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Keeping Patients Safe: Transforming the Work Environment of Nurses
increased patient satisfaction, 319
potential financial advantages, 319–322
Benefits of RN surveillance, 92–93
Blame
assignment of, 27–28 , 301–302
going beyond, 293
Boards of directors, recommendations for, 8 , 14
Boston Globe , 302
Bronson Methodist Hospital, 253
Budgetary expenditures, recommendations regarding, 11–12
“Buffer stock” concept, 263
Bureau of Labor Statistics, 74
Burns, James, 109–111
C
California HealthCare Foundation, 197
California hospital nurse-to-patient ratios, means, medians, and quartiles, 178
California Nurses Association, 386
California Nursing Home Search (Calnhs), 197
California Nursing Outcomes Coalition (CalNOC), 81 , 171
California Office of Statewide Health Planning and Development (OSHPD), 174 , 176 , 178
Calnhs. See California Nursing Home Search
CalNOC. See California Nursing Outcomes Coalition
Campbell Collaboration, 113
Cardiac Comprehensive Critical Care Unit, 269
Care delivered, versus care needed, 186
Care delivery
changes in approaches to, 79–80
decision support at the point of, 209–212
Carnegie Mellon University, 151
Case mix index (CMI), 38
CDC. See U.S. Centers for Disease Control and Prevention
CDSSs. See Clinical decision support systems
Center for Health Design, 255
Center for Health Management Research (CHMR), 154–155
Center for Health Services Research, 151
Center for Shared Learning. See U.S. Centers for Disease Control and Prevention
Center of Outcomes Research and Clinical Effectiveness, 305
Centers for Medicare and Medicaid Services (CMS), 167 , 170 , 194 , 197–199 , 245
Certified nursing aides (CNAs), 68 , 96 , 168
Challenger space shuttle explosion, 231 , 367 , 387 , 414
Change management factors, 118–121
mechanisms for feedback, measurement, and redesign, 120
ongoing communication, 118–119
poor, 139–142
sustained attention, 120–121
training, 119–120
worker involvement, 121 , 142
Change Program, 119
Changes
in approaches to care delivery, 79–80
in deployment of nursing personnel, 41–42
in hospital admission practices, 187–188
in hospital workload, 80–82
Changes in nursing leadership
concerns about, 132–136
potential loss of a common voice for nursing, 133–135
weakening of clinical leadership, 135–136
Chicago Tribune , 46
Chief nurse executives (CNEs), 123–124 , 133 , 147–150
Chief nurse officers (CNOs), 132–135
CHMR. See Center for Health Management Research
CINAHL. See Cumulative Index to Nursing and Allied Health Literature
Circadian rhythms, 228 , 236 , 385 , 387 , 397
Clarian Health Partners, 267–269
Clinical decision support systems (CDSSs), computer-supported, 210–211
Clinical nursing leadership
reduction at multiple levels, 4
weakening of, 135–136
Clinical pathways, decision support at the point of care delivery, 209–210
Clinical perfection, nursing cultures fostering unrealistic expectations of, 299–300