Reporting near-miss events in nursing homes

被引:25
作者
Wagner, LM
Capezuti, E
Ouslander, JG
机构
[1] Baycrest Ctr Geriatr Care, Kunin Lunenfield Appl Res Unit, Toronto, ON M6G 2Z1, Canada
[2] NYU, Div Nursing, Coll Nursing, New York, NY USA
[3] Emory Univ, Ctr Hlth Aging Wesley Woods, Atlanta, GA 30322 USA
基金
美国医疗保健研究与质量局;
关键词
D O I
10.1016/j.outlook.2006.01.003
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Since the Institute of Medicine report To Err Is Human was published in 1999, improving patient safety has become a major initiative for nurses working in all care settings. Nursing homes are a fertile environment for both a high frequency of adverse events to occur and a high number of institutional barriers to reporting them. This article outlines the barriers to reporting adverse events in nursing homes and provides support for why reporting near-miss events can serve as a means of reducing these barriers. It also provides recommendations and specific strategies for how to implement near-miss reporting systems in nursing homes such as policy changes, supportive leadership, and educating nurses about near-miss events. Further nursing research in this evolving area of patient safety is warranted.
引用
收藏
页码:85 / 93
页数:9
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