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Keeping Patients Safe Transforming the Work Environment of Nurses

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Book details

List price: $49.95
Copyright year: 2004
Publisher: National Academies Press
Publication date: 2/27/2004
Binding: Hardcover
Pages: 488
Size: 6.00" wide x 9.00" long x 1.50" tall
Weight: 1.980

Executive Summary
Nursing: Inseparably Linked to Patient Safety
Thousands of Health Care Errors
Why Health Care Errors Occur
The Central Role of Nurses in Patient Safety
Patient Safety Risk Factors in Nurses' Work and Work Environments
Threats to Patient Safety Posed by Work Environment Factors
Transforming Nurses' Work Environments: Essential to Patient Safety
References
A Framework for Building Patient Safety Defenses into Nurses' Work Environments
Building on To Err Is Human and Crossing the Quality Chasm
The Need for Bundles of Multiple, Mutually Reinforcing Patient Safety Defenses
An Evidence-Based Model for Safety Defenses in Work Environments
Unique Features of Health Care That Have Implications for Patient Safety Defenses
References
Nurses Caring for Patients: Who They Are, Where They Work, and What They Do
Who Is Doing the Work of Nursing?
Where Nurses Work
What Nurses Do
References
Transformational Leadership and Evidence-Based Management
Transformational Leadership: The Essential Precursor
Five Essential Management Practices
Uneven Application of Evidence-Based Management Practices in Nurses' Work Environments
Models of Evidence-Based Management in Nurses' Work Environments
Use of Evidence-Based Management Collaboratives to Stimulate Further Uptake
References
Maximizing Workforce Capability
Promoting Safe Staffing Levels
Supporting Knowledge and Skill Acquisition and Clinical Decision Making
Fostering Interdisciplinary Collaboration
References
Work and Workspace Design to Prevent and Mitigate Errors
Design of Work Hours
Design of Work Processes and Workspaces
References
Creating and Sustaining a Culture of Safety
Essential Elements of an Effective Safety Culture
Need for a Long-Term Commitment to Create a Culture of Safety
Barriers to Effective Safety Cultures from Nursing and External Sources
Progress in Creating Cultures of Safety
Need for All HCOs to Measure Their Progress in Creating Cultures of Safety
Recommendations
References
Implementation Considerations and Needed Research
Health Care Organizations and Other Parties Should Not Wait to Act
Multiple, Mutually Reinforcing Safeguards Are Needed
Benefits in Addition to Patient Safety Are Likely
Additional Research Is Required to Further Increase Patient Safety
Recommendation
References
Appendixes
Committee Membership and Study Approach
Interdisciplinary Collaboration, Team Functioning, and Patient Safety
Work Hour Regulation in Safety-Sensitive Industries
Index

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