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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CPS Safety Watch – Respiratory Compromise:

BACKGROUND Respiratory Compromise is a state in which there is a high likelihood of decompensation into respiratory insufficiency, respiratory failure or death, but in which specific interventions (enhance

IHI offers free teleconference:

Heads up!  The University of Chicago completed a survey of over 2500 adults regarding their experiences and perceptions of medical error.  Results:  1 in 5 Americans reported a medical error in their ow

CPS Participates in Primaris Podcast to Launch PSAW 2018!:

The podcast has just been released. Listen to the discussion on why Patient Safety Awareness Week is such a valuable time for patients and providers. Alex Christgen, Executive Director, and Lee Varner, Pat

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