Nurse Leader
Volume 5, Issue 3 , Pages 50-54 , June 2007

Practice/regulation partnerships: The pathway to increased safety in nursing practice, health care systems, and patient care

  • Mary Beth Thomas, RN, PhD(c)

      Affiliations

    • Mary Beth Thomas, RN, PhD(c), is the director of nursing practice and education for the Board of Nurse Examiners for the State of Texas.
  • ,
  • Debora Simmons, RN, MSN, CCRN, CCNS

      Affiliations

    • Debora Simmons, RN, MSN, CCRN, CCNS, is the associate director of the Institute for Healthcare Excellence at The University of Texas M.D.
  • ,
  • Krisanne Graves, RN, BSN, CPHQ

      Affiliations

    • Anderson Cancer Center, where Krisanne Graves, RN, BSN, CPHQ, is a clinical quality improvement analyst.
  • ,
  • Sharon K. Martin, MED, MT (ASCP), SC

      Affiliations

    • Sharon K. Martin, MED, MT (ASCP) SC, is the vice president of quality management at The University of Texas M.D. Anderson Cancer Center.

References 

  1. In:  Page A , Institute of Medicine  editor. Keeping patients safe: transforming the work environment of nurses . Washington DC: The National Academies Press; 2004;
  2. Outcome Engineering  . The Just Culture community . Available: http://www.justculture.org/ Accessed February 19, 2007.
  3. Marx D . Patient safety and the “just culture”: a primer for health care executives . New York: Columbia University; 2001;
  4. The Just Culture Community  . In recognition of a growing community . Available: http://www.justculture.org Accessed April 3, 2007.
  5. van der Schaaf TW . Developing and using cognitive task typologies . Ergonomics . 1993;36(11):1439–1444
  6. Reason J . Human Error . Cambridge, MA: Cambridge University Press; 1990;
  7. Helmreich RL . On error management: lessons from aviation . Br Med J . 2000;320(7237):781–785
  8. In:  Kohn LT ,  Corrigan J ,  Donaldson MS , Institute of Medicine  editor. Crossing the quality chasm: a new health system for the 21st century . Washington DC: The National Academies Press; 2001;
  9. In:  Corrigan J ,  Cohen LT ,  Davidson MS , Institute of Medicine  editor. To err is human: building a safer health system . 1st ed.. Washington DC: The National Academies Press; 2000;
  10. The Healthcare Alliance Safety Partnership . Available: www.TexasHASP.org Accessed February 19, 2007.
  11. Texas Board of Nurse Examiners  . Board adopts new 22 TAC § 226 concerning Patient Safety Pilot Programs on Nurse Reporting Systems and develops application for proposal of Patient Safety Pilot Program . Available: http://www.bne.state.tx.us/about/news123103.html Accessed February 19, 2007.
  12. U.S. Department of Transportation  , Federal Aviation Administration  . Aviation safety action program . Available: http://www.faa.gov/safety/programs_initiatives/aircraft_aviation/asap/ Accessed February 20, 2007.
  13. Texas Board of Nurse Examiners  . Compact with Texans. 2007 . Available: http://www.bne.state.tx.us/compact.html Accessed February 20, 2007.
  14. Benner P , Sheets V , Uris P , Malloch K , Schwed K , Jamison D . Individual, practice, and system causes of errors in nursing: a taxonomy . J Nurs Admin . 2002;32(10):509–523
  15. Green A , Wieck KL , Willmann J , Fowler C , Douglas W , Jordan C . Addressing the Texas nursing shortage: A legislative approach to bolstering the nursing education pipeline . Policy Politics Nursing Practice . 2004;5(1):41–48
  16. Reason JT . Managing the risks of organizational accidents . Burlington, VT: Ashgate Publishing Company; 1997;
  17. Senate Research Center  . Highlights of the 78th Texas legislature regular session: A summary of the most significant legislation. July 2003 . Available: http://www.senate.state.tx.us/src/pdf/78thHightlights.pdf Accessed February 20, 2007.
  18. Texas Board of Nurse Examiners. Request for proposal for board of nurse examiner's patient safety pilot program. Accessed February 20, 2007.
  19. ThinkReliability  . The cause mapping process . Available: http://www.thinkreliability.com/causemapping.htm Accessed February 19, 2007.

 The authors wish to thank the following contributors for their dedication and support to this project: the Texas Hospital Association, the Texas Nurses Association, the Institute for Safety Medication Practices, Consumers Advancing Patient Safety, Captain Bruce Tesmer, Mark Galley, David Marx, and the Agency for Healthcare Research and Quality. The authors would like to specifically acknowledge the contributions of Susie Distefano, Texas Children's Hospital; Rosemary Luquire, Baylor Health Care System; and Barbara Summers, M.D., University of Texas Anderson Cancer Center.

PII: S1541-4612(07)00088-2

doi: 10.1016/j.mnl.2007.03.011

Nurse Leader
Volume 5, Issue 3 , Pages 50-54 , June 2007