By Jane C. Rothrock PhD RN CNOR FAAN
For greater than sixty five years, Alexander's Care of the sufferer in surgical procedure has been a relied on resource for distinct details on perioperative nursing. recognized writer and educator Jane C. Rothrock units up an outstanding beginning for perform, and provides step by step directions for over four hundred surgical interventions in addition to many minimally invasive surgeries, all sponsored through the most recent study. greater than 1,000 full-color illustrations and photographs depict techniques and techniques, in addition to surgical anatomy and instrumentation. This version provides fast reaction workforce containers with advised interventions, plus assurance of recent tendencies in sufferer and employees defense, the rise in interventional radiology, and the expansion of outpatient ambulatory surgical procedure. Alexander's can provide the instruments you must supply secure, budget friendly, fine quality sufferer care.
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Additional info for Alexander's Care of the Patient in Surgery
It sharpened its systems-based safety focus in the mid-1990s when it established its Sentinel Event Policy. That policy ﬁrst encouraged and then required self-reporting of medical errors and root cause analysis of the error. Based on cumulative data, TJC published its ﬁrst National Patient Safety Goals (NPSGs) in 2003; recognized the need for standardized methods of patient identiﬁcation; and established the Universal Protocol (discussed later in this chapter) in 2004. By 2005, the World Health Organization formed the Collaborative Centre for Patient Safety Solutions, which is comprised of TJC and TJC-International.
7%) (Wong et al, 2009). 6%) had the most serious potential for harm. Wrong site surgery involved the wrong side in 59%, another wrong site in 23%, wrong procedure in 14%, and the wrong patient in 5%. Clearly, the beneﬁts of a preoperative brieﬁng that focuses on team communication can signiﬁcantly impact patient safety. Modiﬁed from Henrickson SE et al: Development and pilot evaluation of a preoperative brieﬁng protocol for cardiovascular surgery, J Am Coll Surg 208:1115-1123, 2009; Lynch RJ et al: Measurement of foot trafﬁc in the operating room: implications for infection control, Am J Med Qual 24:45-45, Jan/Feb 2009; Wong DA et al: Medical errors in orthopaedics: results of an AAOS member survey, J Bone Joint Surg Am 91:547-557, 2009.
What are the most proximate factors? • Human • Equipment • Controllable environmental • Uncontrollable external factors 4. What other factors are involved? • Are there other factors that directly inﬂuenced the outcome? • What other areas or services are impacted? The next phase of root cause analysis moves to “what can be done to prevent this” questions that ﬂow from the “why” questions, and ultimately result in an action plan. Root cause analysis concentrates on systems and processes, not individuals.
Alexander's Care of the Patient in Surgery by Jane C. Rothrock PhD RN CNOR FAAN