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Nursing Management July 2010 Lois Welden	Transfusion confusion Over the past decade, literature has indicated that liberal use of blood transfusions results in poor clinical outcomes in the majority of critically ill patients.
American Journal of Nursing April 2010 Riesenberg et al.	Nursing Handoffs: A Systematic Review of the Literature Handoffs of patient care from one nurse to another are an integral part of nursing practice; but there is abundant evidence that poor communication and variable procedures result in inadequate handoffs.
American Journal of Nursing May 2011 Pusateri et al.	Original Research: The Role of the Non-ICU Staff Nurse on a Medical Emergency Team: Perceptions and Understanding We sought to determine the nursing staff's familiarity with and perceptions of the Medical Emergency Team at one hospital.
American Journal of Nursing March 2009 Nelson et al.	Recognizing Sepsis in the Adult Patient Patients in every health care setting are at risk for systemic inflammatory response syndrome, sepsis, severe sepsis, and even septic shock.
American Journal of Nursing January 2008 Maslow & Mezey	Recognition of Dementia in Hospitalized Older Adults Recognition of Dementia in Hospitalized Older Adults proposes several approaches that hospital nurses can use to increase recognition of dementia. This article describes the Try This approaches, how to implement them, and how to incorporate them into a hospital's current admission procedures.
Managed Care December 2004 Adler & Schukman	The Role of Managed Care In Patient Safety & Error Reduction Patient safety and medical errors have become the focus of increasing attention from the public, policymakers, and accreditation agencies. Managed care organizations clearly are important stakeholders in this issue.
American Journal of Nursing October 2008	Wandering in Hospitalized Older Adults: Identifying Risk is the First Step in This Approach to Preventing Wandering in Patients with Dementia. People who have dementia are at risk for wandering away from the safety of the care setting and becoming lost in the community. Here are three critical elements of prevention and action.
Nursing Management December 2010 Raso & Gulinello	Creating Cultures of Safety: Risk Management Challenges and Strategies The role of the nurse manager in directing patient care and influencing change from a risk perspective is paramount to success.
Nursing Management March 2010 Becker & Schmidtke	All along the watchtower: Suicide risk screening, a pilot study Patients will continue to die if healthcare organizations don't take action and appropriately assess patients at risk for suicide in general hospitals.
American Journal of Nursing November 2007 Ann Hendrich	How to Try This: Predicting Patient Falls Assess a hospitalized patients risk of falling using this screening tool.
American Journal of Nursing November 2007 Nancy A. Stotts	How to Try This: Predicting Pressure Ulcer Risk An assessment tool to predict the risk of pressure ulcers in the elderly.
Nursing April 2012 Elliott et al.	Managing alcohol withdrawal in hospitalized patients A focused nursing assessment is critical in identifying the potential for alcohol withdrawal symptoms in all hospitalized patients. This article discusses how to assess patients at risk and how to use these assessment findings as a basis for nursing interventions.
Nursing Management September 2009 Richard Hader	Six Ways to Zero Defects Care delivery that's safe, effective, patient-centered, timely, efficient, and equitable is the challenge set forth by the Institute of Medicine in an effort to reduce medical-related errors
Nursing Management April 2009 Sharon H. Pappas	Profits, Payers, and Patients: Responding to Changes Profit is necessary for hospitals to fulfill their missions, invest in expansion and new technologies, and reinvest in existing patient care infrastructures. Profitability is the work of the financial team and the clinical team to produce the hospital's desired financial outcome.
American Journal of Nursing September 2011 Schmid et al.	Care of the Suicidal Pediatric Patient in the ED: A Case Study At Childrens Hospital Boston, an algorithm-the Risk of Suicidality Clinical Practice Algorithm has been developed to ensure evidence-based care supported by best practice guidelines.
Nursing Management May 2011 Kirsten Drake	SCIP core measures: Deep impact In August 2005, the SIP project grew to become a multiyear, national quality partnership of organizations called the Surgical Care Improvement Project, or SCIP, with the goal of decreasing surgical complication by 25% by 2010.
