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Clinical Notebook| Volume 38, ISSUE 1, P51-53, January 2012

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Time Out for Patient Safety

      For more than a decade, health care organizations have stepped up their efforts to promote patient safety. Nurses, as patient advocates, understand that critical communication and teamwork are key elements in moving toward a culture of patient safety.
      • Nadzam D
      • Westergaard F
      Pediatric safety in the emergency department: identifying risks and preparing care for child and family.
      • Miller K
      • Riley W
      • Davis S
      Identifying key nursing and team behaviours to achieve high reliability.
      The value of sound communication is fundamental to the prevention of sentinel events.
      • Canaan G
      • Johnson S
      • Jones K
      To err is human, bur not inevitable.
      Yet, during critical situations, a nurse may not feel empowered to speak up when a patient is at imminent risk of harm.
      • Simmons D
      • Sherwood G
      Neonatal intensive care unit and emergency department nurses' descriptions of working together: building team relationships to improve patient safety.
      In an effort to improve communication, a standardized communication technique called “time out for patient safety” was developed to provide universally accepted critical language for these situations and empower nurses to assert themselves.
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        Pediatric safety in the emergency department: identifying risks and preparing care for child and family.
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        To err is human, bur not inevitable.
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      1. Institute for Healthcare Improvement. 5 Million Lives Campaign. Published 2009. http://www.ihi.org/IHI/Programs/Campaign/Campaign.htm?TabId=6. Accessed December 4, 2010.

      2. Chang A, Schvve PM, Croteau R, O'Leary DS, Loeb JM. Patient Safety: Achieving a New Standard of Care. Washington, DC: Institute of Medicine; 2003. http://intqhc.oxfordjournals.org/content/17/2/95.full. Accessed on January 5, 2011.

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      Biography

      Anne Meginniss, Member, ENA New Hampshire Chapter, is Educational Coordinator, Children's Hospital Boston, Boston, MA.

      Biography

      Frances Damian, Member, Boston Chapter, is Director of Nursing/Patient Services, Emergency Services, Children’s Hospital Boston, Boston, MA.

      Biography

      Francine Falvo is Staff Nurse, Emergency Services, Children's Hospital Boston, Boston, MA.