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ADN-2A: Septic Shock: Sentinel Event

Resources

Forcing Functions Topic @ PSNet
Great information on “forcing functions” which would work in multiple areas for recommendations
Checklists to Improve Patient Safety

Handoffs / Communication Errors

Handoffs: Implications for Nurses
From "Patient Safety and Quality: An Evidence-Based Handbook for Nurses"
Handoffs and Signouts @ PSNet
iSoBAR — A Concept and Handover Checklist: The National Clinical Handover Initiative
Fumbled Handoff @ PSNet
Clinical Handover: Critical Communications @ PSNet
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Communication Between Providers Topic @ PSNet
Lots of good choices with communications, etc

Inappropriate / Incomplete Assessment

Physical Diagnosis: A Lost Art? @ PSNet
Assessment of the Potential Impact of a Reminder System on the Reduction of Diagnostic Errors
Nurses Critical to Implementing New Sepsis Guidelines @ Medscape
Sepsis Alert Program Leads to More Timely Diagnosis and Treatment, Reducing Morbidity, Mortality, and Length of Stay
A Meta‐Study of the Essentials of Auality Nursing Documentation
Reduced Patient Safety Due to Inefficient Nurse Work Processes from Keeping Patients Safe
On pages 243- 263- see the discussion of inefficient work processes related to charting requirements and a review of forcing processes to prevent errors

Medication Errors

Lehne's Pharmacology for Nursing Care by Jacqueline Burchum; Laura Rosenthal
Call Number: RSV RM301 .P457 2016
In-library use only.
2017 Intravenous Medications by Betty L. Gahart; Adrienne R. Nazareno
Call Number: RSV RM170 .G343 2017
In-library use only.

Khan Academy

Find this video and more at Khan Academy's Shock page.

Scope of Practice / Delegation

Practical Nurse Scope of Practice White Paper @ NCSBN
Iowa Board of Nursing
Criteria for Determining Scope of Practice for Licensed Nurses
Good decision making flow charts, etc even though is part of another state’s LPN scope discussion
Understanding the Different Scopes of Nursing Practice @ nursetogether.com
Developing Delegation Skills @ OJIN
Delegation @ NCSBN

Lack of Disposition Criteria (Discharge Criteria)

Discharge Criteria @ PSNet
Admission and Discharge Criteria: Critical Care Services @ IHI
Documentation of Mandated Discharge Summary Components in Transitions from Acute to Subacute Care
From "Advances in Patient Safety: New Directions and Alternative Approaches"
Handoffs: Implications for Nurses
From "Patient Safety and Quality: An Evidence-Based Handbook for Nurses"
Criteria for Hospital Discharge @ ATS
A Tool for Improving Patient Discharge Process and Hospital Communication Practices: the Patient Tracker @ NCBI

Failure to Rescue

Vertical Violence / Patient Advocacy