Lessons Learned: Use of Event Reporting by Nurses to Improve Patient Safety and Quality

Hession-Laband, Eileen; Mantell, Patricia

doi:10.1016/j.pedn.2010.12.005

Cited by 13 publications

(8 citation statements)

References 17 publications

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“…MAGNET designation requires hospitals/organisations to review current structure and processes and demonstrate the use of a model that leads to greater nurse empowerment and autonomy. A shared governance model was identified as important in 8 studies (Balogh & Cook, 2006;Force, 2004;George & Lovering, 2013;Harris & Cohn, 2014;Hession-Laband & Mantell, 2011;King, 2011;Lewis, 2009;Upenieks & Abelew, 2006). A shared governance model was identified as enabling and facilitating the transformation of nursing culture from a hierarchical to a more flattened structure.…”

Section: Shared Governance Modelmentioning

confidence: 99%

“…A shared governance model was identified as enabling and facilitating the transformation of nursing culture from a hierarchical to a more flattened structure. Improved quality of care and increased job satisfaction was identified at an outcome of shared governance (Force, 2004;George & Lovering, 2013;Hession-Laband & Mantell, 2011;Jost & Rich, 2010;Kaplan, Zeller, Damitio, Culbert, & Bayley, 2014;Lewis, 2009;Shepherd et al, 2014;Warren et al, 2016).…”

Section: Shared Governance Modelmentioning

confidence: 99%

“…Measurement scales designed to assess components of organisational culture were varied, some were developed informally by the hospital or the researcher (Table 3) (Force, 2004;Havens, 2001;Hess et al, 2011;Hession-Laband & Mantell, 2011;Lewis, 2009;Shepherd et al, 2014;Urden, Ecoff, Baclig, & Gerber, 2013). In comparison, other measurement scales were subjected to rigorous reliability and validity testing (Aiken & Patrician, 2000;Atkinson, Turkel, & Cashy, 2008;Capuano, Bokovoy, Hitchings, & Houser, 2005;Cimiotti et al, 2005;Gerhardt & VanKuiken, 2008;Harris & Cohn, 2014;Kaplan et al, 2014;Kutney-Lee et al, 2015;Lacey et al, 2007;Newcomb, Smith, & Webb, 2009;Trinkoff et al, 2010;Warren et al, 2016).…”

Section: Measurement Scalesmentioning

confidence: 99%

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Impact of MAGNET hospital designation on nursing culture: an integrative review

et al. 2018

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Twenty-nine key studies were identified and were evaluated utilising two study quality appraisal tools; National Health and Medical Research Council (NH&MRC) levels of evidence and the Polit and Beck critical appraisal tool. Three key categories emerged from the data: (1) nurse practice environment; (2) structure and process models; (3) measurement scales. A key finding was that MAGNET designation appears to enhance organisational culture for nurses and the framework used to introduce MAGNET helps to empower nurses to direct organisational culture in their facility. Conclusion and Implications for Nursing and Health Policy: MAGNET appears to have a positive impact on organisational culture, particularly for nurses. However, lack of standardised evaluation tools used to assess organisational culture associated with MAGNET designation limits comparability of the studies. Generally, the quality of evidence used to develop recommendations was poor to very poor. More, well designed studies undertaken outside of the USA are required. Impact Statement: An in-depth integrative review exploring the impact of MAGNET designation on organisational culture has not been undertaken. In this paper, we have used an integrative review methodology to identify, examine, thematically group and critically evaluate published literature around the impact of MAGNET designation on organisational culture within designated hospitals.

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Section: Shared Governance Modelmentioning

confidence: 99%

Section: Shared Governance Modelmentioning

confidence: 99%

Section: Measurement Scalesmentioning

confidence: 99%

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Impact of MAGNET hospital designation on nursing culture: an integrative review

et al. 2018

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“…[40][41][42][43][44][45] It is recognised that there are major barriers to medical reporting, such as the 'culture of blame'. 46,47 To promote participation of health services providers it must be made clear in advance that the person reporting shall remain anonymous, that no charges will be pressed and he or she will not be prosecuted.…”

Section: How To Calculate the Social Cost Of A Medical Error Paid By mentioning

confidence: 99%

Economic aspects of medical errors

Stoyanova¹,

Raycheva²,

Dimova³

2012

Folia Medica

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The critical problem of medical errors and the associated costs has recently been increasingly in the focus of attention of a number of world renowned experts. In the present article we review in detail and analyse the economic aspects of this problem. A methodology to assess the cost of medical errors and an algorithm for their prevention are presented. The cost of a medical error and the expenses required to avoid and prevent it are compared using graphical analysis of the prevention cost curve and the medical error compensation damages cost curve.

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“…Improving our prelicensure nursing students' rate of error reporting while encouraging transparency is one possible avenue. [8] Transparency is a process that encourages members to share the truth without blame. [9] The culture of transparency in healthcare gives the opportunity for providers, including nurses and nursing students, to increase their awareness of quality and safety issues in the healthcare setting.…”

Section: Introductionmentioning

confidence: 99%

Use of root cause analysis in nursing education: Best practice from the quality and safety officer

Cooper

Pauly-O'Neill

2015

JNEP

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Teaching nursing students to be safe in practice is a key element to any nursing curriculum. This article will discuss the use of a Root Cause Analysis (RCO) framework with prelicensure nursing students, by the Quality and Safety Officer (QSO) in a School of Nursing and Health Professions, as a method to enhance transparency and improve patient safety. The aim is to provide a rationale for using this strategy, to identify the steps of a root cause analysis, to disclose barriers to its successful use, and to explore dissemination to the partnering healthcare environments.

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Lessons Learned: Use of Event Reporting by Nurses to Improve Patient Safety and Quality

Cited by 13 publications

References 17 publications

Impact of MAGNET hospital designation on nursing culture: an integrative review

Impact of MAGNET hospital designation on nursing culture: an integrative review

Economic aspects of medical errors

Use of root cause analysis in nursing education: Best practice from the quality and safety officer

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