Читать книгу Kelly Vana's Nursing Leadership and Management - Группа авторов - Страница 267

Many system problems can be discovered at a daily safety huddle, a short meeting at the beginning of the day that includes senior and operational leaders. This meeting allows the organization to address safety issues for patients or staff quickly and efficiently. Operational leaders review actual or potential safety issues from the past 24 hours and anticipate issues that may occur over the next 24 hours. They identify how the safety issues may impact other departments. They discuss any barriers to safe care, such as inadequate staffing, supplies, medications, or technology. They describe any high‐risk or non‐routine situations, such as a planned surgery for an incarcerated individual. Appropriate experts are mobilized and empowered to solve the problem. For example, leaders from several clinical areas may report a needle stick injury to a nurse. Without a daily safety huddle, leaders may not be aware of this increase until monthly or quarterly data are tabulated. Because of the safety huddle, however, the information may be used to quickly launch a system‐wide task force to determine the causes of the injuries and develop strategies to decrease the needle stick injuries.

Frequent and regular leader rounding in clinical practice areas allows nurse leaders to see the conditions under which care is delivered and to talk with staff about safety concerns for themselves and their patients. Nurse leaders can also provide feedback and reinforcement to staff. Both positive and constructive feedback is needed to decrease human errors, and the majority should be positive. Immediate and specific feedback helps to reinforce positive behaviors. Thanking nurses for practicing safely helps to reinforce safe behaviors. If nurse leaders observe unsafe behaviors, they should immediately correct the behavior and offer a practice tip to extinguish the unsafe behavior. For example, a nurse leader may see a nurse enter a room and provide care without sanitizing her hands. The nurse leader should correct the nurse, tie hand hygiene to the core value of safety, and ask the nurse to commit to performing hand hygiene and helping others to do the same in the future.