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J Nurs Adm. 2009 Jul-Aug;39(7-8):334-9. doi: 10.1097/NNA.0b013e3181ae9653.

On the ball: leadership for patient safety and learning in critical care.

Author information

1
York University School of Nursing, Toronto, Ontario, Canada. tregunno@yorku.ca

Abstract

OBJECTIVE:

To explore nursing leadership for patient safety in critical care and identify opportunities to improve leadership that promotes patient safety.

BACKGROUND:

There is limited systematic evidence about how nurses lead the microsystem of critical care and to the creation of a culture of patient safety.

METHODS:

Focus groups of multidisciplinary frontline providers and managers were used to gain insight into leadership that promotes patient safety and learning.

RESULTS:

Gains in critical care patient safety require a skilled nursing leader who is mindful of bedside situations and has real-time decision-making authority. Patient safety is seen as management of the moment, rather than a function of organizational systems and processes.

CONCLUSION:

Leadership for improved patient safety resides primarily with nurses who provide direct patient care. These nurse leaders play 3 critical roles: they are the "go-to," they are "on the ball," and they "keep the ball rolling."

PMID:
19641431
DOI:
10.1097/NNA.0b013e3181ae9653
[Indexed for MEDLINE]

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