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The Clinical Nurse Consultant role in incident surveillance and patient safety: A case report
Citation
Colgan, J and Jeong, S and Hickey, N and King, J, The Clinical Nurse Consultant role in incident surveillance and patient safety: A case report, Collegian, 24, (5) pp. 436-468. ISSN 1322-7696 (2017) [Refereed Article]
Copyright Statement
Copyright 2016 Australian College of Nursing Ltd.
DOI: doi:10.1016/j.colegn.2016.09.007
Abstract
The 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.
Item Details
Item Type: | Refereed Article |
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Keywords: | Clinical Nurse Consultant, nurse leader, patient safety, infusion pump, syringe driver pump, clinical incident, human factors |
Research Division: | Health Sciences |
Research Group: | Nursing |
Research Field: | Acute care |
Objective Division: | Health |
Objective Group: | Provision of health and support services |
Objective Field: | Nursing |
UTAS Author: | Colgan, J (Ms Jacqueline Colgan) |
ID Code: | 112058 |
Year Published: | 2017 (online first 2016) |
Deposited By: | Health Sciences |
Deposited On: | 2016-10-25 |
Last Modified: | 2018-02-07 |
Downloads: | 0 |
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