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.
Most health care providers adjust well to the multitude of demands encountered during an unexpected or traumatic clinical event. Providers often have strong emotional defenses that carry them through and l
The Center for Patient Safety issues this alert regarding falls based on our data analysis. Falls are a difficult and long-standing challenge for providers. While the majority of events report no harm, fal
As an RN for nearly 30 years, I’ve seen many changes in the healthcare arena since I started as a Student Nurse Assistant in 1986. I recently had a discussion with other healthcare providers regarding th
It’s time for healthcare organizations to partner up with a Patient Safety Organization. Are you ready? Hospitals have an approaching deadline to sign up with a Patient Safety Organization (PSO) for
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.