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By Institute of Medicine of the National Academies

Construction at the progressive Institute of medication studies "To Err is Human and Crossing the standard Chasm", "Keeping sufferers secure" lays out directions for bettering sufferer safeguard by way of altering nurses operating stipulations and calls for. authorized nurses and unlicensed nursing assistants are severe members in our nationwide attempt to guard sufferers from overall healthiness care blunders. the character of the actions nurses ordinarily practice tracking sufferers, teaching domestic caretakers, appearing remedies, and rescuing sufferers who're in concern presents an critical source in detecting and remedying error-producing defects within the U.S. healthiness care process. up to now 20 years, giant alterations were made within the association and supply of wellbeing and fitness care and accordingly within the task description and paintings setting of nurses. As sufferers are more and more cared for as outpatients, nurses in hospitals and nursing houses care for larger severity of disease. difficulties in administration practices, worker deployment, paintings and workspace layout, and the elemental security tradition of future health care businesses position sufferers at extra danger. This latest variation within the groundbreaking "Institute of medication caliber Chasm" sequence discusses the major elements of the paintings surroundings for nurses and studies the capability advancements in operating stipulations which are more likely to impact sufferer safeguard.

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Additional info for Keeping Patients Safe -- Transforming the Work Environment of Nurses

Sample text

Trossman S. 2001. The documentation dilemma: Nurses poised to address paperwork burden. The American Nurse, 33(5): 1, 9, 18. Tucker A, Edmondson A. 2002. Managing routine exceptions: A model of nurse problem solving behavior. Advances in Health Care Management 3:87–113. Upenieks V. 1998. Work sampling: Assessing nursing efficiency. Nursing Management 29(4): 27–29. Urden L, Roode J. 1997. Work sampling: A decision-making tool for determining resources and work redesign. Journal of Nursing Administration 27(9):34–41.

Monthly, quarterly, or semiannually). Design of Work and Workspace to Prevent and Mitigate Errors Nurses’ work processes and workspaces need to be designed to make them more efficient, less conducive to the commission of errors, and more amenable to detecting and remedying errors when they occur. The work hours of a minority of nurses, in particular, are identified as a serious threat to the safety of patients. The effects of fatigue include slowed reaction time, lapses of attention to detail, errors of omission, compromised problem solving, reduced motivation, and decreased energy for successful completion of required tasks.

Moreover, documentation practices are in great need of redesign. However, this cannot be accomplished solely by nursing staff and internal HCO efforts. Because many documentation practices are driven by external parties, such as regulators and oversight organizations, these entities will need to assist in the redesign of documentation practices. To address these needs, the committee makes the following recommendations: Recommendation 6-2. HCOs should provide nursing leadership with resources that enable them to design the nursing work environment and care processes to reduce errors.

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