Physical and emotional patient safety. A different look at nursing-sensitive outcomes

ArticleinOutcomes management for nursing practice 4(4):159-65; quiz 165-6 · October 2000with33 Reads
Source: PubMed
Data on nursing-sensitive outcomes, beyond traditional isolated indicators such as pressure ulcers, are often unavailable for nurses to evaluate the overall quality of their care. This article describes a quality improvement effort to provide nurses with both a positive and a negative patient outcomes score. The approach can make visible the often invisible role of nurses in the growing field of patient safety.
    • "The cross-sectional and subjective nature of the data used in this study also prohibits developing thresholds of " safe " fatigue levels with regard to objective performance. However, given the difficulty in obtaining meaningful and objective performance measures for this population , subjective perception measures may be useful in identifying potential areas of risk or reported changes in worker behaviors that have been associated with increased rates of error (e.g., workarounds, failing to perform standard checklists; Balas, Scott, & Rogers, 2004; Mayo & Duncan, 2004; Osborne, Blais, & Hayes, 1999; Stetler, Morsi, & Burns, 2000 ). In addition , within human factors and safety literature , subjective self-reported measures have been shown to be useful in human performance studies (Muckler & Seven, 1992 ) and in evaluating safety culture and safety climate and the associated implications for patient safety (Sexton et al., 2006; Sexton, Thomas, & Helmreich, 2000). "
    [Show abstract] [Hide abstract] ABSTRACT: Performance of nurses has a direct effect on the quality and safety of care that is delivered. Fatigue has been identified as a factor that leads to performance decrements in healthcare workers, especially nurses. Determining associations between dimensions of fatigue and performance is imperative to better understanding fatigue in nurses and the potential implications for both patient and provider safety. This article identifies associations between ranges of fatigue levels and significant differences in perceived performance, and analyzes interactions between fatigue dimensions in relation to perceived performance scores. Overall, mental fatigue tended to have higher perceived performance decrements than physical and total fatigue in the highest fatigue ranges. As physical fatigue begins to develop in nurses, physical exertion rather than discomfort is more critical to perceived performance. As acute fatigue levels increase, perceived performance levels continue to decrease, whereas the role of chronic fatigue is relatively constant. Minimizing the development of acute fatigue may help in maintaining higher performance levels. The findings from this study provide valuable information in quantifying the changes in perceived performance with regard to specific fatigue levels, as well as an initial understanding of how the individual dimensions and states of fatigue vary in their association with perceived performance decrements.
    Article · Aug 2011
    • "Study results have indicated approximately one third of adverse drug occurrences are associated with medication errors that are viewed as preventable (Bates et al 1995; Bates et al 1993). Ten to 18% of all reported hospital injuries have been attributed to medication errors (Stetler et al 2000; Hume 1999). Medication errors are caused by many health care professionals, such as physicians, pharmacists; however, nurses are usually placed on the frontline when medication errors occur (Mrayyan et al 2007). "
    [Show abstract] [Hide abstract] ABSTRACT: Objective: The main aim of this study was to describe the perceived barriers to medication administration error (MAE) reporting among nursing students. Design: A cross-sectional, descriptive study was conducted using self-report questionnaires. An 18-item barriers to MAEs reporting questionnaire with 6 - point Likert-type scale (1=strongly disagree, to 6=strongly agree) was used for this study. Setting: Three nursing schools at Arak University of Medical Sciences in Iran. Subjects: Two hundred and forty nursing students were invited through census method. Main outcome measure Nursing students' perceived barriers to MAE reporting. Results: Nursing students estimated 80.12% of all medication errors by nursing students are reported to their instructors. Administrative barrier (standardised mean=4.31) and fear (standardised mean=4.24) were the top two reasons for not reporting medication errors among nursing students. Conclusions: Findings from this study suggest MAE occurrences among nursing students are often underreported. Nursing student's instructors must demonstrate positive responses to nursing students for reporting medication errors to improve patient safety.
    Full-text · Article · Sep 2009
    • "Patient safety, in the current health care arena, is an important indicator of health care quality, and in turn the survival of any health care institution (Benjamin 2003). Ten to 18% of all reported hospital injuries are attributed to medication errors (Hume 1999, Stetler et al. 2000). Medication errors result from many causes; these include but are not limited to poor hand writing, inadequate documentation and the nursing shortage (Board of Nurse Examiners 2001, Fontan et al. 2003). "
    [Show abstract] [Hide abstract] ABSTRACT: The aim of the study was to describe Jordanian nurses' perceptions about various issues related to medication errors. This is the first nursing study about medication errors in Jordan. This was a descriptive study. A convenient sample of 799 nurses from 24 hospitals was obtained. Descriptive and inferential statistics were used for data analysis. Over the course of their nursing career, the average number of recalled committed medication errors per nurse was 2.2. Using incident reports, the rate of medication errors reported to nurse managers was 42.1%. Medication errors occurred mainly when medication labels/packaging were of poor quality or damaged. Nurses failed to report medication errors because they were afraid that they might be subjected to disciplinary actions or even lose their jobs. In the stepwise regression model, gender was the only predictor of medication errors in Jordan. Strategies to reduce or eliminate medication errors are required.
    Full-text · Article · Oct 2007
Show more