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Author Smillie, A.
Title Historical investigations: Risk management in a New Zealand hospital, 1888-1904 Type Journal Article
Year 2006 Publication Nursing Praxis in New Zealand Abbreviated Journal
Volume 22 Issue 2 Pages 33-38
Keywords (up) Risk management; History; Patient safety
Abstract This article examines historical events within one hospital and compares them with contemporary risk management practices. The examples involve a nurse sustaining injury in the course of her work, a fire in the hospital and two instances of patient complaints – one concerning nursing care and the other relating to a time lag between admission to hospital and receiving medical attention. Analysis of the processes followed in investigating these occurrences reveals that these historic investigations were small in scale and less bureaucratic than contemporary practice, and were based on a culture of blame. This is contrasted with modern risk management practices which are more focused on understanding what can be learned from the incident with respect to preventing recurrence.
Call Number NRSNZNO @ research @ 539 Serial 525
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Author McKelvie, Rhonda
Title Where we are and how we got here: an institutional ethnography of the Nurse Safe Staffing Project in New Zealand Type Book Whole
Year 2019 Publication Abbreviated Journal
Volume Issue Pages 289 p.
Keywords (up) Safe staffing; Short staffing; Frontline nurses; Patient safety; Care Capacity Demand Programme; Nurse Safe Staffing Project; Trendcare; Institutional ethnography; Surveys
Abstract Charts a detailed description and analysis of how aspects of the strategies of the Nurse Safe Staffing Project work in everyday hospital settings. Argues that nurses' situated knowledge and work are being organised and overridden by competing institutional knowledge and priorities in a competitive institutional environment. Demonstrates the consequences for nurses, patients and staffing strategies. Conducts 30 interviews with 26 participants, including frontline nurses and participants in safe staffing projects.
Call Number NZNO @ research @ Serial 1651
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