Nursing Commons^™

Medication Errors: It's A Matter Of Time, Thomas D. Smith Jr.

Nursing Theses and Capstone Projects

A retrospective review of medication errors is presented as a measurement tool. Times of medication errors are separated into categories. The numbers of errors are associated with the numbers of medication administrations. The first data set contains errors that occurred within the first 8 hours of a 12-hour shift and the second data set contains errors that occurred during the last 4 hours of a 12-hour shift.

Data was obtained from a 108 bed critical care hospital in the southeastern United States. A time period will be reviewed between the months of September 2010 until August 2011. All reports of …

Empirical Data Mining: Conservation Of Nursing Energy And Care Capacity In Medical-Surgical Hospital Work Environments, Ann L. Hendrich

Dissertations (1 year embargo)

Ann L. Hendrich

Loyola University Chicago

EMPIRICAL DATA MINING: CONSERVATION OF NURSING ENERGY AND CARE CAPACITY IN MEDICAL-SURGICAL HOSPITAL WORK ENVIRONMENTS

Nurses are a critical component of the hospital care delivery system and provide essential observation and surveillance of inpatients. Mounting evidence describes an association between nurse staffing, the nurse work environment, and patient and nurse outcomes. In particular, more registered nurse hours per patient day have been linked to reduced patient mortality. However, recent studies indicate that only a minority of nursing time is dedicated to patient observation and assessment of vital signs. Therefore, increasing the proportion of nursing …

Intimidation And Disruptive Behaviors In The Health Care Setting, Janelle Wade

Master's Theses or Doctor of Nursing Practice

Intimidation and disruptive behavior can undermine patient care and cause staff dissatisfaction and turnover of professionals in the health care setting. These behaviors have been linked to patient safety issues, nurse satisfaction, nurse retention, as well as ineffective communication and collaboration (Fontaine & Gerardi, 2005; Institute for Safe Medication Practices (ISMP), 2004; Martin, 2008; Rosenstein & O'Daniel, 2005). The Joint Commission has made recommendations to reduce the incidence of disruptive behaviors. Hospitals are being asked to take responsibility, hold physicians accountable for their actions, and address workplace intimidation (ISMP, 2004; Rosenstein & O'Daniel, 2005; The Joint Commission, July 2008). The …

Evaluation Of Purposeful Rounding On Patient Falls, Stephanie Spittle

Nursing Theses and Capstone Projects

The purpose of this study was to evaluate the effectiveness of routine purposeful rounding on the total number of falls on a medical unit in an acute care hospital. The project was prompted by high fall rates within the hospital and the implementation of the purposeful rounding initiative. Staff training was provided in a two hour educational class which covered the purpose for the initiative as well as the specific functions that must be performed with each round. To evaluate the effectiveness of purposeful rounding on patient falls, pre and post rounding fall rates were compared. These initial results were …

Patients Safety Culture: A Baseline Assessment Of Nurses' Perceptions In A Saudi Arabia Hospital, Ahmad E. Aboshaiqah

Wayne State University Dissertations

ABSTRACT

PATIENT SAFETY CULTURE: A BASELINE ASSESSMENT OF NURSES' PERCEPTIONS IN A SAUDI ARABIA HOSPITAL

by

AHMAD E. ABOSHAIQAH

May 2010

Advisor: Dr. Stephen J. Cavanagh

Major: Nursing

Degree: Doctor of Philosophy

Patient safety (the avoidance and prevention of patient injuries or adverse events resulting from the processes of health care delivery) has become a major academic and public concern in healthcare. In order to promote and sustain a culture of safety in a healthcare organization, healthcare professionals stress the need to understand both individual and system contributions to error events. However, in Saudi Arabia, little is known about nurses' …

Contextual Factors Influencing The Acute Care Registered Nurse's Response To Clinical Alarms, Kathleen Mary Stacy Phd

Dissertations

Nurses are faced with a multitude of clinical alarms on a daily basis. There is an inherent expectation that upon hearing an alarm the nurse will immediately respond to assess the situation and initiate appropriate action to correct the problem. Yet this does not always occur. Issues with alarm responsiveness can pose a serious threat to patient safety. The purpose of this qualitative study was to develop a broader understanding of the contextual factors that influenced the acute care nurse's response to clinical alarms. This study used an interpretive phenomenological methodology to study the lived experiences of the nurses who …

Perceptions Of External Stakeholders Regarding The Development Of Clinical Governance: A Western Australian Perspective, Heather Gluyas, Selma Alliex

Nursing Conference Papers

The current context of healthcare delivery is one that emphasises patient safety and high quality care. This focus on patient safety within the health industry has lead to the widespread adoption of the term clinical governance. Clinical governance has two aspects. Firstly, this term describes the systems and processes that a health agency has in place to detail accountability and responsibility for patient safety. Secondly, the term clinical governance also encompasses the mechanisms used to monitor and measure patient outcomes to ensure optimum quality care (Balding, 2005).

The growing awareness of the vulnerability of patients to safety related incidents was …

The Influence Of Health Inquiries On Clinical Governance Systems: A Case Study Of The Douglas Inquiry, Heather Gluyas

Theses

Major failures in patient safety often lead to high profile inquiries set up to establish the facts, and to identify areas of improvement to prevent further failures. In order to learn from inquiries, we need to be able to identify if, and how, the inquiry process influences improvements. Using a case study strategy, this research study examined the perceptions of external stakeholders in regards to the impact or influence of the Douglas Inquiry on KEMH’s clinical governance systems. The research focused on two areas that were highlighted in the final Inquiry report as requiring reform. These systems deal with the …