Risk Management

1.

Errors.

Errors are outcomes or patterns of outcomes you dont want to see. They are basically of two types: those that occur naturally as rare outcomes of effective processes and those that signal that the process is not working. The error rate in American ...
David W Chambers (J Am Coll Dent, 2003SUMMER)
errors.asp

2.

Adverse health-care events: Part 4. Challenge of a blame-free culture.

This, the final paper in this series analysing the significance of adverse health-care events and near-miss reporting, explores the requirement of a shift towards a blame-free culture and the potential contribution such a change could bring to health ...
Frank Milligan, David Bird (Prof Nurse, 200308)
adverse-health-care-events-part-challenge-blame-free-culture.asp

3.

Protocol-based care: 1. How integrated care pathways work.

This paper opens a series on protocol-based care by introducing the concept, revisiting its definitions and components, and considering the factors that influence the development of protocols. Part one discusses the aims of integrated care pathways ...
Amanda Clark (Prof Nurse, 200308)
protocol-based-care--integrated-care-pathways-work.asp

4.

A failed model-based attempt to implement an evidence-based nursing guideline for fall prevention.

BACKGROUND: An evidence-based nursing guideline had been locally developed in 1993 to reduce fall incidence rates, creating a 30% reduction. Implementation had failed though. Between 1999 and 2001 the guideline was updated. A multifaceted intervention ...
Astrid Semin-Goossens, Jelle M J van der Helm, Patrick M M Bossuyt (J Nurs Care Qual, 200307-09)
failed-model-based-attempt-implement-evidence-based-nursing-guideline.asp

5.

"Touch" vs. "tech": valuing nursing-specific PDA software.

Maximize your time by using a personal digital assistant (PDA) efficiently and effectively, featuring new nursing-specific ...
Kelli Rosenthal (Nurs Manage, 200307)
touch-vs-tech-valuing-nursing-specific-pda-software.asp

6.

On alert. Reducing risk in the medical office.

A comprehensive review of medical office systems can decrease risk in the practice. Education and training of employees are key to this goal. When staff follow policies and protocols consistently, they help protect patients and patient rights. Checklists ...
Waldene Drake (MGMA Connex, 200307)
alert-reducing-risk-medical-office.asp

7.

Promoting reflection on professionalism: a comparison trial of educational interventions for medical students.

PURPOSE: To determine whether writing, one-on-one interviews with faculty, or a combination of these interventions effectively elicited reflection on professionalism for medical students. METHOD: The study was a randomized trial conducted in 2001 at ...
Amy Baernstein, Kelly Fryer-Edwards (Acad Med, 200307)
promoting-reflection-professionalism-comparison-trial-educational.asp

8.

Reducing medication errors and increasing patient safety: case studies in clinical pharmacology.

Today, reducing medication errors and improving patient safety have become common topics of discussion for the president of the United States, federal and state legislators, the insurance industry, pharmaceutical companies, health care professionals, and ...
David M Benjamin (J Clin Pharmacol, 200307)
reducing-medication-errors-increasing-patient-safety-case-studies.asp

9.

Practice managers. Value added facts.

South Manchester PCT set up a one-day-a-month course to aid the professional development of practice managers. This was the first time practice managers had been engaged through a tailored programme. GPs now encourage their practice managers to attend ...
Karen Blears (Health Serv J, 200306)
practice-managers-value-added-facts.asp

10.

Critical incident analysis in an accident and emergency department.

The analysis of critical incidents is crucial to the provision of safe, high quality healthcare services to patients. It is essential to analyse the incident and make decisions about how future similar incidents should be dealt with. This article is a ...
Joanna Connor (Br J Perioper Nurs, 200306)
critical-incident-analysis-accident-emergency-department.asp