Debra N. Thompson

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A year-long case study examined how four hospitals, that increased their medication error reporting, used the data and to what effect. Findings suggest that the immediate challenge for reporting-driven patient safety initiatives may not be to increase reporting but rather to implement an organizational design that enables learning from data already being(More)
Nurses today are attempting to do more with less while grappling with faulty error-prone systems that do not focus on patients at the point of care. This struggle occurs against a backdrop of rising national concern over the incidence of medical errors in healthcare. In an effort to create greater value with scarce resources and fix broken systems that(More)
OBJECTIVE This study compared nursing staff perceptions of safety climate in clinical units characterized by high and low ratings of leader-member exchange (LMX) and explored characteristics that might account for differences. BACKGROUND Frontline nursing leaders' actions are critical to ensure patient safety. Specific leadership behaviors to achieve this(More)
Complexity science applied through a 6-step patient- and family-centered care methodology provides a practical framework for achieving meaningful change in organizations. This approach was used to improve the preoperative preparation experience of patients undergoing total joint arthroplasty in an orthopedic specialty hospital.
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