Αποτελέσματα Αναζήτησης
The sentinel event data represents aggregate data from comprehensive systematic analysis (typically a root cause analysis) received by the Joint Commission Office of Quality and Patient Safety from January 1, 2023 through December 31, 2023.
29 Μαρ 2023 · Examples of sentinel events from the Joint Commission include the following: Suicide during treatment or within 72 hours of discharge. Unanticipated death during the care of an infant. Abduction while receiving care. Discharge of an infant to the wrong family.
6 Σεπ 2023 · A sentinel event is a patient safety event (not primarily related to the natural course of a patient’s illness or underlying condition) that reaches a patient and results in death, severe harm (regardless of duration of harm), or permanent harm (regardless of severity of harm).
sentinel event, or a cluster of less serious incidents or near misses occurs, organizations must develop an understanding of the contributing factors and the interrelationship of those factors.
Sentinel Events: Evaluating Cause and Planning Improvement, a new book from the Joint Commission, describes the types of errors and sentinel events that have been reported in health care organizations, how organizations can respond to these events, how sentinel events are investigated through root cause analysis, and the Joint Commission's polic...
Download Free PDF View PDF International Journal for Quality in Health Care Aggregate analysis of sentinel events as a strategic tool in safety management can contribute to the improvement of healthcare safety
search for sentinel events during a usual survey or to inquire about sentinel events that have been reported to The Joint Commission. Surveyors may conduct an assessment of an organization’s performance improvement practices and procedures, such as root cause analyses and proactive risk assessment.
