2.50
Hdl Handle:
http://hdl.handle.net/10755/182530
Category:
Abstract
Type:
Presentation
Title:
Let's Look at What Really Happened: Staff Nurse Participation in Case Reviews
Author(s):
Lipshires, Karen
Author Details:
Karen Lipshires, BSN, RN-BC, Massachusetts General Hospital, Boston, Massachusetts, USA, email: klipshires@partners.org
Abstract:
Poster Presentation: Purpose: The purpose of this presentation is to describe how staff nurses and representatives from other disciplines on the Quality Committee work with others throughout the hospital to understand the nature of hospital situations that have caused harm to patients, determine if these events meet criteria for reporting to regulatory and licensing agencies, and identify opportunities for improved care. Methods: The Patient Care Services Quality Committee collaborates with representatives from the hospital wide Office of Quality and Safety to enhance committee members' knowledge of the root cause analysis process and the work of other groups within the organization also working to improve care and outcomes. Committee members engage in active discussions regarding lessons to be learned and/or pearls of wisdom; which could be drawn from these cases. For the year 2007, sixteen cases were brought for discussion, examining systems that are in place that allow opportunities for undesired outcomes, thereby providing a forum for members to offer recommendations for improvement in these systems and processes. Results: Members regularly report that the root cause analysis review of incidents is the most interesting and engaging part of their committee participation. Committee members bring their individual perspectives to the case discussions. During some discussions, members share best practices from their own clinical areas. At other times, members return to their units ready to share best practices from other areas within the hospital. Conclusions and Implications: Staff nurses participating in structured, confidential, safe discussions examining the circumstances and systems that allow adverse events to occur creates opportunities for staff to learn the language and methods utilized to review situations for purposes of improved care. This allows staff nurses to actively participate in the "culture of safety", not merely accept that it exists. Given the varie
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.titleLet's Look at What Really Happened: Staff Nurse Participation in Case Reviewsen_GB
dc.contributor.authorLipshires, Karenen_US
dc.author.detailsKaren Lipshires, BSN, RN-BC, Massachusetts General Hospital, Boston, Massachusetts, USA, email: klipshires@partners.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182530-
dc.description.abstractPoster Presentation: Purpose: The purpose of this presentation is to describe how staff nurses and representatives from other disciplines on the Quality Committee work with others throughout the hospital to understand the nature of hospital situations that have caused harm to patients, determine if these events meet criteria for reporting to regulatory and licensing agencies, and identify opportunities for improved care. Methods: The Patient Care Services Quality Committee collaborates with representatives from the hospital wide Office of Quality and Safety to enhance committee members' knowledge of the root cause analysis process and the work of other groups within the organization also working to improve care and outcomes. Committee members engage in active discussions regarding lessons to be learned and/or pearls of wisdom; which could be drawn from these cases. For the year 2007, sixteen cases were brought for discussion, examining systems that are in place that allow opportunities for undesired outcomes, thereby providing a forum for members to offer recommendations for improvement in these systems and processes. Results: Members regularly report that the root cause analysis review of incidents is the most interesting and engaging part of their committee participation. Committee members bring their individual perspectives to the case discussions. During some discussions, members share best practices from their own clinical areas. At other times, members return to their units ready to share best practices from other areas within the hospital. Conclusions and Implications: Staff nurses participating in structured, confidential, safe discussions examining the circumstances and systems that allow adverse events to occur creates opportunities for staff to learn the language and methods utilized to review situations for purposes of improved care. This allows staff nurses to actively participate in the "culture of safety", not merely accept that it exists. Given the varieen_GB
dc.date.available2011-10-28T15:28:22Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:28:22Z-
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.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.