Use of Clinical Faculty Input in Development of an Error and Near-Miss Reporting Form.

BACKGROUND: Nonreporting of medical errors is an impediment to error prevention and safety in the clinical environment. Many prelicensure nursing education programs do not have policies, procedures, or forms to support student reporting of errors or near misses during their clinical experiences. PURPOSE: The purpose of this study was to describe the experiences of clinical faculty with prelicensure nursing student errors or near misses in the clinical environment and to use this information to create a reporting form. METHODS: Focus groups were used to obtain information about the experiences of clinical faculty (n = 28) with errors or near misses of students. RESULTS: Clinical faculty reported students having safety issues with medication administration, being too task oriented, and modeling shortcut behaviors they had witnessed in clinical practice rather than performing skills as they had learned them. Using information obtained, a clinical error and near-miss reporting form was developed. CONCLUSIONS: This form has the potential to increase patient safety in the clinical environment by improving reporting.

Overweight and obesity among White, Black, and Mexican American children: implications for when to intervene.

PURPOSE: The study sought to determine if race/ethnicity, age, gender, and poverty index influence the development of overweight (OW) or obesity (OB) in children 6-11 years of age and whether a desirable time to intervene could be established. METHODS: A descriptive and comparative analysis was conducted using data from the 1999-2008 National Health and Nutrition Examination Survey. RESULTS: Advancing age was the single largest predictor of OW or OB followed by race/ethnicity. PRACTICE IMPLICATIONS: Culturally sensitive interventions targeting children in their early elementary school years could reduce the consequences of OW and OB in childhood.