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When something goes wrong: how to disclose an error
Disclosing an adverse event is a difficult and fearful event for healthcare providers. Nonetheless, disclosure of errors is required per professional, legal and regulatory standards. For example, if a...
Just culture promotes a partnership for patient safety
Editor's note: This is first in a series of articles exploring the human side of patient safety.
Historically, hospitals have operated under the assumption that health care involves the isolated work...
Differences among physicians, risk managers in admitting errors
Differences in attitudes among physicians and risk managers about revealing medical errors to patients may diminish the effectiveness of such disclosures, according to a new study published in the Mar...
Fusing Magnet® and just culture
The fusion of Magnet® principles and just culture can produce a global healthcare culture focused on creating safer healthcare systems through disclosure, transparency, and public reporting. Just...
Medication errors: Don't let them happen to you
A critical care nurse tries to catch up with her morning medications after her patient’s condition changes and he requires several procedures. He is intubated, so she decides to crush the pills and in...
Heparin labels change May 1
As of May 1, manufacturers of Heparin Sodium Injection, USP and Heparin Lock Flush Solution, USP are required to use labels that reflect the total drug content. Although the change is designed to prev...
Why disruption can be a good thing
Seventy-two seconds into liftoff, a defective mechanical part set off a string of events that caused the Challenger space shuttle to tear apart as millions watched it vanish in the air. An investigati...
What every nurse needs to know about the clinical aspects of child abuse
When asked to describe their most difficult cases, many nurses put child-abuse cases at the top of their list. Most of us can deal (intellectually, at least) with the ravages of cancer or the deterior...
A question of disclosure: RNs often struggle with revealing thier health conditions to employers
It’s no secret that Americans are living longer and that deaths from heart disease, stroke, and cancer are on the downswing. It’s also true that more people are living with chronic conditi...
Avoid the dangers of opioid therapy
LEARNING OBJECTIVESState the physiologic action of opioids.Describe the clinical guidelines for the use of long-term opioid therapy in chronic noncancer pain.Discuss the benefits and risks of opioids,...
Study: Shortages of cancer drugs associated with medication errors and higher
A study in the American Journal of Health-System Pharmacy reports a survey of oncology pharmacists in the United States found that shortages of oncology drugs can cause treatment delays, lead to near ...
Health, safety, & wellness
Many nurses have difficulty finding time to sit, eat, and recharge during a long shift—even with scheduled breaks. Therefore, napping during breaks probably seems unthinkable. Many hospitals even ha...
Dangers of the 12-hour shift
Rose Sherman has a thoughtful blog on nursing’s “third rail”—the 12-hour shift. In the blog, she notes that although nurses like 12-hour shifts, they create a patient safety issues: “We know from othe...
From our readers: The art of self-disclosure
One aspect of the "art" of nursing is appropriate self-disclosure. Nurses and other healthcare providers often have an opportunity to share information about their own health to help a patient...
High-alert drugs: Strategies for safe I.V. infusions
Imagine coming to work one evening and hearing that after your shift the night before, another nurse discovered one of your patients was receiving an infusion of dobutamine at 244 ml/hour. It should h...
Nurse-sensitive indicators: Integral to the Magnet journey
When Children’s National Medical Center (CNMC) in Washington, D.C. set out on its Journey to Magnet Excellence™ in 2006, nursing staff felt a bit overwhelmed by the requirement to implement nurse-sens...
Are extended work hours worth the risk?
Jerry, a critical care nurse, is proud of his organizational prowess. He always lays out his infusion bags and piggybacks in order of their scheduled administration. One night, 10 hours into a 12-hour...
Take Note - May 2009
Weak evidence for AHA/ACC guidelines
Between 1984 and 2008, the American Heart Association/American College of Cardiology (AHA/ACC) issued 53 guidelines with 7,196 recommendations. But according to a...
The drive to improve syringe safety and labeling
The drive to improve syringe safety and labeling By Nancy L. Hughes, MS, RN One of the most valuable and commonly used treatment devices in healthcare settings—the syringe—also holds ...
Hospital nurse staffing for dummies
It’s time to stop searching for nursing’s cost-benefit ratio and believe the data. For more than two decades, health services researchers across the United States and around the globe have found that ...
Drug errors harm 1.5 million people each year, report finds
Institute of Medicine outlines comprehensive remedial approach Adverse drug events (ADEs) harm at least 1.5 million people each year, and hospital patients experience at least one medication error ea...
Beyond an interesting "read"
Nurse authors call on educators to incorporate IOM findings into education, practice. Hollywood news took a decidedly different turn late last year when a famous actor’s newborn twins reportedly...
Making sense of statistical power
If you want to interpret nursing research outcomes, you need to understand statistical power. Few nurses are familiar with the concepts of statistical power and power analysis. Learning about statisti...
Shedding light on a deep, dark secret
There’s a Deep, Dark Secret in nursing that most of us know and few of us acknowledge: RNs are the last people to look after their own healthcare needs. Registered nurses are first-line advocate...
Responding to a sentinel event
Each year, medical errors result in 44,000 to 98,000 deaths in the United States. This is not a news bulletin; these statistics were revealed nearly a decade ago by the Institute of Medicine in its se...
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