NEW YORK CITY In collaboration with the NYU College of Nursing, the Greater New York Nassau Suffolk Organization of Nurse Executives May meeting included a panel discussion on patient safety.
Patient Safety: Educators & Administrators View included expert panelists Katie Leask Capitulo, RN, DNSc, FAAN; Eloise Balasco Cathcart, RN, MSN; Elizabeth A. Duthie, RN, PhD; Chris Kovner, RN, PhD, FAAN; and Barbara Krainovich-Miller, APRN, EdD, BC, who each were allowed 10 minutes to speak on the subject.
GNYNSONE President-elect Rosemary Sullivan, RN, who served as panel moderator, said patient safety is a timely topic that she often hears complaints about. Most times, she said, the complaints are that there are not enough employees.GNYNSONE officers Mary Ann Gallagher, RN, far left, and Rosemary Sullivan, RN, second from left, with panel members, from left, Elizabeth A. Duthie, RN; Katie Leask Capitulo, RN; Eloise Balasco Cathcart, RN; and Barbara Krainovich-Miller, RN. Not shown is panel member Chris Kovner, RN.
Each panelist offered possible solutions for reducing the number of medication errors. All agreed new graduates face huge burdens. Duthie, director of patient safety at NYU Langone Medical Center, gave an anecdotal example of a new nurse who had made a medication error and was told by the RN not to say anything, that telling would be more trouble than it was worth. Duthie stressed situations such as this stem from a lack of the console, coach, correct system necessary in a just culture where organizational responsibility is present.
In a just culture, you look at all the whys not the whos and the whats until you get to what needs to be changed for the future, she said. Organizational responsibility is a must.
One way to address patient safety is the use of simulation labs, such as the ones available at NYU College of Nursing, noted Krainovich-Miller, assistant dean for academic initiatives and professor and program coordinator, nursing education masters and advanced certificate programs at the college. Students developed patient safety scenarios in the lab to which they react accordingly. Now in its third year as part of the curriculum, the simulation labs have helped. No one is saying that the students are doing worse than before, Krainovich-Miller said. In fact, they say (the students) are more comfortable.
Before the panel discussion, GNYNSONE members were invited to tour the labs. The sim labs are even good for old nurses, said Marie-Helene Mia Lofland, ANP-BC, GNYNSONE member and pre-surgical testing adult NP at Memorial Sloan-Kettering Cancer Center. Specifically because technology (in the hospital) changes so often.