Striving for the impossible
Cynthia Oster Clinical nurse specialist, Porter Adventist Hospital, Denver, Colorado, US
Jane Braaten Patient safety manager, Centura Health, Denver, Colorado, US
Should nursing managers in highly reliable organisations accept that two patients in every 100 will fall, or should they urge staff to aim for zero harm?
Mrs Kinnon has just had a knee replacement and is in a ward. She has specific ambulation and fall precautions, and needs a bed alarm at night. She has been prescribed a blood thinner and is especially vulnerable to injury.
Nursing Management.
23, 10, 17-17.
doi: 10.7748/nm.23.10.17.s22
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