Nursing April 2011 Sally Austin	Stay Out of Court with Proper Documentation Here is a practical guideline to help you document your assessments and interventions completely, accurately, and concisely. Doing so not only improves patient care, but also shields you from legal fallout if something goes wrong.
American Journal of Nursing August 2007 Pun & Dunn	The Sedation of Critically Ill Adults: Management Pharmacologic and nonpharmacologic management of anxiety and agitation in the ICU.
American Journal of Nursing July 2007 Pun & Dunn	The Sedation of Critically Ill Adults PART 1: ASSESSMENT The first in a two-part series focuses on assessing sedated patients in the intensive care unit (ICU).
American Journal of Nursing November 2011 Christine L. Cutugno	The 'Graying' of Trauma Care: Addressing Traumatic Injury in Older Adults Evidence-based strategies for managing trauma and its complications in this population.
Nursing April 2010 Powers & Burchell	Sepsis alert: Avoiding the shock Early recognition of sepsis and early goal-directed therapy can sometimes halt the progression of sepsis to severe sepsis and septic shock. Rapid response and aggressive care can improve patient outcomes in a critical situation.
American Journal of Nursing December 2011 Mary K. Walton	Supporting Family Caregivers: Communicating with Family Caregivers A transformation is under way in acute care, at least in the United States, from provider-centered care to patient- and family-centered care.
Nursing Management October 2011 Edna Cadmus	Your role in redesigning healthcare We need to rethink how we provide care and to understand the interconnectedness and the structure of healthcare by looking at it as a whole vs. the sum of its parts. As leaders we need to view the evidence as we rethink healthcare together.
Nursing March 2011 Mink & Miller	Stroke, Part 2: Respond aggressively to hemorrhagic stroke Patients may arrive at the hospital any time from minutes to days after a hemorrhagic stroke, and nurses need to be prepared for the unique challenges associated with their care.
Nursing Management September 2010 Richard Hader	The evidence that isn't... Interpreting research When patients seek a healthcare practitioner for services, they believe that the delivered care is based on proven science. But reality is far from patient perception. In fact, most care is still based on anecdote, not evidence.
Nursing Management September 2008 Richard Hader	Strategies for profitable growth Experience has demonstrated that a focus on expense reduction alone won't sustain or improve financial stability in health care services.
American Journal of Nursing October 2008	How to Try This: Working with Families of Hospitalized Older Adults with Dementia Families provide a considerable amount of informal care and support for older adults living with dementia. And when an older adult with dementia is hospitalized, family caregivers should be seen as important sources of information and included as valuable members of the health care team.
American Journal of Nursing March 2008 Evans & Cotter	Avoiding Restraints in Patients with Dementia Understanding, prevention, and management are the keys to reducing restraint use.
American Journal of Nursing April 2008 Wallace & Shelkey	Monitoring Functional Status in Hospitalized Older Adults The Katz Index of Independence in Activities of Daily Living can help nurses detect subtle changes in health and prevent functional decline.
Nursing Management November 2010 Penprase et al.	Preoperative communication to improve safety: A literature review Nurses should take the lead in championing the introduction and assessment of preoperative briefings, and in supporting other perioperative personnel who may be tasked with implementing them.
American Family Physician July 15, 2001 Marc Tunzi	Can the Patient Decide? Evaluating Patient Capacity in Practice
Nursing Management November 2007 Carrick et al.	Rapid-Fire Strategies for Regulatory Readiness The public opinion plays a key role in determining whether or not caregivers and hospitals are safe, high-quality providers.
Nursing Management February 2010 Chuck Fort	So good it's unreal: The value of simulation education The advantages of simulation in healthcare education are many.
Nursing March 2011 Ali & Gray-Vickrey	Limiting the Damage From Acute Kidney Injury This article will discuss your role in early detection and management of AKI with an emphasis on care for older adults.
Managed Care October 2002 Pamela L. Popp	How To -- And Not To -- Disclose Medical Errors to Patients Health care facilities and physician practices must commence development and implementation of a disclosure policy. The policy should include a statement of the need and willingness of the patient and physician to have an open and honest relationship and a constant dialogue.
Nursing July 2009 Rachel L. Palmieri	Unlocking the secrets of locked-in syndrome Locked-in syndrome is characterized by complete paralysis of the voluntary muscles in all parts of the body except those that control blinking and vertical eye movements.
American Journal of Nursing October 2007 Terry Fulmer	How to Try This: Fulmer SPICES Fulmer SPICES is a framework for assessing older adults. This assessment, done regularly, can lead to the prevention and treatment of common conditions.
Nursing Management July 2007 Coyle et al.	Dealing with Disaster Terrorism and naturally occurring catastrophic events provide fertile ground for nursing emergency preparedness, including deployment strategies. Are you ready to respond?
Nursing July 2009 Penny S. Brooke	Legally speaking...When can you say NO? As a nurse, accepting responsibilities that are beyond the scope of your license or skill level can have serious consequences for you, your patients, and your nursing career.
Nursing June 2008 Yvonne D'arcy	Nursing2008 Pain Management Survey Report See how your responses to this survey compare with those of nursing colleagues across the country and beyond.
American Journal of Nursing February 2008 DiMaria-Ghalili & Guenter	The Mini Nutritional Assessment This tool can identify malnutrition in older adults before changes in biochemistry or weight are evident.
American Journal of Nursing April 2010 Mary Curry Narayan	Culture's Effects on Pain Assessment and Management When patients belong to a culture or speak a language that's different from that of their health care provider, the provider faces additional challenges in successfully assessing and managing the patients' pain.
American Journal of Nursing September 2011 Adams & Tolich	Original Research: Blood Transfusion: The Patient's Experience This study therefore sought to identify how well patients understand the role of blood transfusion in their treatment and whether it causes them discomfort.
Nursing August 2010 Bartley & Shiflett	Handle older trauma patients with care Your comprehensive understanding of how age-related changes can affect outcomes during and after trauma will help your patients recover to the fullest extent possible.
Managed Care May 2000 Mark G. Weiner, M.D., and Eric Pifer, M.D.	Computerized Decision Support and the Quality of Care The notion of quality of care in medicine is not new, but it is becoming increasingly important as the competitive health care market demands objective measures to compare physicians, hospitals, and managed care organizations....
American Journal of Nursing September 2008 Messecar et al.	The Family Preferences Index: Helping Family Members Who Want to Participate in the Care of a Hospitalized Older Adult. Researcher Hong Li developed the FPRI in 2000 after analysis of in-depth interviews with patients, families, and nurses and many hours of observing hospitalized older adults and their family caregivers.
American Family Physician August 1, 2005 Safeer & Keenan	Health Literacy: The Gap Between Physicians and Patients Inadequate health literacy can result in difficulty accessing health care, following instructions from a physician, and taking medication properly. Patients with inadequate health literacy are more likely to be hospitalized than patients with adequate skills.
American Journal of Nursing August 2008 Carla L. Graf	How to Try This: The Hospital Admission Risk Profile A simple screening tool can be used to classify hospitalized older adults as being at low, intermediate, or high risk for losing the ability to perform activities of daily living, based on assessments of age, cognitive function, and the ability to perform independent activities of daily living.
Nursing November 2011 Jeanne Held-Warmkessel	Taming Three High-Risk Chemotherapy Complications A review of three common chemotherapy-associated complications that can be serious enough to require hospitalization: febrile neutropenia, chemotherapy-related nephrotoxicity, and chemotherapy-related enterotoxicity.
Nursing Management July 2008 Scott Weber	Ergonomics Standards: An Overview Know your part in establishing programs in skilled nursing facilities, hospitals, or assisted-living settings.