2.50
Hdl Handle:
http://hdl.handle.net/10755/156118
Type:
Presentation
Title:
Reducing Medical Errors and Enhancing Nurse-Physician Collaboration
Abstract:
Reducing Medical Errors and Enhancing Nurse-Physician Collaboration
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Messmer, Patricia R., PhD, RN, BC, FAAN
P.I. Institution Name:Miami Children's Hospital
Title:Nurse Researcher
[Research Presentation] Background: IOM reports medical errors cause excess mortalities in US hospitals (Kohn, 1999). Cause of errors includes systems problems and lack of teamwork. Nurse-physician (N-P) teams influence costs and patient care effectiveness (Knaus, 2001).áUsing human patient simulators (HPS) for competency, teamwork and collaboration reduces medical errors (Messmer, 2005). Purpose: To assess leader empowerment (LE), organization work satisfaction (OWS), nursing job satisfaction (NJS), job stress (JS) and collaborative N-P relationships using HPS. Methods: Descriptive, exploratory study Research #1: What is N-P collaboration level using Kramer/SchmalenbergÆs (2002) N-P Scale (KSNPS), Group Cohesion (GC), Collaboration & Satisfaction about Patient Care Decisions (CSCD), Leader empowerment, nurse/work satisfaction and job stress instruments. #2: What is relationship between N-P collaboration, competency and medical errors? áParticipants- 18 Teams-50 nurses/55 medical residents (3 residents/3 nurses) videotaped in 3 ômock codeö scenarios with debriefing sessions. Findings: Mode age (28-32), 48% Hispanic, 62% female. Males- significant higher GC scores (F=4.94), significantly higher CSCD than females (F=8.35). KSNPS increased per scenario. Although teams perceived collaboration, videotapes revealed evolving over time. Significant reduction in medical errors with increased leader empowerment and organization/nurse satisfaction. There was no significant correlation between KSNPS, Satisfaction and HPS scores. Conclusions 1st scenario áprofessionals communicated with each other (silos); 2nd nurse/residents communicated, evolving into ôworkingö team; 3rd team communicated more effectively and genuinely listened to each other. Significance of Study: Simulation provides unique opportunities for nurses to recognize deficiencies, react to crisis with expertise, keen assessment skills and collaboration teamwork, while reducing errors and saving patients' lives.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleReducing Medical Errors and Enhancing Nurse-Physician Collaborationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156118-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Reducing Medical Errors and Enhancing Nurse-Physician Collaboration</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Messmer, Patricia R., PhD, RN, BC, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Miami Children's Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Researcher</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">patricia.messmer@mch.com</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Background: IOM reports medical errors cause excess mortalities in US hospitals (Kohn, 1999). Cause of errors includes systems problems and lack of teamwork. Nurse-physician (N-P) teams influence costs and patient care effectiveness (Knaus, 2001).&aacute;Using human patient simulators (HPS) for competency, teamwork and collaboration reduces medical errors (Messmer, 2005). Purpose: To assess leader empowerment (LE), organization work satisfaction (OWS), nursing job satisfaction (NJS), job stress (JS) and collaborative N-P relationships using HPS. Methods: Descriptive, exploratory study Research #1: What is N-P collaboration level using Kramer/Schmalenberg&AElig;s (2002) N-P Scale (KSNPS), Group Cohesion (GC), Collaboration &amp; Satisfaction about Patient Care Decisions (CSCD), Leader empowerment, nurse/work satisfaction and job stress instruments. #2: What is relationship between N-P collaboration, competency and medical errors? &aacute;Participants- 18 Teams-50 nurses/55 medical residents (3 residents/3 nurses) videotaped in 3 &ocirc;mock code&ouml; scenarios with debriefing sessions. Findings: Mode age (28-32), 48% Hispanic, 62% female. Males- significant higher GC scores (F=4.94), significantly higher CSCD than females (F=8.35). KSNPS increased per scenario. Although teams perceived collaboration, videotapes revealed evolving over time. Significant reduction in medical errors with increased leader empowerment and organization/nurse satisfaction. There was no significant correlation between KSNPS, Satisfaction and HPS scores. Conclusions 1st scenario &aacute;professionals communicated with each other (silos); 2nd nurse/residents communicated, evolving into &ocirc;working&ouml; team; 3rd team communicated more effectively and genuinely listened to each other. Significance of Study: Simulation provides unique opportunities for nurses to recognize deficiencies, react to crisis with expertise, keen assessment skills and collaboration teamwork, while reducing errors and saving patients' lives.</td></tr></table>en_GB
dc.date.available2011-10-26T14:28:18Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:28:18Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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