Silent kills

Zusammenfassung

Wenn Pflegekräfte bemerken, dass bei der Behandlung eines Patienten etwas nicht stimmt, und sie trotzdem nichts sagen, kann dieses Schweigen tödliche Konsequenzen für den Patienten haben. Im zweiten Teil der US-amerikanischen Studie erfahren Sie, welche Möglichkeiten Pflegekräfte haben, sich Gehör zu verschaffen, und welche Maßnahmen auf organisatorischer Seite getroffen werden können, um die Kommunikation auf Intensivstationen zu verbessern.

• Literatur

• 1 Wachter RM. Patient safety at ten: Unmistakable progress, troubling gaps.. Health Affairs 2010; 29: 165-173
• 2 The Joint Commission’s Annual Report on Quality and Safety. Improving America’s Hospitals, 2010. Online: http://www.jointcommission.org/annualreport.aspx letzter Zugriff: 3.3.2011
• 3 Alvarez G, Coiera E. Interdisciplinary communication: An uncharted source of medical error?. Journal of Critical Care 2006; 21: 236-242
• 4 Gandhi TK. Fumbled handoffs: One dropped ball after another. Annals of Internal Medicine 2005; 142 (5) 352-358
• 5 Gawande AA, Zinner MJ, Studdert DM et al. Analysis of errors reported by surgeons at three teaching hospitals. Surgery 2003; 133 (6) 614-621
• 6 Sutcliffe KM, Lewton E, Rosenthal MM. Communication failures: An insidious contributor to medical mishaps. Academic Medicine 2004; 79 (2) 186-194
• 7 Consumers Union.. To Err Is Human – To Delay Is Deadly: Ten Years Later, a Million Lives Lost, Billions of Dollars Wasted Austin, TX: Safe Patient Project; May; 2009. Online: http://cu.convio.net/site/PageServer?pagename=spp_To_Delay_Is_Deadly_Executive_Summary letzter Zugriff: 3.3.2011
• 8 Kohn LT, Corrigan JM, Donaldson MS. To Err is Human: Building a Safer Health System.. Institute of Medicine. Washington, DC: National Academy Press; 1999
• 9 Maxfield D, Grenny J, McMillan R et al. Silence Kills – The Seven Crucial Conversations for Healthcare. Provo, UT: VitalSmarts; 2005. Online: www.silenttreatment study.com Letzter Zugriff: 3.3.2011
• 10 American Association of Critical Care Nurses.. Standards for Establishing and Sustaining Healthy Work Environments: The Journey to Excellence. Aliso Viejo, CA: AACN; 2005. Online: www.aacn.org/hwe Letzter Zugriff: 3.3.2011
• 11 Argyris C. Making the undiscussable and its undiscussability discussible. Public Administration Review 1980; Mai/Juni: 205-213
• 12 Reason J. Human Error. . Cambridge, UK: Cambridge University Press; 1990
• 13 Morrison EW, Milliken FJ. Organizational Silence: A Barrier to Change and Development in a Pluralistic World. The Academy of Management Review 2000; 24 (4) 706-725
• 14 Detert JR, Edmondson AC. Why Employees Are Afraid to Speak. Harvard Business Review 2007; 85 (5) 23-25
• 15 The Joint Commission. Facts about the universal protocol. 2011; Online: www.jointcommission.org/facts_about_the_universal_protocol/ Letzter Zugriff: 3.3.2011
• 16 World Alliance for Patient Safety. WHO Surgical Safety Checklist and Implementation Manual. 2008. 2008; Online: www.who.int/patientsafety/safesurgery/ss_checklist/en/index.html Letzter Zugriff: 3.3.2011
• 17 Institute for Healthcare Improvement. SBAR Handoff Report Tool. Online: www.ihi.org/IHI/Topics/PatientSafety/SafetyGeneral/Tools/SBARHandoffReportTool.htm Letzter Zugriff: 3.3.2011
• 18 Pascale RT, Sternin J, Sternin M. The Power of Positive Deviance. How Unlikely Innovators Solve the World’s Toughest Problems. Boston: Harvard Business Press; 2010
• 19 Pascale RT, Sternin J. Your company’s secret change agents. Harvard Business Review 2005; 83 (5) 73-81
• 20 Bradley E, Curry L, Krumholz H et al. Research in action: using positive deviance to improve quality of health care. Implementation Science 2009; 4: 25
• 21 Kotter J, Schlesinger L. Choosing strategies for change. Harvard Business Review 1979; 57: 106-14
• 22 Maxfield D, Dull D. Influencing Hand Hygiene Compliance at Spectrum Health. Physician Executive In Druck
• 23 Patterson K, Grenny J, Maxfield D et al. Influencer: The Power to Change Anything. . New York: McGraw-Hill; 2008
• 24 Grenny J, Maxfield D, Shimberg A et al. How to Have Influence. MIT Sloan Management Review 2008; 50 (1) 47-53
• 25 American Nurses Credentialing Center. Magnet Recognition Program. Online: www.nursecredentialing.org/Magnet.aspx?gclid=CNyCpKqyvacCFYrs7QodXxy0gA Letzter Zugriff: 3.3.2011
• 26 American Association of Critical-Care Nurses. Beacon Award for Excellence. Online: www.aacn.org/beacon Letzter Zugriff: 3.3.2011
• 27 Patterson K, Grenny J, McMillan R et al. Crucial Conversations:. Tools For Talking When Stakes Are High. New York: McGraw-Hill; 2002