Controlling and Preventing Errors and Pitfalls in Neonatal Care Delivery

Description

The aim of this book is to inform nurses about the most common and the more serious errors made in caring for neonatal patients. Nurses play the largest role in patient care and their overwhelming workload may sometimes lead to errors that are, in some cases, irreversible or even fatal, putting a great deal of responsibility on nurses to avoid errors. And amongst patients that nurses care for, the most vulnerable of these are neonates.  This book covers learnings about the uniqueness of neonatal patients and common conditions that are seen with patients in the neonatal intensive care unit (NICU). Factors that are predisposing and contributing factors for nursing errors are reviewed.  The types of errors, consequences, detection, and monitoring for nursing errors are included. The book describes how errors can be avoided with necessary precautions, and managed appropriately based on current evidence-based practice. Recommendations for further study are also provided.  This resource can be a useful tool for professional nurses, as well as nurse educators, leaders, and mentors to educate and guide their students and novice nurses.  Acknowledgement Contents Introduction 1: Overview of Common Conditions in Neonatal Settings Transition to Extrauterine Life Complications Preterm and Post-term Birthweight and Growth Infections and Sepsis Fluid, Electrolyte, and Glucose Imbalances Blood Disorders Hyperbilirubinemia Congenital Conditions Neurological and Neuromuscular Conditions Cardiac Disorders Blood Gas Abnormalities Respiratory Conditions Gastrointestinal and Genitourinary Disorders Musculoskeletal Conditions References 2: Predisposing and Contributing Factors for Nursing Errors References 3: Types of Errors Errors Associated with Hospital-Acquired Conditions Errors Associated with the Environment and Developmental Care Needs Errors Related to Resuscitation Errors Associated with Medical Devices and Equipment Errors Associated with Identification Errors Related to Procedures Errors Affecting Skin Integrity Medication Errors Errors Related to Missed Nursing Care References 4: Consequences of Nursing Errors Levels of Harm Avoidable Harm Harmful Effects on Growth and Development Central-Line-Associated Bloodstream Infections Urinary Tract Infections Ventilator-Associated Pneumonia Disruption of Skin Integrity Medication Errors Widespread Effects of Patient Harm References 5: Monitoring for and Detecting Nursing Errors References 6: Best Practices to Prevent Nursing Errors Scope of Practice Bedside Report Interdisciplinary Rounding Standardized Communication Strategies Specific to Infection Prevention Approaches for Preventing CLABSIs Best Practices for Avoiding UTIs Preventing Ventilator-Associated Pneumonia Strategies for Preventing Pressure Injuries Prevention of Intraventricular Hemorrhage Strategies for Preventing Medication Errors Using a Daily Management System Best Practices for Developmental Care References 7: Case Studies Case Study #1 Case Study #2 Reference 8: Recommendations for Further Study Summary