A Framework Relating Nurse Staffing to Patient Care Quality and Safety State of Science on the Relationship Between Nurse Staffing and Patient Outcomes Research Evidence Areas Where the Evidence Base Is Currently Limited Evidence-Based Practice Implications Research Implications Conclusion Patient Safety and Quality: An Evidence-Based Handbook for Nurses Several studies found a significant relation between lower nurse staffing levels and higher rates of pneumonia. Quality improvement requires five essential elements for success: fostering and sustaining a culture of change and safety, developing and clarifying an understanding of the problem, involving key stakeholders, testing change strategies, and continuous monitoring of performance and reporting of findings to sustain the change. Sections Hughes RG. Chapter 33: professional communication and team collaboration. In: Patient safety and quality: an evidence-based handbook for nurses; 2008. Google Scholar Townsend-Gervis M, Cornell P, Vardaman JM. Interdisciplinary rounds and structured communication reduce re-admissions and improve some patient outcomes. Nurses can reduce the risk for infection and colonization using evidence-based aseptic work practices that diminish the entry of endogenous or exogenous organisms via invasive medical devices. Proper use of personal protective barriers and proper hand hygiene is paramount to reducing the risk of exogenous transmission to a susceptible patient. Currie L. Fall and injury prevention (Chapter 10). In: Hughes RG, ed. Patient safety and quality: an evidence-based handbook for nurses. Rockville, MD: Agency for Healthcare Research and Quality; 2008. AHRQ Publication No. 08-0043. Dacenko-Grawe L, Holm K. Evidence-based practice: a falls prevention program that continues to work. in 2009, the american college of physician executives conducted an electronic survey of more than 2,100 physicians and nurses that showed a fundamental lack of respect between the groups. 6 nearly 85% of the participants indicated that degrading comments and insults were the most common form of disrespectful behavior, followed by yelling (73%), … American Nurse Journal, the official, clinically and career-focused journal of the American Nurses Association (ANA), is a fresh voice of nursing across America Rehabil Nurs. 2008;33(6):253-9. Currie L. Chapter 10: Fall and injury prevention. In: Hughes RG, ed. Patient Safety and Quality: An Evidence-based Handbook for Nurses. Rockville, MD Get this from a library! Patient safety and quality : an evidence-based handbook for nurses. [Ronda Hughes; United States. Agency for Healthcare Research and Quality.;] -- Book is divided into the following sections: Patient safety and quality -- Evidence-based practice -- Patient-centered care -- Working conditions, work environment -- Critical opportunities for unresponsive by her husband. The patient was in the ICU with the incident likely resulting in permanent neurological deficits. (Fernandes & Shojania, 2012) A patient was admitted to a hospital from a home health agency. The list of medications provided by the agency did not completely match the list provided by the patient's family physician (i.e., the antihypertensive agent metoprolol in chapter 40 of "Patient