![]() ![]() Severe harm: An event or condition that reaches the individual, resulting in life-threatening bodily injury, including pain or disfigurement, that interferes with or results in loss of functional ability or quality of life that requires continuous physiological monitoring or a surgery, invasive procedure, or treatment to resolve the condition.Sentinel event: A patient safety event (not primarily related to the natural course of the illness or underlying condition) that reaches a and results in death, severe harm (regardless of duration of harm), or permanent harm (regardless of severity of harm).OQPS revised the definition to clarify the differences between severe harm, which may or may not be permanent, and permanent harm, regardless of severity. ![]() Starting January 1, 2022, the new revisions to the Sentinel Event Policy will apply to all Joint Commission accreditation and certification programs, except for the Health Care Staffing Services and Integrated Care certification programs, according to the release. The revisions clarify expectations regarding a healthcare organization’s partnership and collaboration with OQPS and include editorial revisions to improve the flow of the chapter. ![]() The Joint Commission’s Office of Quality and Patient Safety (OQPS) revised its definition of a sentinel event and clarified some of the event-specific examples in the Sentinel Event Policy, according to a July 21 release. Reporting conveys the health care organization’s message to the public that it is doing everything possible, proactively, to prevent similar patient safety events in the future.įurther, reporting the event enables “lessons learned” from the event to be added to The Joint Commission’s Sentinel Event Database, thereby contributing to the general knowledge about sentinel events and to the reduction of risk for such events.NAMES IN THE NEWS Joint Commission Revises Sentinel Event Definition, Policy Reporting raises the level of transparency in the organization and promotes a culture of safety. The opportunity to collaborate with a patient safety expert in The Joint Commission’s Sentinel Event Unit of the Office of Quality and Patient Safety. The Joint Commission can provide support and expertise during the review of a sentinel event. Organizations benefit from self-reporting in the following ways: Each accredited organization is strongly encouraged, but not required, to report sentinel events to The Joint Commission. Such events are called "sentinel" because they signal the need for immediate investigation and response. Severe temporary harm and intervention required to sustain lifeĪn event can also be considered sentinel event even if the outcome was not death, permanent harm, severe temporary harm and intervention required to sustain life. ![]() The Sentinel Event Policy explains how The Joint Commission partners with health care organizations that have experienced a serious patient safety event to protect the patient, improve systems, and prevent further harm.Ī sentinel event is a Patient Safety Event that reaches a patient and results in any of the following: Careful investigation and analysis of Patient Safety Events (events not primarily related to the natural course of the patient’s illness or underlying condition), as well as evaluation of corrective actions, is essential to reduce risk and prevent patient harm. The Joint Commission adopted a formal Sentinel Event Policy in 1996 to help hospitals that experience serious adverse events improve safety and learn from those sentinel events. ![]()
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