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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Changing Patient Safety Culture:

Transparency is one of the biggest challenges in changing patient safety culture.  Frank Federico, VP at IHI, shares viewpoints in his recent blog.  Remember the CANDOR toolkit (noted in his blog) is ava

The U.S. FDA published safety information regarding heater-cooler devices:

The U.S. Food and Drug Administration (FDA) published safety information to heighten awareness about infections associated with heater-cooler devices used during open-chest cardiac surgical procedures that

FREE WEBINAR: Anesthesia Leadership and the Important Role of Collaboration:

Becker’s Hospital Review – FREE WEBINAR REGISTER! Monday, August 8, 2016 | 1:00pm – 2:00pm CDT Hospitals are struggling to recruit and retain quality surgeons and nurses. The role of the

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The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.