NURSE PROFESSIONALISM IDENTIFYING NON SYSTEMIC FACTORS LEADING TO POOR PATIENT SAFETY AND HEALTH OUTCOMES.
Order Description
Errors that have been a catalyst for change
Analyse and critically evaluate the literature surrounding the clinical course and death of Ryan Saunders.
This death changed nursing and medical clinical practice. What were the main factors the coroner acknowledged contributed to the death of this child
What part did communication play in the outcome
What can be learned from the circumstances of this death What actions can you implement in your nursing practice to ensure this is not repeated
TO BE WRITTEN IN THIRD PERSON.
TOPICS TO BE USED FOR DISCUSSION ARE:
COMMUNICATION
DOCUMENTATION
PATIENT SAFETY
LISTENING TO THE PARENTS
REASONS SWISS CHEESE THEORY MUST BE USED
CLINICAL HANDOVER
PATIENT ADVOCACY
VALIDATION METHODS
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