This issue of Critical Care Nursing Clinics, Guest Edited by Debora Simmons, RN, MSN, CCRN, CCNS, will feature such article topics as: Cause Mapping Critical Events; Blood Bank Safety in the ICU; Patient Safety in Perinatal Care; High Risk Drugs in Critical Areas; Enteral Feeding Tubing Misconnections; Safe Practices for Enteral Nutrition; Negotiating Safety; Device Complexity and Human Factors; Decreasing Risk; Delirium in ICU; and Voice of the Patient.
1. Cover image - p. 1 2. Table of Contents - p. 2 3. Preface - p. 3 4. Intensive Care Unit Delirium - p. 4 5. Incidence - p. 4 6. Pathophysiology and risk factors - p. 4 7. Clinical relevance: morbidity and mortality - p. 5 8. ICU Delirium assessment - p. 6 9. Treatment - p. 7 10. Practice implications - p. 10 11. Summary - p. 10 12. Blood Transfusions in Critical Care: Improving Safety Through Technology & Process Analysis - p. 13 13. Transfusion safety—a focus on the process - p. 13 14. Acute hemolytic transfusion reaction - p. 14 15. A case of transfusing mismatched blood - p. 14 16. Analyzing the systems and human performance factors - p. 14 17. Lapses in transfusion administration - p. 15 18. Technological advances for transfusion safety - p. 15 19. The hospital's initiatives for transfusion safety - p. 16 20. Transforming practice in transfusion verification - p. 17 21. Summary - p. 18 22. Medication Errors from an Emergency Room Setting: Safety Solutions for Nurses - p. 20 23. A guide to understanding medication errors from an emergency department setting: safety solutions for nurses - p. 20 24. Discussion - p. 22 25. Recommendations - p. 22 26. Summary - p. 23 27. Safe Practices for Enteral Nutrition in Critically Ill Patients - p. 24 28. Indications and use of enteral nutrition in critically ill patients - p. 24 29. Enteral nutrition areas of concern and safety recommendations - p. 24 30. Monitoring GI function and tolerance - p. 26 31. Nursing campaign for safety - p. 27 32. State of the Science: β-Blockers and Reduction of Perioperative Cardiac Events - p. 29 33. Background and significance - p. 29 34. Integrated literature review - p. 30 35. Perioperative β-blockade guidelines: past and present - p. 30 36. β-Blockade: the scientific evidence - p. 30 37. β-Blockade in high-risk patients - p. 30 38. Examining alternative findings - p. 31 39. Significant findings - p. 31 40. Recommendations - p. 31 41. Summary - p. 31 42. Strategies for Safe Care of Critical Care Perinatal Patients - p. 33 43. System design - p. 33 44. Key elements for risk reduction - p. 34 45. Voice of the Patient: The Essence of Patient-Centered Care - p. 39 46. Human Factors: Should Your Medical Devices Require Intensive Care? - p. 42 47. Examples - p. 42 48. Human factors - p. 43 49. The proper perspective - p. 46 50. Cause-and-effect Mapping of Critical Events - p. 47 51. Systems thinking - p. 47 52. Error analysis - p. 48 53. Analysis tools - p. 48 54. Process maps - p. 48 55. RCA - p. 48 56. Ishikawa diagram - p. 48 57. CauseMapping - p. 49 58. Sample CauseMap - p. 49 59. Summary - p. 49 60. Neonatal Intensive Care Unit and Emergency Department Nurses' Descriptions of Working Together: Building Team Relationships to Improve Safety - p. 51 61. Background - p. 51 62. Study design - p. 52 63. Results - p. 52 64. Implications - p. 53 65. Summary - p. 53 66. Acknowledgments - p. 54 67. Negotiating Safety when Staffing Falls Short - p. 55 68. Background and significance - p. 55 69. Safety strategies - p. 56 70. Summary - p. 57 71. Defragmenting Care: Testing an Intervention to Increase the Effectiveness of Interdisciplinary Health Care Teams - p. 59 72. Literature review - p. 59 73. Conceptual model - p. 60 74. Methodology - p. 61 75. Results - p. 61 76. Discussion - p. 62 77. Registered Nurses Select Multiple Factors Associated with their Errors - p. 64 78. Problems with medical errors - p. 64 79. Survey of registered nurses involved in medical errors - p. 64 80. RNs respond - p. 64 81. Summary - p. 65
This issue of Critical Care Nursing Clinics, Guest Edited by Debora Simmons, RN, MSN, CCRN, CCNS, will feature such article topics as: Cause Mapping Critical Events; Blood Bank Safety in the ICU; Patient Safety in Perinatal Care; High Risk Drugs in Critical Areas; Enteral Feeding Tubing Misconnections; Safe Practices for Enteral Nutrition; Negotiating Safety; Device Complexity and Human Factors; Decreasing Risk; Delirium in ICU; and Voice of the Patient.
