Specimen labeling errors in health care are costly. Using multiple educational interventions reduced specimen labeling errors and cost. Strategies included collaborative development of educational posters, compelling specimen mislabeling error stories, posting labeling results monthly, and providing real-time charge nurse notification of mislabeled/unlabeled specimens. Nurse educators can easily teach staff to implement these strategies. [J Contin Educ Nurs. 2020;51(10):450-452.].

AIM To explore patient and family perspectives of hospital care in an acuity adaptable care model implemented in an urban, public safety-net hospital. BACKGROUND Specialty care units result in reactionary bed management. Changes in acuity generate costly, disruptive, intra-hospital patient transfers, which negatively affect clinical outcomes while increasing nurse workload. The acuity adaptable care model is a universal bed model structured to support patients in one room while providing staff, equipment and other resources across varying levels of acuity. METHOD Qualitative descriptive methods were used to analyse the narratives of a purposive sample of patients and family members about receiving care in an acuity adaptable care delivery model. RESULTS Three content areas emerged from the narratives and were categorized as feeling safe, perceiving continuity of care and valuing family, which culminated in a sense of comfort and healing while in the hospital. CONCLUSION By bringing care services to the patient instead of taking the patient to the services, the acuity adaptable care model facilitated a perception of a healing environment for patients and family members. IMPLICATIONS FOR NURSING MANAGEMENT The acuity adaptable care model should be considered when hospital facilities are undergoing major renovation or replacement.

• The average cost of an inpatient fall with injury at the facility is $44,000. • Falls with injury increase cost and length of hospital stay, and may produce serious harm to patients. • Preventing inpatient falls is a critical aspect of patient safety. • Further reduction of falls on the Acuity Adaptable Unit was needed. • The average number of falls per month was 9.8 in 2016, and year-to-date 10.58 in 2017. • One solution to identifying potential strategies to further reduce falls was to survey staff about their perceptions of current fall prevention practices. • Understanding staff perceptions and involving staff in the performance improvement process may lead to prevention solutions and actionable items to reduce falls. BACKGROUND OUTCOMES

• There is no formal medical-surgical certifi cation preparation course at the organization. • This course was requested by practicing medical-surgical nurses and institutional leadership. • Magnet status and career ladders elevate the importance of attaining nursing certifi cations. • CNSs’ design of a certifi cation preparation course has received little attention in the academic literature. • Two CNSs collaborated to implement the medical-surgical certifi cation preparation course by: • Planning each preparation session • Advertising • Developing instructional materials: Power Point presentations, handouts, discussion items, practice test questions and review games • Acquiring study resources: books, fl ashcards and certifi cation test outline • Fostering a safe learning environment via sensitivity to potential participant stressors • Analyzing evaluation data • Disseminating fi ndings

SOIR on board Venus Express sounds the Venus upper atmosphere using the solar occultation technique. It detects the signature from many Venus atmosphere species, including those of SO2 and CO2. SO2 has a weak absorption structure at 4 µm, from which number density profiles are regularly inferred. SO2 volume mixing ratios (VMR) are calculated from the total number density that are also derived from the SOIR measurements. This work is an update of the previous work by Belyaev et al. (2012), considering the SO2 profiles on a broader altitude range, from 65 to 85 km. Positive detection VMR profiles are presented. In 68% of the occultation spectral datasets, SO2 is detected. The SO2 VMR profiles show a large variability up to two orders of magnitude, on a short term time scales. We present mean VMR profiles for various bins of latitudes, and study the latitudinal variations; the mean latitude variations are much smaller than the short term temporal variations. A permanent minimum showing a weak latitudinal structure is observed. Long term temporal trends are also considered and discussed. The trend observed by Marcq et al. (2013) is not observed in this dataset. Our results are compared to literature data and generally show a good agreement.

Indianapolis Coalition for Patient Safety, Inc engaged a citywide effort to reduce hospital readmissions of patients diagnosed with heart failure within 30 days of discharge. An innovative collaboration among interdisciplinary representatives of hospitals, skilled nursing facilities, and home care agencies resulted in reduction in readmissions for patients with heart failure.