![]() In July 2013, this list expanded to include certain "harm events" to staff, visitors, or vendors that occur on the healthcare organization's premises (The Joint Commission, 2012). In the past, these events have included occurrences involving patients or those receiving services. The Joint Commission's policy on sentinel events includes a subset of events that are considered reviewable regardless of death or serious injury ( The Joint Commission, 2013b). ![]() ![]() Permanent loss of function may refer to sensory, motor, physiologic, or intellectual impairment requiring continued treatment or change in lifestyle not present at the start of care. The Joint Commission (2012) further defines reviewable sentinel events as occurrences that result in "an unanticipated death or major permanent loss of function not related to the natural course of the patient's illness or underlying condition" (p. "Risk thereof" refers to incidents for which a recurrence would involve a significant risk of serious adverse outcome. The Joint Commission defines a sentinel event as "an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof" (The Joint Commission, 2012, p. ![]() Some of these events will rise to the level of a sentinel event as defined by The Joint Commission. Lack of staff supervision, communication, coordination of care, reduced ability to engage in double checks, lack of care environment control, and a heightened reliance on patient and family cooperation are situations unique to home care that contribute to serious adverse events. Every day, serious adverse events occur in healthcare systems across the country resulting in injury to tens of thousands of people annually ( Institute of Medicine, 1999). ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |