Category Archives: Patient Safety

What are some guidelines and studies on teamwork and effective communication between nurses and techs on an obstetrical/postpartum unit

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Searched CINAHL and PubMed for the concepts of teamwork, communication, nurses & techs, and obstetrics/postpartum unit. Selected studies on development and strategies of effective communication and teamwork.

Crew management yields good results. Healthcare Risk Management , 2007 Dec; 29(12): 140-1

Tregunno D; Development and usability of a behavioural marking system for performance assessment of obstetrical teams.
Quality & Safety in Health Care, 2009 Oct; 18(5): 393-6

Daniel LT; Simpson EK Integrating team training strategies into obstetrical emergency simulation training.
Journal for Healthcare Quality: Promoting Excellence in Healthcare, 2009 Sep-Oct; 31(5): 38-42

Freeth D; Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations.
Journal of Continuing Education in the Health Professions, 2009 Spring; 29(2): 98-104

Birch L;Obstetric skills drills: evaluation of teaching methods. Nurse Education Today, 2007 Nov; 27(8): 915-22

Veltman L; P.U.R.E. (purposeful, unambiguous, respectful, and effective) Conversations and electronic fetal monitoring: gaining consensus and collaboration. American Journal of Obstetrics & Gynecology, 2010 Nov; 203(5): 440.e1-4

Thomas EJ;Team training in the Neonatal Resuscitation Program for interns: teamwork and quality of resuscitations.
Pediatrics, 2010 Mar; 125(3): 539-46

Shea-Lewis A Teamwork: crew resource management in a community hospital. Journal for Healthcare Quality: Promoting Excellence in Healthcare, 2009 Sep-Oct; 31(5): 14-8

What are guidelines for prevention of healthcare associated infections in children?

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A search of CINAHL and PubMed for the concepts of healthcare associated children and pediatrics included the following studies on prevention of infections.

Sandora, Thomas Prevention of healthcare-associated infections in children: new strategies and success stories.
Current opinion in infectious diseases 2010 vol:23 iss:4 pg:300 -305

Rosenthal, Victor Central line-associated bloodstream infections in limited-resource countries: a review of the literature. Clinical infectious diseases 2009 vol:49 iss:12 pg:1899 -1907

McGoldrick, Mary Preventing central line-associated bloodstream infections and the Joint Commission’s Home Care National Patient Safety Goals. Home healthcare nurse 2009 vol:27 iss:4 pg:220 -8

Doshi, Rupali, Healthcare-associated Infections: epidemiology, prevention, and therapy.
The Mount Sinai journal of medicine, New York 2009 vol:76 iss:1 pg:84 -94

Rosenthal, Victor The International Nosocomial Infection Control Consortium (INICC): goals and objectives, description of surveillance methods, and operational activities. American journal of infection control 2008 vol:36 iss:9 pg:e1 -12

Zingg, Walter Central venous catheter-associated infections. Bailliere’s best practice & research. Clinical anaesthesiology 2008 vol:22 iss:3 pg:407 -421

Kanouff, Alan Prevention of nosocomial infections in the intensive care unit. Critical care nursing quarterly 2008 vol:31 iss:4 pg:302 -308

Kline, Andrea Pediatric catheter-related bloodstream infections: latest strategies to decrease risk. AACN clinical issues 2005 vol:16 iss:2 pg:185 -98

Chapman, Rachel Candida infections in the neonate. Current opinion in pediatrics 2003 vol:15 iss:1 pg:97 -102

Eggimann, P Overview of catheter-related infections with special emphasis on prevention based on educational programs. Clinical microbiology and infection 2002 vol:8 iss:5 pg:295 -309

Karlowsky, J A Candidemia in a Canadian tertiary care hospital from 1976 to 1996. Diagnostic microbiology and infectious disease 1997 vol:29 iss:1 pg:5 -9

Does implementation of a no interruption policy during medication administration reduce errors?

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A search of CINAHL, PubMed, Web of Knowledge, and JoAnna Briggs for the concepts of no interruption policies and medication administration produced the following citations for review. Included are studies of improving the accuracy of medical administration by reducing distractions and evaluating these initiatives.

