Sentinel event alert

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November 14th,2019

The Joint Commission’s Patient Safety Initiatives

the occurrence and management of sentinel events in Joint Commission-accredited health care organizations. Sentinel Event Alert, to be published when appropriate as suggested by trend data, will provide ongoing communication regarding the Joint Commission's Sentinel Event Policy and Procedures, and most importantly, information about sentinel

November 14th,2019

Physical and verbal violence against health care workers

that are often overlooked. While this Sentinel Event Alert focuses on physical and verbal violence, there is a whole spectrum of overlapping behaviors that undermine a culture of safety, addressed in Sentinel Event Alert issues 40 and 57;2,3 those types of behaviors will not be addressed in this alert. The focus of

November 14th,2019

Sentinel Event Alert - Premier Safety Institute

Sentinel Event Alert Issue 36 - April 3, 2006 Tubing misconnections—a persistent and potentially deadly occurrence Tubing and catheter misconnection errors are an important and under-reported problem in health care organizations. In addition, these errors are often caught and corrected before any injury to the patient occurs.

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