular importance. Topics including cytokine release syndrome, sympathomimetic overdose and palliative care in the intensive care unit have been extensively revised, while new sections focusing on neuromuscular disease and subarachnoid hemorrhages have been added. Evidence-Based Critical Care, 2nd edition is a critical resource for critical care practitioners, fellows, residents; allied health professionals and medical students who wish to expand their knowledge within critical care. The case study-based approach taken in the textbook makes this an ideal resource for those preparing for board examinations.
Book Synopsis Patient Safety and Quality: sect.VI: Tools for improvement by :
Download or read book Patient Safety and Quality: sect.VI: Tools for improvement written by and published by . This book was released on 2008 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Kelly Vana's Nursing Leadership and Management by : Patricia Kelly Vana
Download or read book Kelly Vana's Nursing Leadership and Management written by Patricia Kelly Vana and published by John Wiley & Sons. This book was released on 2021-03-30 with total page 864 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nursing Leadership & Management, Fourth Edition provides a comprehensive look at the knowledge and skills required to lead and manage at every level of nursing, emphasizing the crucial role nurses play in patient safety and the delivery of quality health care. Presented in three units, readers are introduced to a conceptual framework that highlights nursing leadership and management responsibilities for patient-centered care delivery to the patient, to the community, to the agency, and to the self. This valuable new edition: Includes new and up-to-date information from national and state health care and nursing organizations, as well as new chapters on the historical context of nursing leadership and management and the organization of patient care in high reliability health care organizations Explores each of the six Quality and Safety in Nursing (QSEN) competencies: Patient-Centered Care, Teamwork and Collaboration, Evidence-based Practice (EBP), Quality Improvement (QI), Safety, and Informatics Provides review questions for all chapters to help students prepare for course exams and NCLEX state board exams Features contributions from experts in the field, with perspectives from bedside nurses, faculty, directors of nursing, nursing historians, physicians, lawyers, psychologists and more Nursing Leadership & Management, Fourth Edition provides a strong foundation for evidence-based, high-quality health care for undergraduate nursing students, working nurses, managers, educators, and clinical specialists.
Book Synopsis Resident Duty Hours by : Institute of Medicine
Download or read book Resident Duty Hours written by Institute of Medicine and published by National Academies Press. This book was released on 2009-04-27 with total page 427 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical residents in hospitals are often required to be on duty for long hours. In 2003 the organization overseeing graduate medical education adopted common program requirements to restrict resident workweeks, including limits to an average of 80 hours over 4 weeks and the longest consecutive period of work to 30 hours in order to protect patients and residents from unsafe conditions resulting from excessive fatigue. Resident Duty Hours provides a timely examination of how those requirements were implemented and their impact on safety, education, and the training institutions. An in-depth review of the evidence on sleep and human performance indicated a need to increase opportunities for sleep during residency training to prevent acute and chronic sleep deprivation and minimize the risk of fatigue-related errors. In addition to recommending opportunities for on-duty sleep during long duty periods and breaks for sleep of appropriate lengths between work periods, the committee also recommends enhancements of supervision, appropriate workload, and changes in the work environment to improve conditions for safety and learning. All residents, medical educators, those involved with academic training institutions, specialty societies, professional groups, and consumer/patient safety organizations will find this book useful to advocate for an improved culture of safety.
Book Synopsis Hospital-Based Views and Practices Related to Incident Reporting and Patient Safety by : Tanya Hewitt
Download or read book Hospital-Based Views and Practices Related to Incident Reporting and Patient Safety written by Tanya Hewitt and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient safety has been on the research agenda since 2000, when unnecessary harm to patients in providers' care came to light. In 2005, the improvements in patient safety fell short of expectations, and the patient safety research community recognized that the issues are more difficult to resolve than first thought. One of the tools to address this vexing problem has been voluntary incident reporting systems, although the literature has given incident reporting systems mixed reviews. This qualitative comparative case study comprises 85 semi-structured interviews in two separate divisions of a tertiary care hospital, General Internal Medicine (GIM) and Obstetrics and Neonatology (OBS/NEO). The main line of questioning concerned incident reporting; general views of patient safety were also sought. This is a thesis by publication. The thesis consists of a general introduction to patient safety, a literature review, a description of the methods and cases, followed by the manuscripts. The thesis concludes with a summarization of the findings, and implications of the study. Manuscript one focuses on the reporter end of incident reporting systems. It asks what frames underlie GIM nurse and physician self reporting and peer reporting practices. The findings showed that frames that inhibit reporting are shared by physicians and nurses, such as the fear of blame frame regarding self reporting, and the tattletale frame regarding peer reporting. These frames are underpinned by a focus on the individual, despite the organisational message of reporting for learning. A learning frame is an enabler to incident reporting. Viewing the objective of voluntary incident reporting as learning allows practitioners to depersonalize incident reporting. The focus becomes preventing recurrence and not the individual reporting or reported on. Manuscript two again focuses on the reporter end, and on one type of reportable incident --a problem that healthcare practitioners can fix themselves. The study asks: when faced with such a problem, do practitioners fix it in the moment and forget about it, or do they fix it in the moment and report it? We found that zfixing and forgettingy was the main choice that most GIM practitioners made in situations where they faced problems that they themselves could resolve. These situations included a) handling near misses, which were seen as unworthy of reporting since they did not result in actual harm to the patient, b) prioritizing solving individual patients' safety problems, which were viewed as unique or one-time events, and c) encountering re-occurring safety problems, which were framed as inevitable, routine events. The paper argues that fixing and forgetting patient safety problems encountered may not serve patient safety as