Investigating Sentinel Events: How to Find and Resolve Root Causes [Spiral-bound]

Patrice L. Spath (Author)

Book Description

ISBN-10: 1929955057 | ISBN-13: 978-1929955053 | Publication Date: October 1, 1997 | Edition: 1

In this book youll learn how to conduct a thorough root cause analysis of undesirable health care incidents (known as "sentinel events") and also how to error-proof high-risk health care processes. Each step of a medical accident investigation is detailed. Youll discover how team members can use the information gained during the investigation process to objectively analyze the steps leading up to the event. You find out how to apply various analytical tools that are being used in other industries to identify the root causes of accidents. Techniques for selecting the right corrective action plans are offered. Plus, youll learn all-important proactive methods for improving processes to prevent a serious patient incident from occurring.

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About the Author

Patrice L. Spath, BA, ART, is a health information management and quality specialist based in Forest Grove, Oregon with extensive experience in health care quality and resource management. Since 1980 she has facilitated over 300 workshops on related topics (outcomes management, clinical paths, case management, error reduction, root cause analysis, performance improvement, etc.). Ms. Spath has written numerous books and journal articles on these topics for Brown-Spath & Associates, the Commission on Cancer of the American College of Surgeons, OR Manager, Inc., Aspen Publications, and AHA Press/Jossey-Bass Publishers. Ms. Spath currently writes regular columns for the journals "Hospital Peer Review" and "Hospital Case Management" and serves on the journal editorial boards for "Topics in Health Information Management" and "Homecare Quality Management." She participated in a task group of the Agency for Health Care Policy and Research to develop a model for translating clinical practice guidelines into medical review criteria; on the clinical practice guideline task force of the Veterans Health Administration; and the clinical path task force of the Association for Operating Room Nurses. She has served as chairman of the Quality Management Section of the American Health Information Management Association (AHIMA), as the Treasurer of the National Association for Healthcare Quality, and as a regional councilor for the Health Care Division of the American Society for Quality. She is currently the editor of "The Quality Resource," the bimonthly newsletter of the Quality Management Section of the AHIMA

Product Details

• Spiral-bound: 143 pages
• Publisher: Brown-Spath & Assoc; 1 edition (October 1, 1997)
• Language: English
• ISBN-10: 1929955057
• ISBN-13: 978-1929955053
• Product Dimensions: 11 x 8.8 x 0.5 inches
• Shipping Weight: 12.8 ounces
• Amazon Best Sellers Rank: #6,507,256 in Books (See Top 100 in Books)