Pape, Tess Innovative approaches to reducing nurses’ distractions during medication administration. The Journal of Continuing Education in Nursing 2005 vol:36 iss:3 pg:108-16

Bennett, Jocelyn. Improving medication administration systems: an evaluation study. Canadian nurse 2006 vol:102 iss:8 pg:35 -39

Englebright, Jane. Managing a new medication administration process[. The Journal of nursing administration 2005 vol:35 iss:9 pg:410 -413

Kliger, Julie. Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy. The joint commission journal on quality and patient safety 2009 vol:35 iss:12 pg:604 -612

Conrad, Carole. Medication room madness: calming the chaos. Journal of nursing care quality 2010 vol:25 iss:2 pg:137 -1

LePorte L ; Ventresca EC; Crumb DJ Effect of a distraction-free environment on medication errors. American Journal of Health-System Pharmacy, 2009 May 1; 66(9): 795-6

Pape TM. Innovative approaches to reducing nurses’ distractions during medication administration. Quality Control Coordinator, University Health System, San Antonio, TX
Journal of Continuing Education in Nursing, 2005 May-Jun; 36(3): 108-16, 141-2

Relihan E. The impact of a set of interventions to reduce interruptions and distractions to nurses during medication administration. Quality & Safety in Health Care, 2010 Oct; 19(5): e52

Flanders, Sonya Interruptions and Medication Errors Part I Clinical nurse specialist 2010 vol:24 iss:6 pg:281 -285

Lisa Kunde BA, BPsych (Hons) Medication (Oral): Administration 02/11/2011

What are guidelines and studies on patient room design in relation to nursing workflow and patient safety?

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Literature searches found studies on patient room design in relation to patient safety, staff perceptions, and best practices.

To access literature on room design click here.

Then cut and paste the following into the url address bar

http://www.ncbi.nlm.nih.gov/sites/myncbi/collections/public/1TG7hzjdff_vjxM3xlssviLAs/

How to develop a risk factor index to identify patients at an elevated risk of post op injury related to delays or impairment

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Bellino S, Quality of life of patients who undergo breast reconstruction after mastectomy: effects of personality characteristics. Plast Reconstr Surg. 2011 Jan;127(1):10-7.

Bech P, Generalized anxiety or depression measured by the Hamilton Anxiety Scale and the Melancholia Scale in patients before and after cardiac surgery. Psychopathology. 1984;17(5-6):253-63.

King, K. B. Coronary Artery Bypass Grafting Concerns Interview Schedule–1-6 Month Follow-Up. Nursing Research Vol. 49, 2000; p167-172, 6p.

Tu, J. V. Risk Index Score. Depressive symptoms and mortality two years after coronary artery bypass graft surgery (CABG) in men. Psychosomatic Medicine, Vol. 65, 2003; p508-510, 3p.

Guidelines for peritoneal dialysis

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Searched PubMed and CINAHL for concept of peritoneal dialysis and guidlines

Leung DK. Monitoring clinical standards in a chronic peritoneal dialysis program.Perit Dial Int. 2009 Feb;29 Suppl 2:S72-3.

Rocco MV.Revisions to KDOQI guidelines released at the NKF 2006 Spring Clinical Meetings.Nephrol News Issues. 2006 Jul;20(8):40, 42.

Prowant BF. Clarifying K/DOQI’s guideline targets for peritoneal dialysis adequacy. Nephrol Nurs J. 2001 Aug;28(4):445-6, 450.

Levin NW, Willis K; National Kidney Foundation. Recent K/DOQI guidelines: applications in peritoneal dialysis patients.Contrib Nephrol. 2003;(140):151-62.

Golper TA; National Kidney Foundation. A summary of the 2000 update of the NKF-K/DOQI clinical practice guidelines on peritoneal dialysis adequacy. Perit Dial Int. 2001 Sep-Oct;21(5):438-40.

Blake PG. A review of the DOQI recommendations for peritoneal dialysis. Dialysis Outcome Quality Initiative, National Kidney Foundation. Perit Dial Int. 1998 May-Jun;18(3):247-51.

What are guidelines for best practice with hemodialysis catheters?

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These guidelines were found in the National Guideline Clearinghouse. To read relevant sections, search the text for hemodialysis.

Mermel LA, et al. “Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 update by the Infectious Diseases Society of America.” Clinical Infectious Diseases 49.1 (2009):1-45.

O’Grady NP, et al. “Guidelines for the prevention of intravascular catheter-related infections.” 2011.

Searches within PubMed located these CNE articles.

McAfee, Nancy, et al. “A continuous quality improvement project to decrease hemodialysis catheter infections in pediatric patients: use of a closed luer-lock access cap.” Nephrology Nursing Journal 37.5 (2010):541-4.

Dutka, Paula, and HelenBrickel. “A practical review of the kidney dialysis outcomes quality initiative (KDOQI) guidelines for hemodialysis catheters and their potential impact on patient care.” Nephrology Nursing Journal 37.5 (2010):531-5.

Dinwiddie, Lesley C, and CynthiaBhola. “Hemodialysis catheter care: current recommendations for nursing practice in North America.” Nephrology Nursing Journal 37.5 (2010):507-20, 528.

Reviewed and updated 5/6/2014 ldt