“If your actions inspire others to dream more, learn more, do more and become more, you are a 铅er.” – John Quincy Adams
当我听到护士说我很畏缩“我只是一名护士”. You don’不必是首席护理官或护士经理“lead”. You can 铅 from wherever you are in the organization. If you manage your career around this concept, you will focus less on your linear progression up the career ladder and more on your own personal mastery and impact. Consider the profound difference that a registered nurse named Glenna Sue Kinnick was able to make on patient safety 通过 铅ing from where she stood. G. Sue Kinnick is the reason that the Bar Code Medication Administration was developed in the 1990s. Working as a Registered Nurse at the Topeka, Kansas Veterans Affairs Medical Center, she was concerned about medication errors. In 1992 while visiting Seattle, Washington, she watched an attendant at a rental car check-in center scan a bar code on the vehicle she was returning. It occurred to her that a similar system at the bedside could improve patient safety 通过 reducing medication errors.
重返工作岗位后，她将想法带给了医院管理人员。她坚持不懈地推进自己的想法，并于1994年在Topeka VA Medical Center试行了药物条形码。 Kinnick可以看到她自己设施的改进，因此她并没有就此停下来。她开始了一项运动，将弗吉尼亚州的条形码提高到了全国水平。她引起了当时的退伍军人事务部副部长肯尼思·凯泽（Kenneth Kizer）的注意，他很喜欢这个主意。金妮克（Kinnick）于1997年因乳腺癌去世，但她的想法和努力并未产生全部影响。到1999年，在VA的所有172个医疗中心都已开始使用药物禁止编码。 2003年，美国食品药品监督管理局（FDA）建议美国所有医院都采用条形码药物扫描系统。在过去的十年中，BCMA已在世界各地的医院中启动，并已成为一种护理标准。
G. Sue Kinnick proved that a staff nurse can make a significant difference 通过 铅ing from where she stood. At the time she introduced her idea, it was estimated that drug-related mistakes contributed heavily to the medical errors that kill between 44,000 and 98,000 American annually. This is a great example of the kind of disruptive innovation that is needed in health care today. In the recently published Institute of Medicine Report on 护理的未来，我t is noted in the report that strong 铅ership at every level is critical if the vision of a transformed health care system is to be realized, and nurses are to participate as full partners with physicians and other health professions. Being a full partner in care environments means that nurses are expected to take responsibility for identifying problems, to devise plans for improvement, to track improvement over time and to serve as strong patient advocates. While not many of us may have ideas for change that have the impact of Bar Code Medication Administration, it is likely that you see things every day in your practice environment that need to be improved to promote better quality patient care. G. Sue Kinnick believed enough in herself and her ability to influence others to push her idea forward despite the skeptics. Think about the difference that nurses could make in the health care system if we all committed to 铅ing from where we stand in the organization.
医学研究所。 （2010）。 护理的未来：引领变革，促进健康. 华盛顿特区：国家科学院出版社。
Wood，D。（2003）。 RN’富有远见的条形码创新可以帮助解决用药错误。 点击这里查看文章