How Nursing Management Can Help Lower Serious Safety Events

By James M Katz, BA

The Role of the Chief Nurse in Ensuring Employee and Patient Safety:

As the chief nurse, it is your responsibility to ensure that serious safety events are prevented and reduced in your facility. In order to do this, you must be aware of the potential risks and hazards that exist in your facility. You must also have a system in place to identify these risks and hazards. Once you have identified the risks and hazards, you must implement strategies to mitigate them. Some strategies you may consider include:

-Educating staff on proper safety procedures: What instructions are you providing to your staff in regards to their safety?

-Conducting regular safety audits: How are you testing your staff safety readiness?

-Implementing security measures: Are you giving your staff the proper tools and policies to protect themselves as well as the patients?

-Creating a culture of safety in your facility: Are you cultivating a positive and safe working environment?

By taking these steps, you can help reduce the occurrence of serious safety events in your facility.

This article helps illustrate key points in employee and patient safety and how Nurse Management can implement strategies to proactively prevent common safety issues. Issues like; patient falls, common medication errors, lowering the chance of hospital acquired infections, and having resolutions in place to combat them. This article will not only help you identify potential safety hazards but also perhaps help you come up with policy solutions to prevent them from happening in the first place!

Lanie Ward: The most common patient safety issues that I see through my eyes as a CNO are [these] three: medication errors, hospital-acquired infections, and patient falls. There’s no question that med errors happen with the greatest frequency. Many of them cause no harm to the patient, but some do cause severe harm and even result in patient death. That’s why it’s so important that we carefully evaluate all med errors, even if there was no harm.”

Chief Nurse: How to Reduce Serious Safety Events. By Carol Davis. October 17, 2022
Access Article Here 

A sign that says Safety First


The Importance of Communication and Collaboration Among Staff:

It is essential for staff members to be able to communicate and collaborate effectively with one another. Good communication ensures that everyone is on the same page and can work together efficiently to achieve common goals. It also allows for the sharing of ideas and knowledge, which can lead to better decision making and improved outcomes.

Furthermore, collaboration among staff members helps to build team morale and cohesion. When staff members are able to work together towards a common goal, it builds trust and respect for one another. This, in turn, leads to a more positive work environment where employees are more engaged and productive.

Good communication and collaboration are essential for any organization or business that wants to be successful. By fostering a culture of open communication and teamwork, businesses can create an environment where employees can thrive and reach their full potential.

Strategies for Reducing Falls and Other Common Safety Events:

Falls are one of the most common safety events in healthcare. They can lead to serious injury, and even death. However, there are strategies that healthcare managers can use to reduce the incidence of falls.

One strategy is to identify patients who are at risk for falling. This includes patients who are elderly, have a history of falling, or have certain medical conditions that make them more likely to fall. Once at-risk patients have been identified, steps can be taken to make sure they are being closely monitored.

Another strategy is to create a “fall prevention team”. This team should consist of nurses, doctors, and any other staff members who regularly interact with patients. The team should meet on a regular basis to discuss fall prevention strategies and share any new information about at-risk patients.

The Benefits of Using Data to Identify Trends and Target Interventions:

Nursing data is a powerful tool that can be used to identify trends and target healthcare interventions. By analyzing nursing data, healthcare professionals can develop more effective management strategies that improve patient outcomes and reduce costs.

Nursing data can be used to track changes in patients’ health over time, identify potential risk factors for certain conditions, and evaluate the effectiveness of various treatments. By understanding these trends, healthcare providers can tailor their interventions to more effectively address the needs of their patients.

In addition, nursing data can help assess the impact of external factors on patients’ health. For example, by tracking emergency department visits, hospitalizations, and readmissions, nurses can identify patterns that may be indicative of problems with access to care or poor quality of care. By using this information to target specific interventions, nurses can help improve the overall quality of healthcare delivery.

Conclusion: the Chief Nurse’s Role in Improving Patient Safety:

In conclusion, the chief nurse’s role in improving patient safety is essential. The chief nurse is responsible for ensuring that nurses are competent and safe, and for setting the tone for a culture of safety in the organization. The chief nurse can make a difference in patient safety by promoting a culture of safety, by leading by example, and by advocating for patients’ rights.

If you are a chief nurse or part of the nursing management staff and would like to further your knowledge and become a certified Nurse Management professional then perhaps you would like to visit our Nurse Management Certification Program? You can access our program and the required online courses here – Nurse Management CE Courses 

Additional Resources:

Control of hospital acquired infections and antimicrobial resistance in Europe: the way to go. Friedrich, A.W.  Wien Med Wochenschr 169 (Suppl 1), 25–30 (2019).
Access Here

Reducing hospital-acquired infections and improving the rational use of antibiotics in a developing country: an effectiveness study. Murni IK, Duke T, Kinney S, et al. Archives of Disease in Childhood 2015;100:454-459.
Access Here 

Can Rounding Reduce Patient Falls in Acute Care? An Integrative Literature Review Hicks, Darlene. Medsurg Nursing; Pitman Vol. 24, Iss. 1,  (Jan/Feb 2015): 51-55.
Access Here

Patient safety culture as perceived by operating room professionals: a mixed-methods study. Aouicha, W., Tlili, M.A., Sahli, J. et al. BMC Health Serv Res 22, 799 (2022).
Access Here 



Nursing Management and Nurse Shortages

With the recent pandemic and other stresses, numerous nurses may be looking to exit the field.  Nurse shortages are not something new and continues to be an issue.  The industry is in demand but needs to find ways beyond salary to attract more individuals to the field itself.  It is essential to better manage nurses and departments to ensure nursing satisfaction is met and nurses reap the rewards of a fulfilling career.  Flexibility and options are key.

