Patient Safety / Quality

‘Post-hospital syndrome’ in NEJM

“Post-Hospital Syndrome — An Acquired, Transient Condition of Generalized Risk,” in The New England Journal of Medicine, presents “post-hospital syndrome”…

A little humor please

Laughter is a way of dealing with life’s stressors. Learning how to use humor to enrich our personal and professional…

A troubled life, a difficult death

Editor’s note: National Homelessness Awareness Week is November 10-18. Like many of our homeless patients, “Sarah” was a bundle of…

Abbott withdraws Meridia from market

On Oct. 8, Abbott Laboratories voluntarily withdrew its weight loss drug Meridia (sibutramine) from the market in response to a…

Acts of kindness

Many of us have lasting memories of a few special patients. For me, Joe is one of those patients. The…

Adventures in virtual meetings

Tired of unproductive staff meetings held at inconvenient times? Had it  up to here with being interrupted when trying to express your opinion? Maybe it’s time to explore alternatives to the traditional in-person meeting. One hospital unit did just that, and their online meeting forum helped them create new protocols in record time.

AHRQ releases new guide for patients

The Agency for Healthcare Research and Quality (AHRQ) has released a new guide to help hospitals better prepare patients to…

Airway pressure release ventilation: A boost for spontaneous breathing

Many clinicians are using this mechanical ventilation mode to help reduce lung damage, pneumonia, and other complications of ventilation. Find out how it works, when it’s indicated, how it preserves spontaneous breathing, and why it reduces sedation requirements.

ANA comments on ACOs

In the political realm, there is intense debate on how to cut costs in the Medicare program without sacrificing services…

ANA urges nurses to volunteer before disaster strikes

In the aftermath of the Haiti earthquake on Jan. 12, many nurses felt the urgent need to jump on a plane and hit the ground in Haiti to help treat and comfort the survivors, but were not sure how to go about it.

Are 12-hour shifts safe?

Is working 12 consecutive hours in a fast-paced, high stress, physically and mentally demanding environment a good idea? Click here…

Are you an ABG ace?

Can you interpret arterial blood gas (ABG) values with confidence? To find out, test yourself with the case studies in this article.

Attitude: The power of human energy

Our thoughts, feelings, and disposition influence other people, not just because people see and read our facial expressions or body language, but because thoughts themselves are energy.

Bar coding effective for reducing med errors

Combining bar coding with an electronic medication-administration system (bar-code eMAR) substantially reduces transcription and medication administration errors according a study…
gift patient gratitude thanks acceptance

Beyond a box of chocolates

Often, patients and families express their gratitude for a special nurse’s outstanding care with spoken thanks or heartfelt commendations written…

Beyond customer service

Many nurses don’t like to hear their patients called “customers” or be told to provide “customer service.” This expert explains how to lose the lingo and adapt the principles of customer service to patient care.

Calculating I.V. drip rates with confidence

Do you sometimes have trouble remembering the equation you learned for calculating I.V. drip rates? This article presents a simplified equation that can make calculations quicker and easier – whether the medication order is written for mcg/kg/minute, mcg/minute, or mg/minute.

Calculating I.V. drip rates with confidence

Do you sometimes have trouble remembering the equation you learned for calculating I.V. drip rates? This article presents a simplified equation that can make calculations quicker and easier – whether the medication order is written for mcg/kg/minute, mcg/minute, or mg/minute.

Care during crisis

ANA brings nurses, experts together to shape practice policy during disasters

Carrots and sticks

The Stick—penalties for excess readmissions Is your hospital on the list? Starting this month, over 2,200 hospitals are forfeiting up…

Cartoonist with a cause

The cartoons of Theresa Garnero, APRN, BC-ADM, MSN, CED, help patients cope with diabetes.

Case study: Coerced consent

“Coercion is commonly said to invalidate consent, and that is always true if the source of the coercion is the physician.

Case Study: How much is enough?

Three-year-old Christy* has been in the hospital’s pediatric intensive care unit (PICU) since birth, when she was diagnosed with McCune-Albright…

Challenging nursing’s sacred cows

Do you routinely instill normal saline solution into endotracheal tubes before suctioning? Use only the Glasgow Coma Scale for neurologic assessment? Evidence on these and other sacred cows of nursing practice might surprise you.

Chemical soup

ANA and state associations work to protect nurses and the environment from chemicals.

Clinical trials 101

Don’t miss the second in a four-part series on clinical trials written by nurses from the National Cancer Institute at the National Institutes of Health, which covers phases of clinical trials, informed consent, ethics, and more.

Color awareness: A must for patient assessment

Color “blindness” may help minimize social and economic disparities, but can impede accurate patient assessment. The author explains why nurses should practice color awareness and tells how to adapt skin inspection for dark-skinned patients.

