The PA Nurse Residency Collaborative (PA-NRC) hosted its fourth leadership summit titled, The Nurse’s Role in Patient Safety: Reflecting on Our Oath in collaboration with the annual Pennsylvania Organization of Nurse Leaders' (PONL) Nursing Leadership Conference.
Presentations included:
This presentation discussed how nurses have been taught to perceive errors and why the most common safety strategies are not effective. Learners also understood how a robust reporting culture benefits all healthcare providers and recognizes their own biases towards errors.
When an adverse event occurs in healthcare, many times the individual that made the error is blamed. This educational opportunity enabled learners to identify how errors occur in healthcare and provide strategies for investigating causes of errors. Additionally, learners were able to differentiate between a good investigation and a bad investigation of an event and understand the necessity of looking beyond human error to the system causes and the behavioral choices that were made.
This presentation discussed how to use data collected from investigating medication safety events to improve system design. Nurse leaders from any healthcare setting will be able to utilize the information provided to identify system design elements and human factors strategies they can implement to improve their medication processes.
ABOUT THE PENNSYLVANIA NURSE RESIDENCY COLLABORATIVE (PA-NRC)
The PA-NRC was established in 2016 as a partnership of the Pennsylvania Action Coalition and Vizient, Inc. to implement residency programs in Pennsylvania and to provide an additional layer of support. All hospitals and health systems in Pennsylvania that have purchased the Vizient/AACN PA-Nurse Residency Program (NRP) are members of the PA-NRC.
