Nursing surveillance and immediate jeopardy in Veteran Health Administration community living centers unannounced survey program 2018 to 2019.
Nurs Outlook
; 69(2): 182-192, 2021.
Article
in En
| MEDLINE
| ID: mdl-33541725
ABSTRACT
BACKGROUND:
The VA Community Living Center (CLC) Unannounced Survey Program aims to assess standards of care set by the government to protect residents.PURPOSE:
To describe patterns of practice failures in nursing surveillance causing or having potential to cause immediate jeopardy, as defined by the Centers for Medicare and Medicaid Services.METHODS:
Using CLC survey data consisting of 200 statements of deficiency (SODs) for 2018 to 2019, we collected a SOD sample (n = 20) of immediate jeopardy events. They were described using descriptive statistics and discourse content analysis.FINDINGS:
We identified clinical events, their duration, work shift, and nursing skill mix for each SOD. Most to least common themes about failures in nursing surveillance were acquisition/transfer of information; decision-making; and early recognition of problems.DISCUSSION:
Our analysis of nursing surveillance failures in CLC immediate jeopardy SODs provides insight into opportunities for registered nurses and the nursing skill mix to reduce avoidable harms.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
United States Department of Veterans Affairs
/
Nursing Homes
/
Nursing Process
Type of study:
Guideline
/
Prognostic_studies
/
Screening_studies
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Nurs Outlook
Year:
2021
Document type:
Article