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The Clinical Nurse Consultant role in incident surveillance and patient safety: A case report


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


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
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

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