Nursing Innovations in Patient Safety

 

Organization	University of California, San Francisco Medical Center
Location	San Francisco, CA
Date of Implementation	2002
Nurse Leader	Ann Williamson, RN, PhD
Contact Info	ann.williamson@ucsfmedctr.org 505 Parnassus Avenue Box 0210 San Francisco, CA 94143-0210
Project Team	Ann Williamson, RN, PhD (co-leader), Michael Fox, RN (co-leader), Jeanette Bird, RN, MS, Karen Borovitz, RN, Jolene Carnagey, RN, MS, Julia Chinn, RN, Parry Dent, RN, Pam Ferber, RN, Lauren Keegan, RN, Sarah Pearce, RN.
Project Title	Patient Safety Nursing Fellowship for Staff Nurses
Type of Innovation	Organizational Culture
Innovation	Development of a Patient Safety Fellowship program for staff nurses.  18 months of varied training and experiences in processes to support the culture of safety at UCSF Medical Center.
Outcome	To ensure that UCSF Medical Center becomes a safe environment for patients as well as to develop a culture of safety.  Monthly forums to discuss and resolve unit-level concerns regarding the provision of safe patient care.  Formal debriefings of adverse events using the framework of Cognitive Task Analysis, collecting Stories from the Bedside, and the Good Catch Campaign.  Fellows are also available to bedside nurses who want confidential peer-to-peer debriefings on a unit situation.