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Operational Failures Detected by Frontline Acute Care Nurses.
Stevens, Kathleen R; Engh, Eileen P; Tubbs-Cooley, Heather; Conley, Deborah Marks; Cupit, Tammy; D'Errico, Ellen; DiNapoli, Pam; Fischer, Joleen Lynn; Freed, Ruth; Kotzer, Anne Marie; Lindgren, Carolyn L; Marino, Marie Ann; Mestas, Lisa; Perdue, Jessica; Powers, Rebekah; Radovich, Patricia; Rice, Karen; Riley, Linda P; Rosenfeld, Peri; Roussel, Linda; Ryan-Wenger, Nancy A; Searle-Leach, Linda; Shonka, Nicole M; Smith, Vicki L; Sweatt, Laura; Townsend-Gervis, Mary; Wathen, Ellen; Withycombe, Janice S.
Afiliação
  • Stevens KR; Professor and Director, Improvement Science Research Network, MC 7949, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive, San Antonio, TX, 78229-3900.
  • Engh EP; Nursing Research and Development Programs Manager, Children's National Health System, Washington, DC.
  • Tubbs-Cooley H; Assistant Professor, Research in Patient Services, Division of Nursing, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
  • Conley DM; Gerontological Clinical Nurse Specialist, Nebraska Methodist Hospital, Omaha, NE.
  • Cupit T; Director of Nursing Research, University of Texas Medical Branch Health System, Galveston, TX.
  • D'Errico E; Associate Professor, Loma Linda University School of Nursing, Loma Linda, CA.
  • DiNapoli P; Associate Professor, University of New Hampshire College of Health and Human Services, Durham, NH.
  • Fischer JL; Clinical Nurse Educator, Children's Hospital Colorado, Denver, CO.
  • Freed R; Director, Clinical Alignment, Nebraska Methodist Health System, Omaha, NE.
  • Kotzer AM; Nurse Scientist, Children's Hospital Colorado, Associate Professor, University of Colorado Denver College of Nursing, Denver, CO.
  • Lindgren CL; Nurse Scientist, Baptist Hospital South Florida, Miami, FL.
  • Marino MA; Associate Dean and Associate Professor, Stony Brook University School of Nursing, Stony Brook, NY.
  • Mestas L; Associate Administrator/Chief Nursing Officer, University of South Alabama Medical Center, Mobile, AL.
  • Perdue J; Clinical Nurse Educator, Children's Hospital Colorado, Aurora, CO.
  • Powers R; Patient Safety Manager, Midland Memorial Hospital, Midland, TX.
  • Radovich P; Loma Linda University School of Nursing, Loma Linda, CA.
  • Rice K; Program Director, Center for Nursing Research, Ochsner Health System, New Orleans, LA.
  • Riley LP; Director of Nursing/Evidence Research, Children's Healthcare of Atlanta, Atlanta, GA.
  • Rosenfeld P; Director of Outcomes Research and Program Evaluation and Center for Innovations in Advancement of Care, NYU Langone Medical Center, New York, NY.
  • Roussel L; Professor and DNP Program Director, University of Alabama Birmingham, Birmingham, AL.
  • Ryan-Wenger NA; Nurse Scientist, Center for Innovation in Pediatric Practice, Nationwide Children's Hospital, Columbus, OH.
  • Searle-Leach L; Director of Nursing Research and Innovation, Huntington Hospital, Pasadena, CA.
  • Shonka NM; Professional Development Specialist, Children's Hospital Colorado, Denver, CO.
  • Smith VL; Advanced Practice Care Coordinator, Reading Health System, Reading, PA.
  • Sweatt L; Director of Magnet Program, Methodist Mansfield Medical Center, Baptist Hospitals of Southeast Texas.
  • Townsend-Gervis M; Chief Nursing Officer, Baptist Memorial Hospital, Desoto, MS.
  • Wathen E; Coordinator, Evidence-based Practice and Nursing Research, Deaconess Hospital Inc., Evansville, IN.
  • Withycombe JS; Assistant Professor, Emory University, Atlanta GA, Palmetto Health, Columbia, SC.
Res Nurs Health ; 40(3): 197-205, 2017 Jun.
Article em En | MEDLINE | ID: mdl-28297072
ABSTRACT
Frontline nurses encounter operational failures (OFs), or breakdowns in system processes, that hinder care, erode quality, and threaten patient safety. Previous research has relied on external observers to identify OFs; nurses have been passive participants in the identification of system failures that impede their ability to deliver safe and effective care. To better understand frontline nurses' direct experiences with OFs in hospitals, we conducted a multi-site study within a national research network to describe the rate and categories of OFs detected by nurses as they provided direct patient care. Data were collected by 774 nurses working in 67 adult and pediatric medical-surgical units in 23 hospitals. Nurses systematically recorded data about OFs encountered during 10 work shifts over a 20-day period. In total, nurses reported 27,298 OFs over 4,497 shifts, a rate of 6.07 OFs per shift. The highest rate of failures occurred in the category of Equipment/Supplies, and the lowest rate occurred in the category of Physical Unit/Layout. No differences in OF rate were detected based on hospital size, teaching status, or unit type. Given the scale of this study, we conclude that OFs are frequent and varied across system processes, and that organizations may readily obtain crucial information about OFs from frontline nurses. Nurses' detection of OFs could provide organizations with rich, real-time information about system operations to improve organizational reliability. © 2017 Wiley Periodicals, Inc.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Eficiência Organizacional / Falha de Equipamento / Melhoria de Qualidade / Recursos Humanos de Enfermagem Hospitalar Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Humans Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Eficiência Organizacional / Falha de Equipamento / Melhoria de Qualidade / Recursos Humanos de Enfermagem Hospitalar Tipo de estudo: Observational_studies / Prevalence_studies / Risk_factors_studies Limite: Humans Idioma: En Ano de publicação: 2017 Tipo de documento: Article