Akkeneel Talsma

Learn More
Surgical site infections are a frequent cause of morbidity and mortality and add significantly to the cost of care. One component of the national Surgical Infection Prevention (SIP) program is to ensure timely administration of prophylactic antibiotics, a key factor to reduce postoperative infection. Our anesthesia department decided to assume the(More)
BACKGROUND : Very little research has been focused on the interdisciplinary staffing characteristics of the operating room team, an essential component of providing safe patient care in a high-risk setting. OBJECTIVES : The aim of this study was to determine how the operating room staffing of two surgical specialties compares in terms of social network(More)
Pressure ulcers (PUs) are among the most common harms experienced by patients in health care facilities. Despite the existence of evidence-based guidelines and protocols for PU prevention and treatment, the sustained success in reducing the development of PUs is elusive. The purpose of this article is to describe how the Translating Research Into Practice(More)
This study examined the ability of two specific measures of stressors associated with smoking cessation to act as predictors of progress through the stages of smoking cessation as described by Prochaska and DiClemente (1983). Specifically, a 19-item scale measuring barriers to smoking cessation and a 14-item scale measuring smoking cessation self-efficacy(More)
We describe a 1-year multidisciplinary initiative to improve the quality of care for patients with acute myocardial infarction and heart failure. In January 2002, this rapid-cycle improvement project began with a partnership of inpatient cardiology nursing and physician leadership. This inpatient leadership team analyzed clinical and operational processes,(More)
Approximately 2,700 patients are harmed by wrong-site surgery each year. The World Health Organization created the surgical safety checklist to reduce the incidence of wrong-site surgery. A project team conducted a narrative review of the literature to determine the effectiveness of the surgical safety checklist in correcting and preventing errors in the(More)
OBJECTIVES This study further expands on the relationship between nurse staffing levels and patient outcomes, in particular, failure to rescue. Many studies are based on single-site hospitals or single-year data, thus limiting the generalizations of the findings. The purpose was to evaluate in a multisite multiyear study the relationship between unit-level(More)
Dr. Ada Sue Hinshaw stepped down from her deanship at the University of Michigan School of Nursing, leading to a conference in honor of her legacy held in May 2006. The topic of the conference highlighted Dr. Hinshaw's accomplishments in the area of health policy and patient safety. The proceedings of the afternoon included four presentations. The common(More)
BACKGROUND Implementation of the ruling on the Inpatient Prospective Payment System by the Centers for Medicare and Medicaid has challenged nurses to focus on the prevention of pressure ulcers. Despite years of research, pressure ulcers are still one of the most common complications experienced by patients in health care facilities. OBJECTIVE To examine(More)