11/14/2023 0 Comments Sentinel event points![]() ![]() CLICK Sentinel Event:A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury. 44,000 to 98,000 patients die each year from medical errors.So what is a medical error? The incorrect administration of drugs, unreadable drug order, incorrect combination or formulation of drugs for a given condition, unknown allergies to drugs, drugs not given at the right time.CLICK The most common medical errors include: read from slide.CLICKA full-term infant suddenly dies CLICK A baby is discharged to the wrong family CLICK A transfusion is performed on a patient that the blood was not matched correctly CLICK Surgery on the wrong body part, and surgery on the wrong patient NEXT PAGE Sentinel events are not the same as medical errors Sentinel events do not always occur because of a medical error, and not all medical errors will cause in a sentinel event CLICK Some examples of sentinel events are CLICK The patient is placed on a 24/7 suicide watch, but they commit suicide anyway.these types of events are called “sentinel,” due to the fact that they need instant analysis and reaction.This includes any process deviation for which a reappearance would carry a substantial chance of a severe adverse effect. ![]() Serious injury specifically includes loss of limb or function.The Joint Commission analyses a disease-specific care programs’ actions in answer to sentinel events in its evaluation process, as appropriate.CLICK The definition of Sentinel event is: CLICK And event that is unexpected and/or unanticipated event which has an outcome of death or serious physical or psychological injury, this includes the risk of a sentinel event.CLICK When a sentinel event is discoveredan investigation started.With this knowledge we, in the healthcare field, will be better able to stop preventable events, and treat unforeseeable sentinel events when they happen. It is my hopes that after this presentation you will have a better understanding of what a sentinel even is, and what constitutes a sentinel event. Today my presentation is on Sentinel Events. Slide 1:Hello, my name is Lori Powers, I want to thank you all for listening to my presentation.
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