2.50
Hdl Handle:
http://hdl.handle.net/10755/182524
Category:
Abstract
Type:
Presentation
Title:
Clinical Situation Inquiry C.S.I. Boston
Author(s):
Kucharski, Keri; Packard, Stephanie
Author Details:
Keri Kucharski, BSN, RN, Children's Hospital Boston, Boston, Massachusetts, USA, email: Keri.kucharski@childrens.harvard.edu; Stephanie Packard
Abstract:
Poster Presentation: Purpose: To implement a system of follow up for incident reports filed in the Neonatal Intensive Care Unit (NICU) that focuses on patient safety, quality, communication, and practice changes at the point of care. Description: Six unit based leaders were selected as SERS (Safety Event Reporting Systems ) administrators. The SERS administrators were selected based on their expert skills in communication, clinical judgment, clinical inquiry, systems thinking and their ability to work closely with the Nurse Manager regarding follow-up related to these events. Administrators perform a daily review of SERS reports, provide timely feedback to NICU staff if indicated, follow up with other departments as necessary and document any actions that occur. Evaluation and Outcomes: SERS administrators respond to NICU staff in SBAR (Situation, Background, Assessment, and Recommendation) format any information relevant to the incident. Direct feedback is not presented in a punitive or accusatory manner. NICU staff value the direct feedback they receive related to SERS events they have reported or been involved in. The CSI lead administrator reviews the SERS events at the monthly NICU interdisciplinary safety committee. This thoughtful review includes a discussion of strategies to improve patient safety, develop strategies to minimize recurrent events and identify opportunities to increase awareness at the point of care. A recognition process for highlighting good catches (near misses) acknowledges individuals that contribute to a culture of safety and excellence. The CSI administrators work at creating a blame free work environment where the SERS events can be reported without repercussion.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleClinical Situation Inquiry C.S.I. Bostonen_GB
dc.contributor.authorKucharski, Kerien_US
dc.contributor.authorPackard, Stephanieen_US
dc.author.detailsKeri Kucharski, BSN, RN, Children's Hospital Boston, Boston, Massachusetts, USA, email: Keri.kucharski@childrens.harvard.edu; Stephanie Packarden_US
dc.identifier.urihttp://hdl.handle.net/10755/182524-
dc.description.abstractPoster Presentation: Purpose: To implement a system of follow up for incident reports filed in the Neonatal Intensive Care Unit (NICU) that focuses on patient safety, quality, communication, and practice changes at the point of care. Description: Six unit based leaders were selected as SERS (Safety Event Reporting Systems ) administrators. The SERS administrators were selected based on their expert skills in communication, clinical judgment, clinical inquiry, systems thinking and their ability to work closely with the Nurse Manager regarding follow-up related to these events. Administrators perform a daily review of SERS reports, provide timely feedback to NICU staff if indicated, follow up with other departments as necessary and document any actions that occur. Evaluation and Outcomes: SERS administrators respond to NICU staff in SBAR (Situation, Background, Assessment, and Recommendation) format any information relevant to the incident. Direct feedback is not presented in a punitive or accusatory manner. NICU staff value the direct feedback they receive related to SERS events they have reported or been involved in. The CSI lead administrator reviews the SERS events at the monthly NICU interdisciplinary safety committee. This thoughtful review includes a discussion of strategies to improve patient safety, develop strategies to minimize recurrent events and identify opportunities to increase awareness at the point of care. A recognition process for highlighting good catches (near misses) acknowledges individuals that contribute to a culture of safety and excellence. The CSI administrators work at creating a blame free work environment where the SERS events can be reported without repercussion.en_GB
dc.date.available2011-10-28T15:28:05Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:28:05Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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