The Royal Marsden Hospital Manual of Clinical Nursing Procedures - Lisa Dougherty [135]
RCN (2005) The Management of Pressure Ulcers in Primary and Secondary Care: A Clinical Practice Guideline. www.nice.org.uk/page.aspx?o=cg029fullguideline.
Reason, J. (2006) Resisting cultural change, in Clinical Governance in a Changing NHS (eds M. Lugon and J. Secker-Walker). Royal Society of Medicine Press, London.
Roberts, G. (2002) Risk Management in Healthcare. Witherby and Co, London.
Roderick, P., Ferris, G., Wilson, K. et al. (2005) Towards evidence-based guidelines for the prevention of venous thromboembolism: systematic reviews of mechanical methods, oral anticoagulation, dextran and regional anaesthesia as thromboprophylaxis. Health Technology Assessment, 9 (49), 1–78.
Shaw, M., Heyman, B., Reynolds, L. et al. (2007) Multi-disciplinary teamwork in a UK regional secure mental health unit: a matter for negotiation? Social Theory and Health, 5, 356–375.
Simpson, A., Bowers, K. and Weir-Hughes, D. (1996) Clinical Care: Pressure Sore Prevention. Whurr, London.
Smith, K.P., Zardiackas, L.D. and Didlake, R.H. (1986) Cortisone, vitamin A and wound healing: the importance of measuring wound surface area. Journal of Surgical Research, 40 (2), 49–52.
Southgate, L. and Dauphinee, D. (1998) Maintaining standards in British and Canadian medicine: the developing role of the regulatory body. BMJ, 316, 697–700.
Standards Australia and Standards New Zealand (2009) Risk management principles and guidelines ISO 31000. International Organization for Standardization. www.iso.org.
Tong, A. (1999) Back to basics wound care. Nursing Times, 1 (1), 20–23.
Tortora, G.J. and Grabowski, S.R. (2008) Principles of Anatomy and Physiology, 12th edn. John Wiley, Chichester.
Vincent, C. (2006) Patient Safety. Elsevier, London.
Ward, L., Fenton, K. and Maher, D. (2010) The high impact actions for nursing and midwifery 3: staying safe, preventing falls. Nursing Times, 106 (29), 12–13.
Waterlow, J. (1988) Prevention is cheaper than cure. Nursing Times, 84 (25), 69–70.
Waterlow, J. (1991) A policy that protects. Professional Nurse, 6 (5), 258–264.
Waterlow, J. (1998) The treatment and use of the Waterlow card. Nursing Times, 94 (7), 63–67.
Waterlow, J. (2005) From costly treatment to cost-effective prevention: using Waterlow. Wound Care, 10 (9 Suppl), S25–S30.
Weick, K. and Sutcliffe, K. (2003) Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary. California Management Review, 45, 73–84.
Wilson, C. (2005) Said another way: my definition of nursing. Nurse Forum, 40 (3), 116–118.
Wilson, E. (2007) Preventing deaths from VTE in hospital 2: thromboprophylaxis. Nursing Times, 103 (38), 26.
WHO (2005) World Alliance for Patient Safety: WHO draft guidance for adverse event reporting and learning systems. WHO Production Services, Geneva, Switzerland.
Multiple choice questions
1 How can risks be reduced in the healthcare setting?
a By adopting a culture of openness and transparency and exploring the root causes of patient safety incidents.
b Healthcare will always involve risks so incidents will always occur; we need to accept this.
c Healthcare professionals should be encouraged to fill in incident forms; this will create a culture of ‘no blame’.
d By setting targets which measure quality.
2 A patient in your care knocks their head on the bedside locker when reaching down to pick up something they have dropped. What do you do?
a Let the patient’s relatives know so that they don’t make a complaint and write an incident report for yourself so you remember the details in case there are problems in the future.
b Help the patient to a safe comfortable position, commence neurological observations and ask the patient’s doctor to come and review them, checking the injury isn’t serious. When this has taken place, write up what happened and any future care in the nursing notes.
c Discuss the incident with the nurse in charge, and contact your union representative in case you get into trouble.
d Help the patient to a safe comfortable position, take a set of observations and report the incident to the nurse in