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Biomedical subjects

Thomas R Clancy

Publications and source records attributed to Thomas R Clancy.

7 recordsLinked to original sources

The benefits of standardized nursing languages in complex adaptive systems such as hospitals.

Paperwork is a major source of frustration for hospital nurses and takes valuable time away from patient care. Studies indicate that nurses spend an estimated 13% to 28% of total shift time documenting. The growth in documentation requirements for nurses can, in part, be attributed to an exponential rise in health system complexity. Authors explore the documentation of nursing care plans from a complex adaptive system perspective and then analyze the utility of adopting a standardized nursing language. An actual case history of a nursing unit's attempt to reduce complexity, improve completion time, and increase staff satisfaction in care planning by adopting a standardized nursing language is provided to emphasize a practical application.

Coronary Care Units↗

Complex nursing systems.

The specific aim of this paper is to identify the causes underlying the growth in health care system complexity, discuss challenges nurse administrators face as a result of it and suggest strategies for better decision-making in complex system environments. This paper further discusses the merits of computational modelling and simulation which can assist nurse administrators predict the results of their decisions through a virtual complex system environment.

Computer Simulation↗

Navigating in a complex nursing world.

The recent findings emerging from the new science of complexity are altering our view of unpredicted behavior. In many cases, natural laws hidden deep within the complex processes of healthcare systems may be exerting a powerful influence over our ability to control outcomes. The author explores the concept of complexity and how nurse administrators may use these new theories to navigate through an increasingly unpredictable world.

Humans↗

The art of decision-making.

As important as sound decision-making is, many executives neglect to utilize any formal decisionmaking process. As many executives know, making the wrong decision can be disastrous, if not career ending. In today's high-pressure, complex, and challenging healthcare environment, it makes sense to follow a tried and true process for making decisions. The author examines the traditional method of problem identification, setting objectives, listing alternatives and consequences, and selecting the best solution in the decision-making process as well as new research in this field.

Attitude of Health Personnel↗

Courage and today's nurse leader.

The virtue of courage is often overlooked in distinguishing successful leaders. This void is a reflection of the difficulty in defining just what courage is. Is courage facing risk without fear or overcoming fear to face risk? What are the differences between physical and moral courage? Can leaders develop courage? These and many other questions surround the nature of courage and how it pertains to leadership. It is the author's intent that readers have a general understanding of how courage affects nursing leadership in today's health care environment.

Adaptation, Psychological↗

Medication error prevention. Progress of initiatives.

This article provides a literature review of studies reporting on the incidence and factors that contribute to medication errors. It retraces the steps taken by the Institute of Medicine (IOM) to focus government agency strategy on medication error reduction policy and ranks successful solutions for reducing medication errors. In addition, it summarizes the effectiveness of historic and potential public policy and private payer initiatives.

Health Policy↗