One Intensive Care Nursery's Experience With Enhancing Patient Safety

Advances in Neonatal Care

Volumn 6, Issue 3, 2006, Pages 112-119

  Alton, Michael ^a   Mericle, Jane ^a   Brandon, Debra ^a,b  

^a DUKE UNIVERSITY HEALTH SYSTEM   (United States)

^b DUKE UNIVERSITY   (United States)

Author keywords

infant; medical error; newborn; newborn intensive care; newborn intensive care unit; patient safety; root cause analysis

Indexed keywords

ACCREDITATION; ARTICLE; HUMAN; HUMAN RELATION; NEWBORN; NEWBORN INTENSIVE CARE; NEWBORN NURSING; ORGANIZATION AND MANAGEMENT; PATIENT CARE; SAFETY; STANDARD; UNITED STATES;

HUMANS; INFANT, NEWBORN; INTENSIVE CARE UNITS, NEONATAL; JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS; NEONATAL NURSING; PATIENT CARE TEAM; PROFESSIONAL-FAMILY RELATIONS; SAFETY; UNITED STATES;

EID: 33646903680     PISSN: 15360903     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.adnc.2006.02.002     Document Type: Article

References (19)

1. Comarow A. Jesica's story. One mistake didn't kill her-the organ donor system was fatally flawed. US News World Rep 135 (2003) 51-54 56,58
2. Stark A.R., and Couto J. Levels of neonatal care. Pediatrics 114 (2004) 1341-1347
3. Johnson C.E., Handberg E., Dobalian A., Gurol N., and Pearson V. Improving perinatal and neonatal patient safety. the AHRQ patient safety indicators. J Perinat Neonat Nurs 19 (2005) 15-23
4. Miller M.R., and Zhan C. Pediatric patient safety in hospitals. a national picture in 2000. Pediatrics 113 (2004) 1741-1746
5. Joint Commission on Accreditation of Healthcare Organizations. Sentinel Event Forms and Tools. Available at: www.jcaho.org/accredited+organizations/sentinel+event/se_forms+and+tools.htm. Accessed January 31, 2006.
6. VA National Center for Patient Safety. Root Cause Analysis. Available at: www.va.gov/ncps/rca.html. Accessed January 8, 2006.
7. Swihart D. Are we safe yet?. Advance for Nurses 7 (2005) 15-20
8. Agency for Healthcare Research and Quality Web M&M. Perspectives on safety: in conversation with ... Peter J. Pronovost, MD, PhD. Available at: www.webmm.ahrq.gov/perspective.aspx?perspectiveID=6. Accessed January 5, 2006.
9. Morath J.M., and Turnbull J.E. To Do No Harm (2004), Jossey-Bass, San Francisco, Calif
10. Leape L.L., and Berwick D.M. Five years after To Err is Human. what have we learned?. JAMA 293 (2005) 2384-2390
11. Frankel A., Grillo S.P., Baker E.G., Huber C.N., Abookire S., et al. Patient safety leadership walkrounds at Partners Healthcare. learning from implementation. Jt Comm J Qual Patient Saf 31 (2005) 423-437
12. Thomas E.J., Sexton J.B., Neilands T.B., Frankel A., and Helmreich R.L. The effect of executive walk rounds on nurse safety climate attitudes. a randomized trial of clinical units. BMC Health Serv Res 5 (2005) 46
13. Vincent C.A., and Coulter A. Patient safety. what about the patient?. Qual Saf Health Care 11 (2002) 76-80
14. Morath J., and Leary M. Creating safe spaces in organizations to talk about safety. Nurs Econ 22 (2004) 344-351 354
15. Wachter R.M. The end of the beginning. patient safety five years after 'to err is human.'. Health Aff (Millwood) (2004) W4-534-W4-545
16. Longo D.R., Hewett J.E., Ge B., and Schubert S. The long road to patient safety. a status report on patient safety systems. JAMA 294 (2005) 2858-2865
17. Dracup K., and Bryan-Brown C.W. First, do no harm. Am J Crit Care 14 (2005) 99-101
18. Pande P.S., Neuman R.P., and Cavanagh R.R. The Six Sigma Way Team Fieldbook. An Implementation Guide for Process Improvement Teams (2001), McGraw-Hill, New York, NY
19. Snee R.D., and Hoerl R.W. Leading Six Sigma. A Step-by-Step Guide Based on Experience with GE and Other Six Sigma Companies (2002), Prentice Hall, Upper Saddle River, NJ