Sentinel – verb –" To watch over, stand guard, or protect some place, person, or area” Support of performance improvement in healthcare organizations.Sentinel – noun – “ A soldier or guard whose job is to stand and keep watch ” Improve the safety and quality of care provided to the public through the #450626 that supports the mission of the Joint Commission to continuously Inc., is a Joint Commission Accredited Health Care Staffing Agency License To maintain the confidence of the public and accredited organizations in the accreditation process To increase the general knowledge about sentinel events, their causes, and strategies for prevention. To focus the attention of an organization that has experienced a sentinel event on understanding the root causes that underlie the event, and on changing the organization’s systems and processes to reduce the probability of such an event in the future. To have a positive impact in improving patient care, treatment and services and preventing sentinel events 2. Joint Commission’s Sentinel Event Policy The Joint Commission has defined a sentinel event policy that you should be aware of. A foreign body, such as a sponge or forceps that was left in a patient after surgery.Hemolytic transfusion reaction involving major blood group incompatibilities.A patient fall that results in death or major permanent loss of function as a direct result of the injuries sustained in the fall.Assault, homicide, or other crime resulting in patient death or major permanent loss of function. A patient is abducted from the hospital where he or she receives care, treatment or services.Any perinatal death related to a congenital condition in an infant having a birth weight greater than 2500 grams.Any intrapartum (related to the birth process) maternal death.A hospital operates on the wrong side of the patient’s body.Any elopement, that in unauthorized departure, of a patient from an around-the-clock care setting resulting in a temporally related death (suicide, accidental death, or homicide) or major loss of function.A patient commits suicide within 72 hours of being discharged from a hospital setting that provides staffed around-the-clock care.Any patient death, paralysis, coma or other major permanent loss of function associated with a medication error.Recurrence would carry a significant chance of a serious adverse outcome.īecause they signal the need for immediate investigation and response. The phrase “or the risk thereof” includes any process variation for which a Serious injury specifically includes loss of limb or function. Occurrence involving death or serious physical or psychological injury, or the While on assignment, regardless of an adverse outcome. Nursing Supervisor, and Guardian Angel of any clinical incidents that occur Clinical staff should notify their Charge Nurse, Or series of events that resulted in or had the potential to result in anĪdverse patient outcome. Something has compromised or might compromise patient safety and quality. Importance of following effective procedures and are encouraged to speak up if All such events should always be reported immediately to your charge nurse, nursing supervisor and Guardian Angel’s President or Clinical Liaison. This means taking an active role in reporting any and all unsafe conditions, unusual or sentinel events. Everyone is expected to participate in maintaining a safe environment for patients, visitors, physicians and their coworkers. As a healthcare provider, it is your duty and responsibility to promptly report any unsafe condition, sentinel event or unusual event that can result in a sentinel event.
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