Read the full sentinel event data summary. Reporting of sentinel events to The Joint Commission is a voluntary process, and no conclusions should be drawn about the actual relative frequency of events or trends in events over time. What to Do Now: Review the new sentinel event definition and update your policy accordingly. For full coverage of this topic, see our post Joint Commission Sentinel Event Definition Revised. The remaining sentinel events were reported either by patients or their families, or employees of a health care organization. Sentinel Event Policy In both the Hospital and Behavioral Health Care programs, there’s a revised definition of sexual abuse/assault. Most sentinel events (90%) were voluntarily self-reported to The Joint Commission by an accredited or certified health care organization. Our goal is to help prevent these types of adverse events from occurring again.” “For each sentinel event, a Joint Commission patient safety specialist worked with the impacted health care organization to identify underlying causes and improvement strategies. “COVID-19 continued to present challenges to health care organizations throughout 2022, and we saw the number of sentinel events increase above pre-pandemic levels,” said Haytham Kaafarani, MD, MPH, FACS, Chief Patient Safety Officer and Medical Director, The Joint Commission. Means it is reasonable to initially assume that the adverse event was due to. Of all the sentinel events, 20% were associated with patient death, 44% with severe temporary harm and 13% with unexpected additional care/extended stay. taxonomies, including The Joint Commissions (TJC) Patient Safety Event. Most reported sentinel events occurred in a hospital (88%). Unintended retention of foreign object (6%)įailures in communication, teamwork and consistently following polices were the leading causes for reported sentinel events.The most prevalent sentinel event types were: The Joint Commission reviewed 1,441 sentinel events in 2022. Sentinel events are debilitating to both patients and health care providers involved in the event. A sentinel event is a patient safety event that results in death, permanent harm or severe temporary harm. The Joint Commission has released its Sentinel Event Data 2022 Annual Review on serious adverse events from Jan.
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