Never Events Cost, Impact, & the Value of Clinical Staff in Prevention from Robin Gilbert
Faculty:Robin Gilbert
Duration:2 Hours 44 Minutes | Format:Audio and Video
Archive : Never Events from Robin Gilbert
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Description:
“Never events” is a term coined by Ken Keizer, MD, former CEO of National Quality Forum, in 2001, in reference to shocking medical errors that should never occur. Never events are devastating and costly for organizations. There are currently 29 events that are recognized as “never events”. Clinical nurses are highly competent with skills and knowledge that can reduce these events.
Quality starts at the bedside. Do you know the meaning and identification of never events? Have you participated in a root cause analysis? Do you understand what disclosure of the error means, or are these terms foreign to you?
This presentation will cover current requirements from National Quality Forum. You will learn the impact of “Never Events”, and how to become engaged in preventing events and making quality a goal of every team member on your staff.
OBJECTIVES
- Define and discuss the difference between “never events” and “sentinel events”.
- Discuss how to plan a root cause analysis and how to do a proper disclosure of the error.
- Discuss measures being used by clinical staff that assist in prevent “never events”.
- Identify potential causes of “never events” and developing a plan to prevent these causes.
ABOUT THE SPEAKER
Joyce Campbell, MSN, CCRN, SCRN, FNP-BC, has been involved in the nursing field for 35 years. For over 25 years, she taught in an associate degree nursing program where her primary focus was the theory and clinical instruction of neuroscience nursing. In addition to teaching, she has been employed by Comprehensive Health System in Chattanooga, Tennessee for the past 30 years. At Erlanger, she has adopted many roles, including neurosurgical and trauma critical care staff nurse, educator and nurse practitioner. Currently, she serves on the neuroservice line committee and provides stroke education to staff and patients. Erlanger Southeast Regional Stroke Center, an accredited Primary Stroke Center, houses a leading-edge stroke care facility serving over 2000 stroke patients annually.
Through her work at Erlanger, Joyce is able to experience, first hand, the latest innovative strategies for extending the window of treatment for stroke patients. She holds a BSN from East Tennessee State University, an MSN from the University of Tennessee at Knoxville, and completed post-graduate studies at the University of Alabama at Birmingham. Joyce is an active member of the American Association of Critical Care Nurses, the American Association of Neuroscience Nurses, American Association of Nurse Practitioners, and the Chattanooga Association of Nurses in Advanced Practice, where she has served as president and is a member of the educational committee.
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