Figure 2 depicts Despins' Model of Patient Risk Detection, which is described in the text as follows: “The model of Despins and colleagues explicitly posits that better detection of potential signals of patients at risk of poor outcomes is the mechanism by which more effective nursing care exerts its beneficial effects; it further elaborates that organizational culture is an important component of better signal detection (e.g., high reliability organizations instill in their staff the value they place on safety). ‘Internal factors’ such as nurse fatigue also play a role in this model.” The figure was taken, with permission, from a 2010 article by Despins and colleagues published in the Journal of Advance Nursing.

Figure 2, Chapter 34Despins' model on patient risk detection

Figure taken from Despins et al., 20104

Despins LA, Scott-Cawiezell J, Rouder JN. Detection of patient risk by nurses: a theoretical framework. Journal of Advanced Nursing. 2010. Permission granted by John Wiley & Sons, Inc.

From: Chapter 34, Effect of Nurse-to-Patient Staffing Ratios on Patient Morbidity and Mortality

Cover of Making Health Care Safer II
Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices.
Evidence Reports/Technology Assessments, No. 211.

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