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You are here > Home > Reading Lists & Books > Risk, Liability & Patient Safety > Frontline of Defense: The Role of Nurses in Preventing Sentinel Events

Front Line of Defense: The Role of Nurses in Preventing Sentinel Events, 2nd Edition
Joint Commission on the Accreditation of Healthcare Organizations

Softbound, 174 pages
Size 10.75" x 8.25"
ISBN 1599400049 
JCAHO
January 2007
Price: $75.00
(Amazon's prices are always lower than or equal to JCAHO's prices)

 

Written specially for nurses in all disciplines and health care settings - and from the best source, Joint Commission.

This book focuses on the hands-on role nurses play in the delivery of care and their unique opportunity and responsibility to identify potential sentinel events. Topics include preventing medication and transfusion errors, as well as preventing suicide, falls, and treatment delays. New chapters address wrong-site surgery perinatal injuries or death, and injuries or death due to criminal events. Learn how to:

  • Better recognize the root causes of specific sentinel events
  • Identify strategies to prevent sentinel events from occurring
  • Overcome obstacles in the areas of staffing, training, culture of safety, and communication among the health care team

Nurses' hands-on role in the delivery of care gives them a unique opportunity and responsibility to identify the potential for sentinel events. Because of their front-line position within the systems and processes where breakdowns can cause sentinel events, nurses especially need practical information about prevention strategies. Front Line of Defense devotes chapters to nine categories of sentinel events:

  • Operative and post-operative errors and complications
  • Medication errors
  • Transfusion errors
  • Falls
  • Infant abductions and release to wrong families
  • Injury or death in physical restraint
  • Injury or death following elopement
  • Suicide
  • Treatment delays

Each chapter is full of examples of sentinel events and "near misses" within a variety of health care settings.

In addition, Front Line of Defense includes the new safety and health care error reduction standards, which are currently effective for hospitals and are in development for other health care settings. Front Line of Defense also tackles important issues and obstacles that nurses face, including staffing, training, and culture and communication within the health care team. This is information provided especially for nurses by surveyors with special training in conducting root cause analysis.

JCAHO's mission is to continuously improve the safety and quality of care provided to the public through the provision of health care accreditation and related services that support performance improvement in health care organizations. The Joint Commission is an independent, not-for-profit organization, established more than 50 years ago. Joint Commission is governed by a board that includes physicians, nurses, and consumers. Joint Commission sets the standards by which health care quality is measured in America and around the world. The Joint Commission evaluates and accredits more than 15,000 health care organizations and programs in the US. An independent, not-for-profit organization, the Joint Commission is the nation's predominant standards-setting and accrediting body in health care. Since 1951, the Joint Commission has maintained state-of-the-art standards that focus on improving the quality and safety of care provided by health care organizations. The Joint Commission's comprehensive accreditation process evaluates an organization's compliance with these standards and other accreditation requirements.

Joint Commission Resources, Inc. (JCR), an affiliate of JCAHO, is a global, knowledge-based organization which disseminates information regarding accreditation, standards development and compliance, good practices, and health care quality improvement. Joint Commission Resources is dedicated to helping health care organizations world-wide to improve the quality of patient care and achieve peak performance. JCAHO and Joint Commission Resources are your sources for guidance as you achieve peak performance on your next survey, improve your business operations, and most importantly, as you seek to provide higher quality health care services. If you work in a JCAHO accredited organization and you have not already subscribed to these periodicals, you may wish to do that now::

(information from the publisher)

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