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Exemplary professional practice through nurse peer review. 2011

Patricia Branowicki, and Margaret Driscoll, and Patricia Hickey, and Kristen Renaud, and Eileen Sporing
Department of Nursing Patient Services, Children's Hospital Boston, Nursing Patient Care Services, Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA. patricia.branowicki@childrens.harvard.edu

The development and execution of a nurse peer review program to evaluate nursing practice associated with significant adverse events has resulted in systemic changes. Descriptive analyses were conducted for 23 peer-reviewed cases involving 41 RNs and 2 advanced practice nurses from 14 specialties over a 4-year period. Thematic analysis revealed four common event categories: assessment and monitoring, team communication, skin integrity, and vascular access. This approach demonstrates the impact of professional nurse accountability for improving the quality of care and may serve as an exemplar for professional practice.

UI MeSH Term Description Entries
D009732 Nursing Care Care given to patients by nursing service personnel. Care, Nursing,Management, Nursing Care,Nursing Care Management
D009936 Organizational Innovation Introduction of changes which are new to the organization and are created by management. Organizational Change,Change, Organizational,Innovation, Organizational,Changes, Organizational,Innovations, Organizational,Organizational Changes,Organizational Innovations
D011367 Professional Staff Committees Committees of professional personnel who have responsibility for determining policies, procedures, and controls related to professional matters in health facilities. Committee, Professional Staff,Committees, Professional Staff,Professional Staff Committee,Staff Committee, Professional,Staff Committees, Professional
D001900 Boston City located in Massachusetts.
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D006284 Health Plan Implementation Those actions designed to carry out recommendations pertaining to health plans or programs. Health Plan Implementations,Implementation, Health Plan,Implementations, Health Plan,Plan Implementation, Health,Plan Implementations, Health
D006776 Hospitals, Pediatric Special hospitals which provide care for ill children. Pediatric Hospitals,Hospital, Pediatric,Pediatric Hospital
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D018024 Peer Review, Health Care The concurrent or retrospective review by practicing physicians or other health professionals of the quality and efficiency of patient care practices or services ordered or performed by other physicians or other health professionals (From The Facts On File Dictionary of Health Care Management, 1988).

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