The article, “Two-Thirds of Nurses Poised to Quit in Coming Years: 8 Steps Healthcare Employers Can Take to Address Potential Mass Exodus” by A. Kevin Troutman looks closer at the dilemmas facing the nursing industry.  In the article, Fisher poses the question how can nursing management and healthcare facilities attract more nurses but also keep the current staff satisfied.  He lists 8 steps healthcare employers can utilize in meeting these demands.  He states,

“The below list of eight suggestions is by no means an exhaustive list of things healthcare employers can do to deal with the challenges of the current nursing shortage. It does, however, illustrate that even in the face of dire predictions for the future, you can take steps to better protect your organization, your patients, and – most importantly – your employees.”

Two-Thirds of Nurses Poised to Quit in Coming Years: 8 Steps Healthcare Employers Can Take to Address Potential Mass Exodus.  A. Kevin Troutman. Fisher Phillips. JDSUPRA.  Oct 10, 2022. Access article here

Nursing shortages remain an issue in the healthcare industry. Nursing Management can play a key role


With nurses playing such a key role in healthcare, it is important to address nursing shortages and why.  Finding solutions to find more nurses and retain existing staff is critical to the healthcare industry, especially after the recent pandemic issues.

The demand for nurses is determined by a number of factors, including the number of patients needing care, the severity of their conditions, and the availability of other health care professionals. The American Nurses Association estimates that there are currently more than 1.2 million nurses working in the United States, and that this number will need to increase to 2.4 million by 2030 to meet the demands of the growing population.  There is a current demand for nurses in the healthcare industry. This is due to the aging population and the need for more preventative care. The demand for nurses is expected to continue to grow in the coming years.

There are a number of reasons for the high demand for nurses. The first is the aging population. As people live longer, they require more medical care. This includes both acute care and chronic care. The second reason is the increase in chronic diseases. These conditions require ongoing management and often result in multiple hospitalizations. The third reason is the increasing complexity of care. With advances in medical technology, patients require more sophisticated and expensive treatments. This requires a higher level of nursing care.

However, within this demand is a fear of many existing nurses seeking to quit their positions.  The high turnover rate among nurses is a major problem for healthcare facilities. There are many reasons why nurses quit, but the most common ones are poor working conditions, low pay, and burnout. Healthcare facilities need to do more to retain their nurses by improving working conditions and offering competitive pay.

The pandemic has also played a key role on stress on nurses and why many may be looking for less stressful jobs.  The COVID-19 pandemic has taken a toll on healthcare workers, particularly nurses, who are on the frontlines of the fight against the virus. The stress of working long hours in high-pressure situations can lead to burnout, anxiety, and depression. In order to support nurses during this difficult time, it is important to provide them with adequate resources and opportunities for self-care. Additionally, creating a supportive work environment where nurses feel valued and respected is essential.

Nursing Management can better retain nurses and attract other potential nurses

There are a few key ways in which nursing management can keep employees. First, it is important to establish clear expectations and goals for employees. Additionally, regular communication and feedback are crucial in order to ensure that employees are on track and meeting expectations. Additionally, providing opportunities for professional development and growth can help retain employees. Finally, creating a positive work environment and culture is also important in keeping employees engaged and motivated.

In addition to keeping employees, nursing management needs to find ways to attract new nurses to help with the work.

There are a few things that nursing management can do in order to attract new employees. One is to offer competitive salaries and benefits. Another is to create a positive work environment where nurses feel supported and valued. Additionally, nursing management can provide opportunities for professional development and career advancement. By doing these things, nursing management can make the profession more attractive to potential employees.


In conclusion, the nursing shortage is a problem that needs to be addressed. There are many ways to address the nursing shortage, but one of the most important is to keep nurses in the profession. To do this, we need to support nurses in their career development and provide them with opportunities to grow and advance in their careers. We also need to create a work environment that is conducive to retention and recruitment of nurses.

Please also review AIHCP’s Nursing Management Certification Program and see if it meets your academic and professional goals.  The program is online and independent study and open to qualified nurses and professionals who are seeking a four year certification.   By completing the required courses, nurses can diversify their career and seek higher positions in the healthcare profession within the field of nursing management.

Additional Resources

“Global nursing shortages – action for change” Vari M Drennan and Fiona Ross. British Medical Bulletin. 2019.  Access here

“Innovative Information Technology Solutions: Addressing Current and Emerging Nurse Shortages and Staffing Challenges Worldwide”. Lloyd, Jenna; Ferguson, Stephanie L  Nursing Economics. Vol. 35, Iss. 4. July/August 2017.  Access here

“Why Is There a Nursing Shortage?”. Kristen Hamlin. Nurse Journal. August 29th, 2022.  Access here

“Understanding the American Nursing Shortage”. S. Behring. Healthline. August 11th, 2021.  Access here