well as fixing and reporting. The latter approach aligns with a preventive view of patient safety. Manuscript three focuses on the practice of double checking, drawing from interviews conducted in both GIM and OBS/NEO. It asks what weaknesses are in the double checking process and what alternative views can help the double checking process enhance patient safety. The findings showed weaknesses in the double checking process, such as: a) double checking trusted as an independent process, b) double (or more) checking as a costly and time consuming procedure, and c) double checking as preventing reporting of near misses. It is proposed that there are alternative ways of viewing and practising double checking in order to enhance patient safety. These include: a) recognizing that double checking requires training, b) introducing automated double checking, and c) expanding double checking beyond error detection. The paper argues that practitioners need to be more aware of the caveats of double checking, and to view the double checking process through alternate lenses to help enhance its effectiveness. Manuscript four focuses on the reporting system more comprehensively, and attends to the reporting process in GIM and OBS/NEO. This is a comparative case study of the two divisions, and considers the different stages in the process and the factors that help shape the process. The findings showed that there were major differences between the two divisions in terms of: a) what comprised a typical report (outcome based vs communication and near-miss based); b) how the reports were investigated (individual manager vs interdisciplinary team); c) learning from reporting (interventions having ambiguous linkages to the reporting system vs interventions having clear linkages to reported incidents); and d) feedback (limited feedback vs multiple feedback). The differences between the two divisions can be explained in terms of: a) the influence of litigation on practice, b) the availability or lack of interprofessional training, and c) the introduction of the reporting system (top-down vs bottom-up approach). A model based on the findings portraying the influences on incident reporting and learning is provided. This thesis contributes to an in-depth understanding of front line perspectives on incident reporting systems and safety, and aims to provide insights into improving patient safety. Implications for practice and research will be addressed.
Book Synopsis The Future of Nursing by : Institute of Medicine
Download or read book The Future of Nursing written by Institute of Medicine and published by National Academies Press. This book was released on 2011-02-08 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Book Synopsis Fuhrman & Zimmerman's Pediatric Critical Care E-Book by : Jerry J. Zimmerman
Download or read book Fuhrman & Zimmerman's Pediatric Critical Care E-Book written by Jerry J. Zimmerman and published by Elsevier Health Sciences. This book was released on 2021-02-05 with total page 2653 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the highly specialized field of caring for children in the PICU, Fuhrman and Zimmerman's Pediatric Critical Care is the definitive reference for all members of the pediatric intensive care team. Drs. Jerry J. Zimmerman and Alexandre T. Rotta, along with an expert team of editors and contributors from around the world, have carefully updated the 6th Edition of this highly regarded text to bring you the most authoritative and useful information on today’s pediatric critical care—everything from basic science to clinical applications. Contains highly readable, concise chapters with hundreds of useful photos, diagrams, algorithms, and clinical pearls. Uses a clear, logical, organ-system approach that allows you to focus on the development, function, and treatment of a wide range of disease entities. Features more international authors and expanded coverage of global topics including pandemics, sepsis treatment in underserved communities, specific global health concerns by region. Covers current trends in sepsis-related mortality and acute care after sepsis, as well as new device applications for pediatric patients.
Book Synopsis New Horizons in Patient Safety: Safe Communication by : Annegret Hannawa
Download or read book New Horizons in Patient Safety: Safe Communication written by Annegret Hannawa and published by Walter de Gruyter GmbH & Co KG. This book was released on 2017-12-18 with total page 268 pages. Available in PDF, EPUB and Kindle. Book excerpt: This case studies book is an indispensable resource for educators, students, and practitioners of nursing. It is innovative in its application of lessons from the communication sciences to common challenges in the delivery of safe patient care. The authors apply basic tenets of human communication to the context of nursing to provide a foundation for practices that can advance the safety and quality of care. The cases, which describe "close calls" and adverse events, are organized along the continuum of healthcare delivery, providing quick access to solutions in commonly encountered care situations. Each case is accompanied by a discussion of how skillful communication can be key to preventing and recovering from errors and adverse events. Thought-provoking discussion questions and references for further reading make this book a valuable reference for nursing educators, students, and practitioners across the world.
Book Synopsis Safety and Reliability in Pediatrics by : Brian R. Jacobs
Download or read book Safety and Reliability in Pediatrics written by Brian R. Jacobs and published by Saunders. This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Guest Editors have assembled an international list of top experts to present the most current information to pediatricians about patient safety. The issue has a primarily clinical focus with a few articles addressing the business and practice of patient safety. Articles are devoted to the following topics: Developing performance standards and expectations for safety; The role of CPOE in patient safety; The role of smart infusion pumps on patient safety; Abstracted detection of adverse events in children; The role of effective communication (including handoffs) in patient safety; Reducing mortality resulting from adverse events; Optimizing standardization of case reviews (morbidity and mortality rounds) to promote patient safety; Impact of (resident) duty work hours on patient safety; Role of simulation in safety; The role of diagnostic errors in patient safety; The role of collaborative efforts to reduce hospital acquired conditions; Patient safety in ambulatory care; Role of FDA and pediatric safety; and Patient safety through the eyes of a parent.
Book Synopsis The CMS Hospital Conditions of Participation and Interpretive Guidelines by :
Download or read book The CMS Hospital Conditions of Participation and Interpretive Guidelines written by and published by . This book was released on 2017-11-27 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt: In addition to reprinting the PDF of the CMS CoPs and Interpretive Guidelines, we include key Survey and Certification memos that CMS has issued to announced changes to the emergency preparedness final rule, fire and smoke door annual testing requirements, survey team composition and investigation of complaints, infection control screenings, and legionella risk reduction.
