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dc.contributor.authorChaboyer, Wendyen_US
dc.contributor.authorJohnson, Joanneen_US
dc.contributor.authorHardy, Lindaen_US
dc.contributor.authorGehrke, Tanyaen_US
dc.contributor.authorPanuwatwanich, Kriengsaken_US
dc.date.accessioned2017-04-24T08:43:31Z
dc.date.available2017-04-24T08:43:31Z
dc.date.issued2010en_US
dc.date.modified2011-06-20T06:48:38Z
dc.identifier.issn1365-2648en_US
dc.identifier.doi10.1111/j.1365-2648.2010.05272.xen_AU
dc.identifier.urihttp://hdl.handle.net/10072/35717
dc.description.abstractAim. This paper is a report of the effects of implementing 13 Transforming Care At the Bedside improvement strategies on medication errors, patient falls and pressure ulcers. Background. A number of international reports and research studies have led to a focus on safety and quality in health care. Transforming Care At the Bedside involves nursing managers and front-line staff together contributing to practice improvement. Method. An observational, time series study in two medical units in one Australian hospital was conducted. Statistical process control analysis was used to identify changes in the outcomes. Routinely collected, anonymous clinical incident reports were used to calculate the proportion of reported clinical incidents that were reported to result in patient harm in the 15 months prior to and 18 months after Transforming Care At the Bedside strategies were implemented, between February, 2005 and December, 2007. Results. The proportion of reported medication errors, falls and pressure ulcers that resulted in harm as reported in clinical incident reports were reduced from 46糥 to 17籥, 97簥 to 51簥 and 91糥 to 46綥 respectively, representing an absolute reduction by about one half. Consistent, sustained improvement in the first two was demonstrated, but analysis showed wide variation in the third - pressure ulcers - which meant that the differences in this outcome may have occurred by chance. Conclusion. A rapid change management cycle such as Transforming Care At the Bedside can be a useful process when implementing numerous clinical changes in short succession.en_US
dc.description.peerreviewedYesen_US
dc.description.publicationstatusYesen_AU
dc.format.extent517973 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglishen_US
dc.language.isoen_AU
dc.publisherWiley-Blackwell Publishingen_US
dc.publisher.placeUnited Kingdomen_US
dc.relation.ispartofstudentpublicationNen_AU
dc.relation.ispartofpagefrom1111en_US
dc.relation.ispartofpageto1119en_US
dc.relation.ispartofissue5en_US
dc.relation.ispartofjournalJournal of Advanced Nursingen_US
dc.relation.ispartofvolume66en_US
dc.rights.retentionYen_AU
dc.subject.fieldofresearchNursing not elsewhere classifieden_US
dc.subject.fieldofresearchcode111099en_US
dc.titleTransforming care strategies and nursing-sensitive patient outcomesen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Peer Reviewed (HERDC)en_US
dc.type.codeC - Journal Articlesen_US
gro.facultyGriffith Health, School of Nursing and Midwiferyen_US
gro.rights.copyrightCopyright 2010 Blackwell Publishing. This is the pre-peer reviewed version of the following article: Transforming care strategies and nursing-sensitive patient outcomes, Journal of Advanced Nursing Vol. 66(5), 2010, pp. 1111-1119, which has been published in final form at http://dx.doi.org/10.1111/j.1365-2648.2010.05272.x.en_AU
gro.date.issued2010
gro.hasfulltextFull Text


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