Please use this identifier to cite or link to this item: https://hdl.handle.net/1/990
Title: The Clinical Nurse Consultant role in incident surveillance and patient safety: A case report
Authors: Colgan, Jacqueline ;King, Jennie ;Jeong, Sarah Yeun-Sim ;Hickey, Noeline
Issue Date: 2016
Source: Epub ahead of print
Journal title: Collegian
Abstract: The Clinical Nurse Consultant (CNC) role emerged in New South Wales, Australia in 1986 as an advanced practice position. There is a growing body of literature seeking to articulate the multifaceted roles and responsibilities of the CNC within the Australian context. In this paper, we present a clinical case report that demonstrates how high risk medication administration errors via newly implemented syringe driver pumps, were identified and managed by a CNC. The CNC role was central in the identification of this series of medication errors that occurred across a number of hospitals, although these incidents could have been dismissed as human error. This report outlines the investigation, incident management process and subsequent release of a NSW state-wide Safety Alert. It also provides a discussion on the three key components for the successful management of a clinical incident investigation: leadership, teamwork and a ‘no blame’ culture. The specific role of the CNC in this case report provides evidence that the role of the CNC is pivotal to patient safety.
URI: https://elibrary.cclhd.health.nsw.gov.au/cclhdjspui/handle/1/990
DOI: http://dx.doi.org/10.1016/j.colegn.2016.09.007
ISSN: 1322-7696
Publicaton type: Journal Article
Keywords: Nursing
Appears in Collections:Nursing

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