The full sentinel event data summary is available on The Joint Commission website.įounded in 1951, The Joint Commission seeks to continuously improve healthcare for the public, in collaboration with other stakeholders, by evaluating healthcare organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. 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. The remaining sentinel events were reported either by patients or their families, or employees of a healthcare organization. The majority of sentinel events (90%) were voluntarily self-reported to The Joint Commission by an accredited or certified healthcare 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 healthcare organization to identify underlying causes and improvement strategies. “COVID-19 continued to present challenges to healthcare organizations throughout 2022, and we saw the number of sentinel events increase above pre-pandemic levels,” notes Haytham Kaafarani, MD, MPH, FACS, chief patient safety officer and medical director, The Joint Commission. Of all the sentinel events, 20% were associated with patient death, 44% with severe temporary harm and 13% with unexpected additional care/extended stay. Most reported sentinel events occurred in a hospital (88%). Unintended retention of foreign object (6%)įailures in communications, 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 healthcare providers involved in the event. A sentinel event is a patient safety event that results in death, permanent harm or severe temporary harm. (OAKBROOK TERRACE, Illinois, April 4, 2023) – The Joint Commission has released its Sentinel Event Data 2022 Annual Review on serious adverse events from Jan.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |