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The Clinical Nurse Consultant role in incident surveillance and patient safety: A case report
journal contribution
posted on 2023-05-18, 23:07 authored by Jacqueline ColganJacqueline Colgan, Jeong, S, Hickey, N, King, JThe Clinical Nurse Consultant (CNC) role emerged in New South Wales, Australia in 1986 as an advanced practice position. There is a growing body of literature seeking to articulate the multifaceted roles and responsibilities of the CNC within the Australian context. In this paper, we present a clinical case report that demonstrates how high risk medication administration errors via newly implemented syringe driver pumps, were identified and managed by a CNC. The CNC role was central in the identification ofthis series of medication errors that occurred across a number of hospitals, although these incidents could have been dismissed as human error. This report outlines the investigation, incident management process and subsequent release of a NSW state-wide Safety Alert. It also provides a discussion on the three key components for the successful management of a clinical incident investigation: leadership, teamwork and a ‘no blame’ culture. The specific role of the CNC in this case report provides evidence that the role of the CNC is pivotal to patient safety.
History
Publication title
CollegianVolume
24Issue
5Pagination
436-468ISSN
1322-7696Department/School
School of NursingPublisher
Elsevier BVPlace of publication
NetherlandsRights statement
Copyright 2016 Australian College of Nursing Ltd.Repository Status
- Restricted