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In the year since it was published by the Institute for Healthcare Improvement, there have been tens of thousands of views of "Respectful Management of Serious Clinical Adverse Events", and along with those views have come comments, suggestions, and anecdotes that made it imperative for the institute to look again at the topic and update it.
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It's kind of like that old ad for Reese's Peanut Butter Cups: Peanut butter is great, chocolate is great, but imagine what can happen if they get mixed together.
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Hospitals are places of high emotion and drama, of pain and fear, of last resort, and sometimes of desperation. In this patient-centered world, there has been a high tolerance of aggressive or explosive behavior. But not anymore.
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Imagine this scenario: A nurse has soreness and back pain related to patient handling and other work duties. A certified athletic trainer recommends a regimen of stretching and exercises to reduce the pain. Does that make the injury recordable?
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Injury reports don't tell the whole story about hazards in the hospital. The best way to find out what you need to know is to talk to employees.
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The elements of performance for the CAUTI prevention safety goal are as follows:
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Safe patient handling has been a hallmark of employee health. But perhaps it should also be a rallying point for patient safety advocates.
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After his cheek was fractured when a patient smashed a fist into his jaw in the emergency department, Jeaux Rinehart, RN, BSN, PHN, figured he'd had enough. He worked for 32 years as an emergency room nurse and loved it, but finally he could no longer tolerate patients hitting, yelling, cursing, or spitting at him.
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The Joint Commission targets central lineassociated bloodstream infections in its 2011 national patient safety goals, with NPSG.07.04.01 calling for hospitals to "implement evidence-based practices to prevent (CLABSIs)."
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Late in her pregnancy and fearful of the flu vaccine, the nurse wanted to hold off on immunization. At her hospital, though, the flu vaccine was mandatory. Get the shot or lose your job, her supervisor told her.
