Volegjustcult25551475 - J Nurs Care Qual Vol. 22. No. 3,...

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J Nurs Care Qual Vol. 22. No. 3, pp. 210-212 Quality Improvement in Long-term Care The purpose of this column is to discuss innovations and quality improvement efforts in a variety of long-term care settings. These issues are of importance to heaithcare professionals as our nation faces the burgeoning growth of the aging population, creating increased demand for improved and innovative iong-term care services. This coiumn is coordinated by Mariiyn J. Rantz, PhD, RN, FAAN, NHA, e-mail: rantzm@missouri.edu. A Just Culture The Role of Nursing Leadership Amy Vogelsmeier, MSN, RN,BC, GCNS; JiU Scott-Cawiezell, PhD, RN T HE Institute of Medicine report To Err Is Human sparked a nationwide focus on medical errors and the risk to patient safety.' Importantly, the Institute of Medicine con- firmed that the majority of medical errors are not the fault of people but rather faulty sys- tems, processes, and conditions that lead to medical errors. Leadership efforts to promote disclosure of these faulty systems, processes, and conditions are under way. The American Association of Nurse Executives has a prior- ity established to promote a culture of safety through error disclosure.^ In addition, the In- stitute of Healthcare Improvement strategic plan includes recommendations to reward er- ror reporting and to share report analysis with staff' The attempt to disclose medical errors is an important first step. While efforts to disclose medical errors are certainly worthwhile, the missing voice of frontline staff remains at the forefront.'' Eront- line staff know about the faulty systems, pro- cesses, and conditions that exist. Therefore, Author AJjftliations: Sinclair School of Nursing, University of Missouri - Columbia. Ms Vogelsmeier is a 2005-2007 John A. Hartford Building Academic Geriatric Nursing Capacity Scholar Corresponding Author: Amy Vogelsmeier, MSN, RN,BC, GCNS, Sinclair School of Nursing, Univer- sity of Missouri - Columbia, Columbia, MO 65212 (vogehmeiera@missouri.edu). the vigilance and voice of frontline staff in error disclosure becomes paramount. How- ever, in most healthcare organizations, front- line staff are not speaking out because of the continued existence of punitive work environments. PUNITIVE WORK ENVIRONMENTS
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Volegjustcult25551475 - J Nurs Care Qual Vol. 22. No. 3,...

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