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Biomedical subjects

Jeri A Milstead

Publications and source records attributed to Jeri A Milstead.

4 recordsLinked to original sources

The culture of safety.

A new paradigm is emerging as a result of the Institute of Medicine reports on medical errors. The Joint Commission on Accreditation of Healthcare Organizations, state licensing boards, academic institutions, and health care businesses are considering their missions and goals vis-à-vis a culture of patient safety. The author presents three examples that converge to indicate that the culture of safety represents a paradigm shift for the education, delivery, funding, and evaluation of health and medical care. The system, not the individual, must be recognized as the problem; reprimanding the person who committed an error is not a solution. Health care delivery systems that reduce this potential for error must be created.

Delivery of Health Care↗

Interweaving policy and diversity.

Nurses too often consider that direct patient care is the only focus of nursing. However, the role of the nurse is broader than that of direct care and encompasses many components, all of which must be integrated into the self of the nurse. Political activity and policy formation are two areas of nursing that are misunderstood and are not adopted enthusiastically by many nurses. This article examines the whole policy process that includes agenda setting; government response via laws, regulations and programs; policy/program implementation; and policy/program evaluation. The process is then linked to the concept of diversity to illustrate the need, ease and opportunity for nurse involvement.

Cultural Diversity↗

Leapfrog Group: a prince in disguise or just another frog?

Executive directors, presidents, chief executive officers of some of the principal nursing organizations, and other nurse leaders in the United States were interviewed to ascertain their reactions to the recommendations of the Leapfrog Group, a coalition of more than 90 companies that employ large numbers of workers in the United States. The Leapfrog Group is concerned with patient safety and was formed in response to the Institute of Medicine's report on health care errors. Three recommendations for urban hospitals focus on computerized physician order entry, evidence-based hospital referral, and the use of intensivists.

Attitude of Health Personnel↗