Most Commonly Reviewed Sentinel Event Types - Updated 02/01/21

Sentinel Event A sentinel event is a patient safety event (not primarily related to the natural course of the patient’s illness or underlying condition) that reaches a patient and results in any of the following: – Death – Permanent harm – Severe temporary harm and intervention required to sustain life The Sentinel Event Policy is available online at: . [...] Sentinel Event An event is also considered sentinel if it is one of the following: Suicide of any patient receiving care, treatment, and services in a staffed around-the clock care setting or within 72 hours of discharge, including from the hospital’s emergency department (ED) Unanticipated death of a full-term infant Disch. [...] 5 Sentinel Event An event is also considered sentinel if it is one of the following: Severe maternal morbidity (not primarily related to the natural course of the patient’s illness or underlying condition) when it reaches a patient and results in permanent harm or severe temporary harm Fall resulting in any of the following:. [...] 5 Top Five Sentinel Events Reviewed by The Joint Commission The most frequently reviewed sentinel events by The Joint Commission are: 1) Falls 2) Unintended Retention of a Foreign Object (URFO) 3) Suicide 4) Wrong Surgery 5) Delay in Treatment The Sentinel Event Policy is available online at: . [...] Slide Number 1 Data Limitations Sentinel Event Sentinel Event Sentinel Event Sentinel Event Sentinel Event Top Five Sentinel Events Reviewed by The Joint Commission Patient Falls Patient Falls Patient Falls Unintentionally Retained Foreign Object (URFO) Unintended Retention of Foreign Object Suicide Patient Suic.