Αποτελέσματα Αναζήτησης
6 Σεπ 2023 · The Joint Commission’s Sentinel Event Policy has the following four goals: To positively impact care, treatment, and services by helping health care organiza-tions identify opportunities to change their culture, systems, and processes to prevent unintended harm.
The Sentinel Event Policy explains how The Joint Commission partners with health care organizations that have experienced a serious patient safety event to protect the patient, improve systems, and prevent further harm.
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...
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.
sentinel event occurs to perform a root cause analysis. When an adverse outcome, a sentinel event, or a cluster of less serious incidents or near misses occurs,
Sentinel Event: is defined as an unexpected occurrence involving death, serious physical or psychological injury, or the risk thereof. Serious injury specifically includes loss of limb or function. The phrase “or risk thereof” includes any process variation for which a reoccurrence would carry a significant chance of serious adverse outcomes.
care professionals. This Sentinel Event Alert provides up- dated information and replaces one on this topic that pub- lished in 2003. The Joint Commission issues this alert to help healthcare organizations recommit to surgical fire pre- vention. There is no national repository collecting data on
