Assuring safe patient care in a level III NICU in anticipation of hospital closure.
Journal
Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
05
12
2019
accepted:
06
03
2020
revised:
25
02
2020
pubmed:
24
3
2020
medline:
26
8
2021
entrez:
24
3
2020
Statut:
ppublish
Résumé
Hospital closures promote latent factors putting patients at risk for medical errors. Our goal was to maintain safe patient care in our Neonatal Intensive Care Unit (NICU) by preventing any increase in neonatal mortality or hospital-based complications prior to hospital closure. Interventions included expanding TeamSTEPPS huddles and Leadership WalkRounds Teamwork climate scores increased from an average score of 24.6-28.3 (maximum score 30, P < 0.05, CI 6.7-0.9). Quarterly neonatal mortality and neonatal outcomes did not worsen. The frequency of transfer did not increase. A strong teamwork climate with resilient leadership may mitigate safety concerns under calamitous circumstances.
Identifiants
pubmed: 32203173
doi: 10.1038/s41372-020-0648-7
pii: 10.1038/s41372-020-0648-7
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1719-1725Commentaires et corrections
Type : ErratumIn
Références
Institute of Medicine (US) Committe on Quality of Health Care in America. To Err is Human: Building a Safer Health System. In: Kohn LT, Corrigan JM, Donaldson MD editors. Washington, DC: National Academy Press; 2000.
Vincent C, Taylor-Adams S, Stanhope N. Framework for analysing risk and safety in clinical medicine. BMJ 1998;316:1154–7.
doi: 10.1136/bmj.316.7138.1154
Bishop G. Childbirth at a crossroads in Southeastern Pennsylvania. Philadelphia, PA: Maternity Care Coalition; 2006.
Lorch SA, Srinivas SK, Ahlberg C, Small DS. The impact of obstetric unit closures on maternal and infant pregnancy outcomes. Health Serv Res. 2013;48:455–75.
doi: 10.1111/j.1475-6773.2012.01455.x
Lorch SA, Martin AE, Ranade R, Srinivas SK, Grande D. Lessons for providers and hospitals from Philadelphia’s obstetric services closures and consolidations, 1997-2012. Health Aff. 2014;33:2162–9.
doi: 10.1377/hlthaff.2014.0136
Rush M. Hahnemann University Hospital’s inner turmoil: a timeline of changes, layoffs, and closings Philadelphia Inquirer. 2019. https://www.inquirer.com/business/health/hahnemann-university-hospital-closing-timeline-20190626.html .
Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am J Med Qual. 2007;22:214–7.
doi: 10.1177/1062860607300616
Sexton JB, Sharek PJ, Thomas EJ, Gould JB, Nisbet CC, Amspoker AB, et al. Exposure to Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout. BMJ Qual Saf. 2014;23:814–22.
doi: 10.1136/bmjqs-2013-002042
Sexton JB, Helmreich RL, Neilands TB, Rowan K, Vella K, Boyden J, et al. The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research. BMC Health Serv Res. 2006;6:44.
doi: 10.1186/1472-6963-6-44
Vermont Oxford Network. Definition of chronic lung disease. 2019. https://nightingale.vtoxford.org/help/!SSL!/WebHelp/CLD36.htm .
Provost LP, Murray S. The health care data guide: learning from data for improvement. San Francisco, SA: Jossey-Bass Publishers; 2011.
Coleman-Lochner LaJH. Hospital bankruptcies leave sick and injured nowhere to go. 2020. https://www.bloomberg.com/news/articles/2020-01-09/hospital-bankruptcies-leave-sick-and-injured-nowhere-to-go?cmpid=BBD010920_BIZ&utm_medium=email&utm_source=newsletter&utm_term=200109&utm_campaign=bloombergdaily .
Mosley DaDD. Rural hospital sustainability: new analysis shows worsening situation for rural hospitals, residents. 2019. https://www.navigant.com/-/media/www/site/insights/healthcare/2019/navigant-rural-hospital-analysis-22019.pdf .
Kübler-Ross E. On death and dying. . New York: Macmillan; 1969. 260 viii.
Communications DoC. The essential role of leadership in developing a safety culture. The Joint Commission. 2017.
Smith JR, Wolf M. Resiliency: a core competency in today’s NICU nurse leader. J Perinatol Neonatal Nurs. 2018;32:295–6.
doi: 10.1097/JPN.0000000000000370
Leape LL. Error in medicine. JAMA 1994;272:1851–7.
doi: 10.1001/jama.1994.03520230061039
Braithwaite J, Wears RL, Hollnagel E. Resilient health care: turning patient safety on its head. Int J Qual Health Care. 2015;27:418–20.
doi: 10.1093/intqhc/mzv063
Wears RL, Hollnagel E, Braithwaite J. The resilience of everyday clinical work. Farnham, Surrey; Burlington, VT: Ashgate; 2015. 295 xxix
King ML. The measure of a man. Philadelphia: Christian Education Press; 1959. 34.