{"title":"风险舍入的价值:通过识别可预见的风险,将护理直觉转化为认知。","authors":"Kristen Dagley","doi":"10.1097/DCC.0000000000000559","DOIUrl":null,"url":null,"abstract":"<p><p>The practice of risk rounding serves as a routine contribution to a highly reliable organization, a culture of curiosity empowering all team members to speak up in real time, and provides insight into areas of uncertainty. Highly reliable organizations protect the time and the team member who disrupts the routine service delivery when a risk is identified. In a 16-week pilot study, staff nurses in a Manhattan cardiothoracic intensive care unit participated in risk rounding wherein the staff identified foreseeable risks in a neighboring patient room. The objective of the pilot study was to foster a culture of safety and improve preparedness for urgent or emergent clinical scenarios. The postsurvey demonstrated improvement in both objectives with potential secondary benefits such as improved patient experience scores and nursing-sensitive indicators.</p>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Value of Risk Rounding: Transforming Nursing Intuition Into Recognition Through Identifying Foreseeable Risk.\",\"authors\":\"Kristen Dagley\",\"doi\":\"10.1097/DCC.0000000000000559\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The practice of risk rounding serves as a routine contribution to a highly reliable organization, a culture of curiosity empowering all team members to speak up in real time, and provides insight into areas of uncertainty. Highly reliable organizations protect the time and the team member who disrupts the routine service delivery when a risk is identified. In a 16-week pilot study, staff nurses in a Manhattan cardiothoracic intensive care unit participated in risk rounding wherein the staff identified foreseeable risks in a neighboring patient room. The objective of the pilot study was to foster a culture of safety and improve preparedness for urgent or emergent clinical scenarios. The postsurvey demonstrated improvement in both objectives with potential secondary benefits such as improved patient experience scores and nursing-sensitive indicators.</p>\",\"PeriodicalId\":1,\"journal\":{\"name\":\"Accounts of Chemical Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":16.4000,\"publicationDate\":\"2023-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Accounts of Chemical Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/DCC.0000000000000559\",\"RegionNum\":1,\"RegionCategory\":\"化学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CHEMISTRY, MULTIDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/DCC.0000000000000559","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}
The Value of Risk Rounding: Transforming Nursing Intuition Into Recognition Through Identifying Foreseeable Risk.
The practice of risk rounding serves as a routine contribution to a highly reliable organization, a culture of curiosity empowering all team members to speak up in real time, and provides insight into areas of uncertainty. Highly reliable organizations protect the time and the team member who disrupts the routine service delivery when a risk is identified. In a 16-week pilot study, staff nurses in a Manhattan cardiothoracic intensive care unit participated in risk rounding wherein the staff identified foreseeable risks in a neighboring patient room. The objective of the pilot study was to foster a culture of safety and improve preparedness for urgent or emergent clinical scenarios. The postsurvey demonstrated improvement in both objectives with potential secondary benefits such as improved patient experience scores and nursing-sensitive indicators.
期刊介绍:
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.