Creating a smooth move for patients and staff

When Missouri Baptist Medical Center had to relocate nearly 200 patients in a single day, staff and leaders knew collaboration and planning would be key. Here’s how they did it.

Dangers of the 12-hour shift

Rose Sherman has a thoughtful blog on nursing’s “third rail”—the 12-hour shift. In the blog, she notes that although nurses…

Dear Members of Congress

In an open letter to Congress, Dr. Cipriano urges legislators to leverage nurses’ knowledge, skills, and abilities to help bring order to a chaotic healthcare system.

Déjà vu all over again

Some people simply can’t learn from the past—even the fairly recent and painful past.

Delegating without doubts

With this decision tree as your guide, you’ll delegate tasks to assistive personnel with confidence.

Differences among physicians, risk managers in admitting errors

Differences in attitudes among physicians and risk managers about revealing medical errors to patients may diminish the effectiveness of such disclosures, according to a new study published in the March 2010 issue of The Joint Commission Journal on Quality and Patient Safety.

Do no harm

Our editor-in-chief tackles the issue of mandatory flu vaccination.

Doing the most good

The Patient Protection and Affordable Care Act of 2010 provides many benefits.

Early imaging reduces length of stay

According to the study “Patients Imaged Early During Admission Demonstrate Reduced Length of Hospital Stay: A Retrospective Cohort Study of…

Engage Introducer recalled

On Aug. 13, the U.S. Food and Drug Administration (FDA) announced the recall of 6 French Engage Introducers manufactured between…

Ensuring quality and saving time

The National Database of Nursing Quality Indicators&#174 tracks the care nurses provide, helping to improve nursing practice, patient outcomes, and the work environment.

health safety environment musculoskeletal disorder nurse

Environment, health and safety

ANA has been very concerned with and involved in the issue of ergonomic hazards as a health and safety concern…

Environment, health, & safety

With the growing reuse of single-use medical devices, ANA supports improvements in end-of-use product management and research on ethical and safety issues related to these devices.

faculty shortfall nurse

Faculty shortfall

Helen O’Shea, PhD, RN, hasn’t retired completely from her role as a nurse educator, and that is very fortunate, for…

Family initiated rapid response team

Rapid response isn’t just for staff. More hospitals are allowing, even encouraging, patients and their families to make the call for help.

FDA Advises to stop using Rotarix

On March 22, the U.S. Food and Drug Administration recommended a temporary suspension of the vaccine Rotarix although currently there…

FDA approves losartan generic

On April 6, the U.S. Food and Drug Administration approved the first generic versions of two drugs used for the…

FDA publishes REMS list

Access a list of Risk Evaluation and Mitigation Strategies (REMS) required by the U.S. Food and Drug Administration (FDA). Read…
Fine-tuning your feeding-tube insertion skills - American Nurse

Fine-tuning your feeding-tube insertion skills

Even if you’re accustomed to inserting feeding tubes, the procedure can cause complications. The authors provide safety guidelines to help you make feeding-tube insertion safer.

Food in the fight against cancer: The evidence on cancer-related anorexia

Among the many treatments and supportive interventions for cancer, nurses and patients must not overlook a foundation of health—good nutrition. A proper diet during cancer treatment and beyond is essential for patients to feel better, have the strength needed to fight the disease, and maintain wellness.

From your ANA President

Nurses are natural innovators. Let’s recognize our strengths as
innovators and share our ideas on multiple platforms.

safe staffing healthcare

From Your ANA President

HAVING WORKED in an emergency department for more than 20 years, I know what it’s like to have to think…

FTC supports APRN practice in new report

The Federal Trade Commission (FTC) has released “Policy Perspectives: Competition and the Regulation of Advanced Practice Nurses (APRNs),” which cautions…
fund funding research nursing

Funding the future of nursing

What do ANA members Pamela Mitchell, Elaine Larson, Ann Rogers, and Dorothy Brooten have in common? Early in their careers,…

Get Savvy to syncope

Syncope is a common occurrence and is commonly benign. But sometimes a swoon signals a serious underlying condition. Learn what causes syncope and how to assess and intervene for a patient who has just experienced it.

Giving from the heart

The December calendar lights up with many religious and cultural celebrations such as Hanukkah, Islamic New Year, Christmas, and Kwanza,…

Going from the gut

The current emphasis on best practices, guidelines, and checklists make cause healthcare professionals to turn off their judgment and go by the book – even when it’s the wrong thing to do.

Good intentions eclipsed

Leah Curtin discusses how negative effects of work on work/life balance and mandatory overtime affect patient care.

Handling with care: The bariatric patient

Technological advances, special equipment, and screening algorithms help healthcare facilities and nurses meet the needs of bariatric patients while reducing worker injury.

