Should Medical Errors Result in Jail Time?

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On March 25, Tennessee nurse RaDonda Vaught was convicted of criminally negligent homicide and negligent abuse of an impaired adult for a 2019 medication error that resulted in the death of a patient. We covered this story as it first unfolded three years ago. In fact, the most recent update on our blog, published in March 2019, reported that state health officials had considered the circumstances surrounding the error and declined to take any action.

Outrage from multiple nursing and health care organizations.

Subsequently, however, the Tennessee board of nursing revoked Vaught’s license and the decision was taken to charge her after all. In the past weeks, Vaught’s conviction has sent shock waves through the health care professional community, and many organizations have spoken against the verdict:

From the statement by the American Nurses Association:

“Health care delivery is highly complex. It is inevitable that mistakes will happen, and systems will fail. … The non-intentional acts of Individual nurses like RaDonda Vaught should not be criminalized to ensure patient safety.”

From the statement of the American Association of Critical-Care Nurses:

“Decades of safety research, including the Institute of Medicine’s pioneering report To Err Is Human, has demonstrated […]

Psych Nursing: When the Goal Becomes ‘Simply Caring, Not Curing’

“As nurses we all care. It’s what we do. We care until our hearts hurt like an overused muscle. To find myself presiding over a void of trapped souls was not what I thought I was getting into…”

Ben Blennerhassett/ Unsplash

The above passage is from the Reflections essay, “The Suffering of Simone,” in the April issue of AJN. The author, Eileen Glover, is a psychiatric RN in New England, and her one-page essay reflects on the arc of her relationship with a patient who much of the time seems unreachable.

The essay brings to life the question of how a nurse, trained to heal or at least to soothe, can find an attitude of acceptance with patients whose psychiatric disorders defy all treatments and—most of the time—prevent meaningful contact between nurse and patient. […]

April Issue: Trauma-Informed Care, Nurses’ Experiences During COVID-19, More

“As nurses we all care. It’s what we do. We care until our hearts hurt like an overused muscle.”—Eileen J. Glover in her Reflections essay, “The Suffering of Simone”

The April issue of AJN is now live. Here’s what’s new. Some articles may be free only to subscribers.

Original Research: Losing the Art and Failing the Science of Nursing: The Experiences of Nurses Working During the COVID-19 Pandemic

The authors of this qualitative descriptive study sought to understand nurses’ work experiences in various U.S. health care settings during the first six months of the COVID-19 pandemic, and to learn more about barriers to and facilitators of their work.

CE: Trauma-Informed Care in Nursing Practice

This article presents the six foundational principles of trauma-informed care, using a case study to discuss the application of these core principles in nursing.

Improving Accuracy in Documenting Cardiopulmonary Arrest Events

The authors describe a quality improvement initiative to compare the timeliness and accuracy of paper-based versus electronic documentation of live cardiopulmonary arrest events.

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2022-03-30T09:43:18-04:00March 30th, 2022|Nursing|0 Comments

How Should a Nurse Support Patients in Choosing a Time to Die?

Two of my six aunts died from Alzheimer disease (AD). They didn’t live nearby, so when I saw them every few months, the deterioration from the illness was evident. Both showed the same behavioral trends: some mild forgetfulness and repetitive questioning at first, then what seemed a prolonged period of incessant questions and bewilderment and anxiety over not understanding where they were or why they were there, who others were. Wandering outside at all hours, agitation and resistance to hygiene, eventually disappearing into a nonverbal, nonresponsive state.

It was painful to watch these formerly active, smart, and vibrant women decline in such a way. The most painful part was when they still understood that they were becoming confused and how frightened that made them.

Now there are alternatives available for those who don’t want to go down that road—but they are hard to come by, especially if you live in the United States.

People with dementia face particularly high hurdles.

A special feature in the March issue, “Medical Aid in Dying: What Every Nurse Needs to Know,” covers medical aid in dying and the nurse’s appropriate role in many end-of-life circumstances, including the ethically and logistically challenging situations of those with dementia who seek some agency over how […]

Staffing Tops ECRI 2022 Top 10 Patient Safety Concerns List for First Time

Staffing: the problem has ‘grown exponentially.’

Each year, ECRI Institute creates a list of top 10 patient safety concerns in order “to support organizations in their efforts to proactively identify and respond to threats to patient safety.” Over the years, some repeat offenders have made the cut, for example managing behavioral health, patient falls, and issues related to infection control.

Some of these concerns again appear on the 2022 top 10 patient safety concerns list, but the list also has some notable first-time offenders—a fact that reflects the conditions in which we’ve been living over the past two years during this global pandemic: These include COVID-19’s effect on clinicians’ mental health, vaccine coverage gaps, and supply chain disruptions, to name a few.

However, the number one concern this year is one that has been a central and unrelenting issue for nurses, even before the pandemic—staffing shortages.

According to the ECRI:

“The number one topic on this year’s list has been steadily growing throughout the COVID-19 pandemic and impacts patients and staff on all levels: staffing shortages…Prior to 2021, there was a growing shortage of both clinical and non-clinical staff, but the problem has grown exponentially. In early January 2022, it was estimated that 24% of US hospitals were […]

2022-03-24T10:04:38-04:00March 24th, 2022|Nursing|0 Comments
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