![]() It’s on hospitals to investigate and report on sentinel events, for the sake of their standard operating procedures and the health of future patients. Across the board, experts agree that almost all types of sentinel events are under-reported due to varying circumstances like lack of time, fear of punishment, and confusion about the severity of events that require notification. The majority, or 83% were voluntarily self-reported by an accredited or certified organization. Criminal events (i.e., assault, rape, homicide)īack in 2019, the Joint Commission reviewed a total of 844 sentinel events.Wrong patients, wrong site, or incorrect procedure events.Unintended retention of a foreign object events.Here is what the top 10 sentinel events include: The most commonly occurring sentinel events will include unintended retention of a foreign object, falls, and performing procedures on the wrong patient. They can happen anywhere along the healthcare continuum, in any setting, statistics report that 68% of them occur in general hospitals. ![]() Despite the fact that sentinel events have been on a downward trend in the last decade or so, they still remain a prevalent risk for hospitals. It should be known that sentinel events are identified under The Joint Commission (TJC) accreditation policies which help to aid in root cause analysis and assist in development of preventative measures. For today’s topic, let’s answer the question- What is a sentinel event? Sentinel Events And The Joint Commission Because these can get pretty intricate in terms of legality, it’s best when cases surrounding these scenarios are handled by our legal nurse consultants in Michigan. These events can be caused by a multitude of different factors, all relating to major mistakes and negligence on the part of the healthcare provider. A sentinel event denotes any unanticipated event in a healthcare setting that can result in death or serious physical or psychological injury to a patient, which is unrelated to the natural course of the patients’ illness.
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