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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Approach to Safety:

The Center for Patient Safety agrees with Dr. Tejal Gandhi’s advocacy for “a total systems approach to safety” — where safety is at the core of health care delivery across the continuum and a

Joint Commission Sentinel Event Alert #59:

The Joint Commission’s timely Sentinel Event Alert #59 relative to physical and verbal violence against health care workers reminds me of the #Me Too movement.  For too long providers have tolerated and

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

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