title: Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety.
abstract: High-risk low-volume therapies are those therapies that are practiced infrequently and yet carry an increased risk to patients because of their complexity. Staff nurses are required to competently manage these therapies to treat patients' unique needs and optimize outcomes; however, maintaining competence is challenging. This article describes implementation of Just-in-Time Training, which requires validation of minimum competency of bedside nurses managing high-risk low-volume therapies through direct observation of a return-demonstration competency checklist.
authors.affiliation: Department of Nursing, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Helman
authors.forename: Amy Jo
authors.initials: AJ
authors.lastname: Lisanti
authors.forename: Ann
authors.initials: A
authors.lastname: Adams
authors.forename: Cynthia
authors.initials: C
authors.lastname: Field
authors.forename: Katherine Finn
authors.initials: KF
authors.lastname: Davis
mesh_terms: D057189:Checklist / Q000379:methods; D002983:Clinical Competence; D006801:Humans; D009741:Nursing Staff, Hospital / Q000193:education*; D061214:Patient Safety; D012307:Risk Factors; D013997:Time Factors