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Safety Watch: Reducing Constant Observation Through Nurse Empowerment and Accountability

Wray, Karen MSN, RN-BC, NEA-BC; Rajab-Ali, Rozina MSN, APRN, ACNS-BC

Journal of Nursing Administration: April 2014 - Volume 44 - Issue 4 - p 237–243
doi: 10.1097/NNA.0000000000000057

Safety watch (SW), a nurse-driven surveillance program, provides a framework for the appropriate level of patient observation. It empowers nurses to initiate flexible levels of patient safety observation that can be adjusted based on the patient’s need and be discontinued safely at the earliest opportunity. The SW program resulted in dramatic reductions in constant observation and restraint use while sustaining quality of care.

Author Affiliations: Director of Nursing–Acute Care (Ms Wray); Clinical Nurse Specialist–Acute Care (Ms Rajab-Ali), Department of Nursing, The University of Kansas Hospital, Kansas City.

The authors declare no conflicts of interest.

Correspondence: Ms Rajab-Ali, The University of Kansas Hospital, Mail Stop 2018, Mail Box 26, 2015 W 39th St, Kansas City, KS 66160 (

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins