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Research Articles


Hospital Nurses’ Work Activity in a Technology-Rich Environment: A Triangulated Quality Improvement Assessment

Abstract: The aim of this project was to describe hospital nurses’ work activity through observations, nurses’ perceptions of time spent on tasks, and electronic health record time stamps. Nurses’ attitudes toward technology and patients’ perceptions and satisfaction with nurses’ time at the bedside were also examined. Activities most frequently observed included documenting in and reviewing […]

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Checklists to Improve Patient Safety

To improve patient safety and quality outcomes, health care professionals are using multiple methods to reduce patient harm and eliminate medical errors. One method being implemented more and more is the checklist. In his book “The Checklist Manifesto,” Atul Gawande, MD, analyzes the positive impact of checklists used in many fields, including health care, to […]

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Creating a Culture of Collaboration between Nursing and Support Services in the Clinical Setting – AONE

This white paper examines the relationship between nursing and support service functions within a hospital setting. Successful organization have begun the process of restructuring operations to meet patient care demands by developing models of care that engender more collaborative relationships among these two areas. These new models have been developed within organization structures and cultures […]

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The Checklist: Recognize Limits, but Harness its Power

A checklist can be many things, as simple as “a list of items required, things to be done, or points to be considered, used as a reminder,” or, according to the Agency for Healthcare Research and Quality, “an algorithmic listing of actions to be performed in a given clinical setting, the goal being to ensure […]

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Workarounds and Resiliency on the Front Lines of Health Care

Frontline health care providers are challenged by poorly performing work systems. Required equipment is broken, patient medications are in the wrong dose, key information fails to get communicated, and essential supplies are out of stock. Research suggests that hospital nurses experience an average of one of these “operational failures” per hour. Dealing with them takes […]

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Guide to Preventing Clostridium difficile Infections

APIC Implementation Guides help infection preventionists apply current scientific knowledge and best practices to achieve targeted outcomes and enhance patient safety. This series reflects APIC’s commitment to implementation science and focus on the utilization of infection prevention research.

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Using Spatial and Temporal Mapping to Identify Nosocomial Disease Transmission of Clostridium difficile

Hospital-acquired Clostridium difficile infection (CDI) is associated with significant morbidity and mortality. While risk factors like antibiotic exposure modulate susceptibility, infection control efforts aimed at reducing contact with infectious spores are critical to prevent nosocomial transmission. During hospitalization, patients visit many procedural and diagnostic common areas, presenting opportunities for contact with contaminated surfaces. However, these […]

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