Headlines from the Hill

Find out what has been accomplished during the 112th Congress and what healthcare professionals stand to lose if our country goes over the "fiscal cliff."

Healing the wounds: Quantum nursing V

Quantum nursing demands that nurses honor each person’s
humanity, promote independence and autonomy, and offer the
opportunity for individuals to redefine for themselves who they are and how they choose to live.

Healthcare needs a swoosh

Does healthcare need its own type of “swoosh” as a daily inspiration for us to do the right thing without hesitation? Our Editor-in-Chief answers that question and explores the issue of safety in healthcare.

Heparin labels change May 1

As of May 1, manufacturers of Heparin Sodium Injection, USP and Heparin Lock Flush Solution, USP are required to use…

Herbal facts, herbal fallacies

Your sister-in-law gets frequent migraines and wants to try a “natural” therapy to help prevent them. A preoperative patient tells…

Hospital-acquired infections mortalities, costs

Two common conditions caused by hospital-acquired infections killed 48,000 people and ramped up health care costs by $8.1 billion in 2006 alone, according to a study released Feb. 22 in the Archives of Internal Medicine.

Hospitals Explore Innovative Nurse Retention Strategies

Hospitals know that it’s less expensive to retain the nurses they have than to recruit, train and place new ones. This has led hospitals and other facilities to continue to look for new and creative ways to keep their nurses right where they are.

How to achieve success in quality improvement

To achieve sustained improvement in patient outcomes, create a work environment that promotes a commitment to excellence and examine NDNQI data on your organization’s current performance level.

How to deliver bad news

Healthcare providers often must give bad news to patients and families. Doing this in a direct, concise, compassionate way is a skill that equired practice.

Huddle up for patient safety

You have received report on your patients and are starting your shift on a busy medical-surgical unit. To help control…

Improving the care of stroke patients

Is your facility doing enough to help stroke patients survive and regain functional independence? Find out how a national evidence-based initiative helps hospitals deliver better stroke care.

Infusion pump resource from FDA

The U.S. Food and Drug Administration has devoted a section of its website to infusion pump safety. It includes a…

International home care conference

The Second International Home Care Nurses Organization Conference: Person-centred care in home-based nursing-service models, nursing roles and competencies will be…

Introducing the quantum patient

The quantum patient is an indivisible human being whose health
problems might not be healed through traditional specialization.

Issues up close

ANA has joined the Partnership for Patients to improve patient safety.

Issues up close

ANA is taking steps to ensure that nurses are recognized for their care-coordination activities.

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Issues up close

ANA’s House of Delegates recently approved a resolution supporting health
care for all. The author examines the social, economic, and political ramifications of undocumented immigrants’ lack of access to health care.

Issues up close

To increase health literacy, we need to educate patients and consumers about health issues in a more meaningful, individualized, and patient-oriented way.

Issues up close

How NDNQI® data are helping top hospitals improve nursing quality

Keeping asthma at bay

NIH has updated its guidelines on asthma diagnosis and treatment. Learn how to help your asthma patients lead fuller lives.

Letters to the Editor

A wrenching decision As a nursing student, I’ve been present on several occasions when a patient has coded. So your…

Letters to the Editor – April 2007

Provocative cover art? Although I’m impressed with the overall quality of your publication, the cover of your February issue (“Heart…

Letters to the Editor – June 2007

Float or be fired? The February article “Protecting yourself from malpractice claims” states, “Don’t accept assignments if you’re not sure…

Letters to the Editor – May 2008

Dimensions of pain distraction I read with applause “Assessing the seven dimensions of pain” in the February issue. I work…

Making a stand against malignant melanoma

Summer sizzles on, sun-worshipers soak up the rays. Years later, your ability to detect melanoma in its early stages could spell the difference between a patient’s prompt treatment and a grim prognosis.

Managing end-of-life symptoms

Managing end-of-life symptoms

For patients nearing death, palliative care can enhance quality of life by easing pain and other symptoms, improving sleep, and reducing fatigue. Managing end-of-life symptoms

Medication errors Best Practices

Medication errors: Best Practices

A medication error can occur in any healthcare setting-with devastating consequences. The authors describe weaknesses in the key elements of medication use and propose ways to make drug therapy safer.

Medication name change proposed

The United States Pharmacopeia (USP) has proposed changing the name of hydromorphone to reduce medication errors caused by confusion with…

MedWatch marks 20-year anniversary

One June 3, the U.S. Food and Drug Administration (FDA) posted an article commemorating the 20th anniversary of MedWatch, which…

Meeting your patients spiritual needs

When a patient says, “I’m afraid I’m going to die,” do you offer empty reassurances? Find an excuse to leave the room? Read this article to learn about simple spiritual interventions that can aid a patient in spiritual distress.

Memory pegging

Forgetting is frustrating. To make memorizing fun, “peg” each item on your to-do list.