Comportement des femelles dw en testage a la station de ploufragan vis-a-vis de la maladie de marek

International audienc

Comportement des femelles naines en testage a la station de ploufragan spécialement vis-a-vis de la maladie de marek

International audienc

Résistance de certains génotypes a la maladie de marek chez la poule I. - Comparaison de quelques lignées parentales de type chair

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Emotion and coping in the aftermath of medical error: A cross country exploration.

Objectives: Making a medical error can have serious implications for clinician wellbeing, affecting the quality and safety of patient care. Despite an advancing literature base, cross-country exploration of this experience is limited and a paucity of studies has examined the coping strategies used by clinicians. A greater understanding of clinicians¿ responses to making an error, the factors that may influence these, and the various coping strategies used are all essential for providing effective clinician support and ensuring optimal outcomes. The objectives were therefore to investigate a) the professional or personal disruption experienced after making an error, b) the emotional response and coping strategies used, c) the relationship between emotions and coping strategy selection, d) influential factors in clinicians¿ responses, and e) perceptions of organisational support. Methods: A cross-sectional, cross-country survey of 265 physicians and nurses was undertaken in two large teaching hospitals in the UK and USA. Results: Professional and personal disruption was reported as a result of making an error. Negative emotions were common, but positive feelings of determination, attentiveness and alertness were also identified. Emotional response and coping strategy selection did not differ due to location or perceived harm, but responses did appear to differ by professional group; nurses in both locations reported stronger negative feelings after an error. Respondents favoured problem-focused coping strategies and associations were identified between coping strategy selection and the presence of particular emotions. Organisational support services, particularly including peers, were recognised as helpful, but fears over confidentiality may prohibit some staff from accessing these. Conclusions: Clinicians in the UK and US experience professional and personal disruption after an error. A number of factors may influence clinician recovery; these factors should be considered in the provision of comprehensive support programmes so as to improve clinician recovery and ensure higher quality, safer patient care.British Psychological Society Travel Gran

Identifying the latent failures underpinning medication administration errors: an exploratory study

Objectives The primary aim of this article was to identify the latent failures that are perceived to underpin medication errors. Study Setting The study was conducted within three medical wards in a hospital in the United Kingdom. Study Design The study employed a cross-sectional qualitative design. Data Collection Methods Interviews were conducted with 12 nurses and eight managers. Interviews were transcribed and subject to thematic content analysis. A two-step inter-rater comparison tested the reliability of the themes. Principal Findings Ten latent failures were identified based on the analysis of the interviews. These were ward climate, local working environment, workload, human resources, team communication, routine procedures, bed management, written policies and procedures, supervision and leadership, and training. The discussion focuses on ward climate, the most prevalent theme, which is conceptualized here as interacting with failures in the nine other organizational structures and processes. Conclusions This study is the first of its kind to identify the latent failures perceived to underpin medication errors in a systematic way. The findings can be used as a platform for researchers to test the impact of organization-level patient safety interventions and to design proactive error management tools and incident reporting systems in hospitals

Improving the quality of nursing care A study of nursing errors and their reduction

SIGLEAvailable from British Library Document Supply Centre-DSC:DXN027357 / BLDSC - British Library Document Supply CentreGBUnited Kingdo