The Joint Commission Releases Sentinel Event Statistics

August 12, 2011    |   By: Calevir

Almost 8,000 total sentinel events have been reported to TJC since 1995.   The majority of reports were submitted by hospitals (64%), 62% of the total reports resulted in patient death, and the most prevalent types of events reported through this voluntary reporting system are wrong-patient, wrong-site, or wrong-procedure, and unintended retention of a foreign body.  Leadership, human factors and communication were identified as the most frequently identified root cause of such events.

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EMS Week Spotlight: Lee Varner:

The Center for Patient Safety is proud of our diverse team and is especially proud of our Patient Safety Director, Lee Varner, MSEMS, EMT-P, CPPS. Having spent much of his time in EMS throughout his car

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IHI recently shared good advice on how to improve care to lessen the likelihood of human error.  Systems and processes can be made more reliable by standardizing, simplifying, reducing autonomy and highli

Nursing Home Week Spotlight: Kathy Wire:

The Center for Patient Safety is proud of our diverse team and is especially proud of our Patient Safety Specialist, Kathryn Wire, JD, MBA, CPHRM, CPPS. Having spent much of her time in nursing homes, hos

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