1. Cover image - p. 1 2. Table of Contents - p. 2 3. Preface - p. 3 4. Intensive Care Unit Delirium - p. 4 5. Incidence - p. 4 6. Pathophysiology and risk factors - p. 4 7. Clinical relevance: morbidity and mortality - p. 5 8. ICU Delirium assessment - p. 6 9. Treatment - p. 7 10. Practice implications - p. 10 11. Summary - p. 10 12. Blood Transfusions in Critical Care: Improving Safety Through Technology & Process Analysis - p. 13 13. Transfusion safety—a focus on the process - p. 13 14. Acute hemolytic transfusion reaction - p. 14 15. A case of transfusing mismatched blood - p. 14 16. Analyzing the systems and human performance factors - p. 14 17. Lapses in transfusion administration - p. 15 18. Technological advances for transfusion safety - p. 15 19. The hospital's initiatives for transfusion safety - p. 16 20. Transforming practice in transfusion verification - p. 17 21. Summary - p. 18 22. Medication Errors from an Emergency Room Setting: Safety Solutions for Nurses - p. 20 23. A guide to understanding medication errors from an emergency department setting: safety solutions for nurses - p. 20 24. Discussion - p. 22 25. Recommendations - p. 22 26. Summary - p. 23 27. Safe Practices for Enteral Nutrition in Critically Ill Patients - p. 24 28. Indications and use of enteral nutrition in critically ill patients - p. 24 29. Enteral nutrition areas of concern and safety recommendations - p. 24 30. Monitoring GI function and tolerance - p. 26 31. Nursing campaign for safety - p. 27 32. State of the Science: β-Blockers and Reduction of Perioperative Cardiac Events - p. 29 33. Background and significance - p. 29 34. Integrated literature review - p. 30 35. Perioperative β-blockade guidelines: past and present - p. 30 36. β-Blockade: the scientific evidence - p. 30 37. β-Blockade in high-risk patients - p. 30 38. Examining alternative findings - p. 31 39. Significant findings - p. 31 40. Recommendations - p. 31 41. Summary - p. 31 42. Strategies for Safe Care of Critical Care Perinatal Patients - p. 33 43. System design - p. 33 44. Key elements for risk reduction - p. 34 45. Voice of the Patient: The Essence of Patient-Centered Care - p. 39 46. Human Factors: Should Your Medical Devices Require Intensive Care? - p. 42 47. Examples - p. 42 48. Human factors - p. 43 49. The proper perspective - p. 46 50. Cause-and-effect Mapping of Critical Events - p. 47 51. Systems thinking - p. 47 52. Error analysis - p. 48 53. Analysis tools - p. 48 54. Process maps - p. 48 55. RCA - p. 48 56. Ishikawa diagram - p. 48 57. CauseMapping - p. 49 58. Sample CauseMap - p. 49 59. Summary - p. 49 60. Neonatal Intensive Care Unit and Emergency Department Nurses' Descriptions of Working Together: Building Team Relationships to Improve Safety - p. 51 61. Background - p. 51 62. Study design - p. 52 63. Results - p. 52 64. Implications - p. 53 65. Summary - p. 53 66. Acknowledgments - p. 54 67. Negotiating Safety when Staffing Falls Short - p. 55 68. Background and significance - p. 55 69. Safety strategies - p. 56 70. Summary - p. 57 71. Defragmenting Care: Testing an Intervention to Increase the Effectiveness of Interdisciplinary Health Care Teams - p. 59 72. Literature review - p. 59 73. Conceptual model - p. 60 74. Methodology - p. 61 75. Results - p. 61 76. Discussion - p. 62 77. Registered Nurses Select Multiple Factors Associated with their Errors - p. 64 78. Problems with medical errors - p. 64 79. Survey of registered nurses involved in medical errors - p. 64 80. RNs respond - p. 64 81. Summary - p. 65