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This episode of Insights in Nursing first looks at an article on reporting of medical errors and presence of just culture in health care facilities. We are joined in this episode by host Jamie Davis (of the Nursing Show) along with Teresa Heithaus (from @NuresEducator at Twitter.com), Cora Vizcarra (from InfusionNurse.org), and Rick Russotti (from MitigationJournal.org). All in all, a fantastic panel sharing their insights in nursing.

Featured Nursing Stories

This week’s stories started off with an article titled “Dismantling Nursing’s Catch-22,” looking at reporting of medical errors by nurses. The article points to many variables that influence rate of reporting including a facilities history of dealing with medical errors, length of a nurse’s career in a facility, and presence of just culture regarding medical errors. All our panelists believed that while things are better regarding handling of medical errors by staff but also thought that errors are still under-reported.

Nurses and Medical Errors

Teresa Heithaus brought up the U. S. Department of Health and Human Services site that compares hospital patient satisfaction scores. Cora Vizcarra thought there needed to be more information reported on that comparison site but host Jamie Davis pointed out that the site did a very good job of describing what each of the comparison points meant to patients in layman’s terms.

What Nurses Know?

An article entitled “What Nurses Know” seemed like a good idea at first to all of the panelists but Rick Russotti pointed out that it was very negative about physicians and their communication with patients. The article purported to teach a patient how to “read between the lines” when a nurse told you something regarding your doctor’s instructions. It said that doing this could tell you if your doctor was incompetent or not. All the panel thought this was counter productive to a team based care approach and would not be correct in the situations they could recall themselves. All in all, this article seeking to empower patients gave nothing but bad advice.

Nurses on Healthcare’s Front Lines

The final article looked at an Arizona state sponsored program that sought to hook low-income, first time mothers with a nurse to provide not just medical assistance with the newborn but also parenting advice, social program assistance, and more. This type of program is on the leading edge of improving the health care system in the U. S. by employing nurses in preventative care and outreach to at-risk populations nationwide.

On the panel this week:

Cora Vizcarra from InfusionNurse.org and @InfusionNurse on Twitter.

Teresa Heithaus from Nursing Staff Development: Behind the Firewall, NursingLogic.com and @NurseEducator on Twitter.

Rick Russotti from MitigationJournal.org and @RickRussotti on Twitter.

and

host Jamie Davis, the Podmedic, RN, NREMTP, BA, AAS managing director of the ProMed Network and host of the Nursing Showand MedicCast weekly programs.

Join us as we delve in to our week’s topics.

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Links from the Topic:

Dismantling Nursing’s Catch-22

HHS Site Comparing Hospitals

What nurses know

Nurse assistance for first-time mothers

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Contact Insights in Nursing

Do you have a question or a comment for our nurse panelists for this or any other episode of Insights in Nursing? Email us at InsightsInNursing@GMail.comwith your comments on this episode, suggestions for the show or future episodes or just to tell about what you think is important right now for you as a nurse!

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One Response to Error Creep and Just Culture

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