Bold Voices - August 2012 - (Page 14)

AT THE BEDSIDE AMA Urges Greater Focus on Ambulatory Patient Safety The American Medical Association (AMA) calls for more focused attention on ambulatory patient safety after its recent report on the topic fi nds “limited research and initiatives.” “Research in Ambulatory Patient Safety, 2000-2010: A 10-year Review” looked at the type of research “reported in the literature in the last decade: research on events that caused harm to patients, research that includes events that did not cause harm to patients, and, far less common, research on interventions that have the potential to improve ambulatory safety.” Earplugs Improve Quality of Sleep in ICU Earplugs may help prevent the onset of confusion and delirium for ICU patients by improving their quality of sleep, notes a Belgian study in May’s Critical Care. “The Effect of Earplugs During the Night on the Onset of Delirium and Sleep Perception: A Randomized Controlled Trial in Intensive Care Patients” states ICU patients sleeping with earplugs have a 43 percent lower risk of confusion, with the beneficial effects strongest within 48 hours of Patients were admission. “Delirium is more annoyed by a multifactorial phones ringing process and, in and people talking. our study, was also influenced by age, smoking and severity of disease,” study leader Bart van Rompaey, program manager, Department of Nursing Science at University of Antwerp, Belgium, says in a related HealthDay article. “Nevertheless, the beneficial effect of earplugs in the ICU — especially in the first few days — clearly demonstrates the advantage of using them.” Equipment and high-intensity care augment sound in the ICU, but patients reported that phones ringing and people talking were more annoying. “Earplugs are a cheap and easy-to-use means of improving a patient’s sleep and preventing confusion,” Rompaey says in the article. How do you improve the quality of patients’ sleep in your unit? Tell us at, click on the blue auto-reply button in the digital edition or post a wall comment at Studies should focus on identifying errors that actually harm patients. According to a related article in Healthcare IT News, the report states that “outpatient visits can put some patients at risk” and “concludes that research is lacking in this area, and calls for greater and more focused attention, intervention and resources on ambulatory care safety.” The article also states there has been research on “patient safety in ambulatory care since 2000,” but it has focused on “identifying errors, whether or not they resulted in harm, rather than on actual harm to patients.” The AMA report notes, “This focus has not been wholly consistent with the IOM (Institute of Medicine) defi nition of patient safety as ‘freedom from accidental injury.’” The report underscores the importance of programs aimed at increasing ambulatory safety — such as Better Outcomes for Older Adults through Safe Transitions (BOOST), which strives to reduce readmissions through its initiatives. The BOOST project’s objectives include the need to “identify high-risk patients on admission and target risk-specific interventions; reduce 30 day readmission rates for general medicine patients; reduce length of stay; and improve information flow between inpatient and outpatient providers.” 14 AUGUST 2012,08,11,29,19

Table of Contents for the Digital Edition of Bold Voices - August 2012

Front/Digital Edition Viewing Guide
Another Angle
‘AACN CSI Academy’ National Leadership Program Launches
Canadian Dynamics 2012: ‘Speak Up, Speak Out’
Grana Padano May Lower Blood Pressure
New Medicare Patient Satisfaction Requirement Misses Mark, Nurse Argues
FDA, The Joint Commission Aim to Reduce Alarm Fatigue
Fast Food in Hospitals Counters Goal of Healthy Eating
New Federal Hospital Visitation Standards
Nurse Obesity Linked to Long Hours
First-Ever Nurses Float Joins the 2013 Tournament of Roses Parade
AMA Urges Greater Focus on Ambulatory Patient Safety
Minimally Invasive Heart Valve Procedure Increases Patient Survival
Older Patients' in ICU at High Risk for HAI
Tele-ICU Symposium Explores Leading-Edge Technology
In Our Journals
Certification Capsules
Dare To
Contribute to the Evidence: Apply for an AACN Research Grant by Nov. 1
From the President

Bold Voices - August 2012