Table of Contents Author Guidelines Submit a Manuscript
Nursing Research and Practice
Volume 2016, Article ID 8416158, 7 pages
http://dx.doi.org/10.1155/2016/8416158
Research Article

Real-Time Reporting of Small Operational Failures in Nursing Care

1School of Nursing, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
2Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA

Received 26 July 2016; Accepted 19 October 2016

Academic Editor: Marja L. Kukkurainen

Copyright © 2016 Kathleen R. Stevens and Robert L. Ferrer. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. J. T. James, “A new, evidence-based estimate of patient harms associated with hospital care,” Journal of Patient Safety, vol. 9, no. 3, pp. 122–128, 2013. View at Publisher · View at Google Scholar · View at Scopus
  2. US Department of Health and Human Services, The US Nursing Workforce: Trends in Supply and Education, Health Resources and Services Administration, Washington, DC, USA, 2013.
  3. L. T. Kohn, J. M. Corrigan, and M. S. Donaldson, Eds., To Err Is Human: Building a Safer Health System, National Academies Press, 2000.
  4. A. Page, Ed., Keeping Patients Safe: Transforming the Work Environment of Nurses, National Academies Press, 2004.
  5. Institute of Medicine (US) and Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, The Future of Nursing: Leading Change, Advancing Health, National Academies Press, Washington, DC, USA, 2011.
  6. J. Reason, “Human error: models and management,” British Medical Journal, vol. 320, no. 7237, pp. 768–770, 2000. View at Publisher · View at Google Scholar · View at Scopus
  7. J. R. B. Halbesleben, D. S. Wakefield, and B. J. Wakefield, “Work-arounds in health care settings: literature review and research agenda,” Health Care Management Review, vol. 33, no. 1, pp. 2–12, 2008. View at Publisher · View at Google Scholar · View at Scopus
  8. A. L. Tucker, W. S. Heisler, and L. D. Janisse, “Organizational factors that contribute to operational failures in hospitals,” Working Paper 14-023, Harvard Business School, Harvard University, Boston, Mass, USA, 2013. View at Google Scholar
  9. A. L. Tucker, W. S. Heisler, and L. D. Janisse, “Designed for workarounds: a qualitative study of the causes of operational failures in hospitals,” The Permanente Journal, vol. 18, no. 3, pp. 33–41, 2014. View at Publisher · View at Google Scholar · View at Scopus
  10. A. L. Tucker, S. J. Singer, J. E. Hayes, and A. Falwell, “Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems,” Health Services Research, vol. 43, no. 5, part 2, pp. 1807–1829, 2008. View at Publisher · View at Google Scholar · View at Scopus
  11. J. Needleman, M. L. Pearson, T. Upenieks Yee, J. Wolstein, and M. Parkerton, “Engaging frontline staff in performance improvement: the american organization of nurse executives implementation of transforming care at the bedside collaborative,” The Joint Commission Journal on Quality and Patient Safety, vol. 42, no. 2, pp. 61–74, 2016. View at Google Scholar
  12. A. L. Tucker and S. J. Spear, “Operational failures and interruptions in hospital nursing,” Health Services Research, vol. 41, no. 3, pp. 643–662, 2006. View at Publisher · View at Google Scholar · View at Scopus
  13. K. Monarch, “The mark of excellence: the ANCC magnet recognition program,” South Carolina Nurse, vol. 9, no. 4, pp. 21–22, 2002. View at Google Scholar · View at Scopus
  14. J. Needleman, P. H. Parkerton, M. L. Pearson, L. M. Soban, V. V. Upenieks, and T. Yee, “Overall effect of TCAB on initial participating hospitals,” The American Journal of Nursing, vol. 109, no. 11, supplement, pp. 59–65, 2009. View at Google Scholar
  15. V. V. Upenieks, J. Needleman, L. Soban, M. L. Pearson, P. Parkerton, and T. Yee, “The relationship between the volume and type of transforming care at the bedside innovations and changes in nurse vitality,” Journal of Nursing Administration, vol. 38, no. 9, pp. 386–394, 2008. View at Publisher · View at Google Scholar · View at Scopus
  16. S. C. Martin, P. K. Greenhouse, T. Merryman, J. Shovel, C. A. Liberi, and J. Konzier, “Transforming care at the bedside: implementation and spread model for single-hospital and multihospital systems,” Journal of Nursing Administration, vol. 37, no. 10, pp. 444–451, 2007. View at Publisher · View at Google Scholar · View at Scopus
  17. W. E. Deming, Out of the Crisis, The MIT Press, Cambridge, Mass, USA, 1986.
  18. K. E. Weick and K. M. Sutcliffe, Managing the Unexpected: Sustained Performance in a Complex World, John Wiley & Sons, New York, NY, USA, 2015.
  19. J. Needleman, P. H. Parkerton, M. L. Pearson, L. M. Soban, V. V. Upenieks, and T. Yee, “Overall effect of TCAB on initial participating hospitals,” American Journal of Nursing, vol. 109, no. 11, pp. 59–65, 2009. View at Publisher · View at Google Scholar · View at Scopus
  20. P. Rutherford, R. Moen, and J. Taylor, “TCAB: the ‘how’ and the ‘what’,” American Journal of Nursing, vol. 109, no. 11, pp. 5–17, 2009. View at Publisher · View at Google Scholar · View at Scopus
  21. S. R. Mayfield, “Hospitals in pursuit of excellence,” Hospitals & Health Networks, vol. 83, no. 2, p. 48, 2009. View at Google Scholar · View at Scopus
  22. K. Grumbach, E. Bainbridge, and T. Bodenheimer, “Facilitating improvement in primary care: the promise of practice coaching,” Issue Brief (The Commonwealth Fund), vol. 15, pp. 1–14, 2012. View at Google Scholar
  23. N. B. Baskerville, C. Liddy, and W. Hogg, “Systematic review and meta-analysis of practice facilitation within primary care settings,” Annals of Family Medicine, vol. 10, no. 1, pp. 63–74, 2012. View at Publisher · View at Google Scholar · View at Scopus