School nurses save lives: Can we provide the data?

Kohl Malone Malone, Dewey Bergren Bergren

Research output: Contribution to journalArticlepeer-review


Vigilance has been central to nursing practice since Florence Nightingale. Often, the nurse's work of surveillance goes unnoticed and the public never recognizes the value of the nurse's work. The 1999 Institute of Medicine report on hospital deaths due to preventable errors has lifted the veil shrouding professional vigilance. But how to measure vigilance remained elusive, until the concept, failure to rescue (FTR), was proposed. FTR has taken a prominent role in health care since its adoption as a patient safety indicator by the Agency for Healthcare Research and Quality (AHRQ) and as a measure for nursing performance in acute care by the National Quality Forum (NQF). However, its applicability to school nursing has been unexplored. This article provides an initial review of the literature and an analysis of anecdotal stories and media accounts that illustrate professional vigilance in school nursing practice.

Original languageEnglish (US)
Pages (from-to)344-351
Number of pages8
JournalJournal of School Nursing
Issue number5
StatePublished - Oct 2010


  • community health nursing
  • failure to rescue
  • professional vigilance
  • school nursing

ASJC Scopus subject areas

  • Nursing (miscellaneous)


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