A focus on safety
There are five new articles in the Sept. 30, 2011, OJIN topic: Creating a Culture of Safety: The Next Steps. This topic emphasizes concrete steps to consider in the quest to view safety in a context beyond improvement of outcome measurements for any single variable. Rather, it should be viewed as ingrained in the way of life in the health care environment.
Culture of Patient Safety and Magnet® Journey, by Jane Swanson, PhD, RN, NEA-BC, and Candice Tidwell, EdD, RN-BC, discusses how one academic medical center’s nursing service developed programs to improve patient safety and quality outcomes through the use of the Magnet Re-Designation Process® and a shared governance model.
Nurses Create a Culture of Patient Safety: It Takes More Than Projects, by Julie Morath, MS, RN, presents the challenge of maintaining a safe patient care environment and describes a model that health care providers can use to prevent the migration of safe nursing care into at-risk and unsafe nursing care.
Patient Safety Culture: The Nursing Unit Leader’s Role, by Christine Sammer, DrPH, RN, FACHE, and Barbara James, DSN, RN, CNE, discusses the concept of a patient safety culture, presents a fictional scenario describing what happened in a hospital that lacked a culture of patient safety, and explains what should have happened in this scenario.
The Clinical Nurse Leader (CNL®): Emergence of a Point of Care Safety Clinician, by Kathryn Reid, PhD, RN, APRN-BC, CNL, and Pamela Dennison, MSN, RN, APRN-BC, CNL, describes the background and intent of the CNL role and explains how the CNL is prepared to facilitate a culture of safety and enhance safety of the care for a group of patients.
Teaching the Culture of Safety, by Jane Barnsteiner, PhD, RN, FAAN, reviews essential elements of a culture of safety and considers what students need to know about a culture of safety. Nursing students need knowledge about system vulnerabilities and understanding about how knowledge, skills, and attitudes promoting the utilization of safety science will lead to safer care for patients and families.