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Credentialing/privileging issues a factor in some infant deaths or injuries

Credentialing Resource Center Connection, July 28, 2004

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Credentialing, privileging, and supervision issues for physicians and nurse midwives were identified as a root cause of infant death and injury during delivery by 30 percent of hospitals who reported such a sentinel event to the JCAHO.

Twenty-one percent of hospitals that reported an infant death or permanent disability, said they plan to revise their medical staff credentialing and privileging process as one of the steps they will take to reduce the risk of similar, future events, the JCAHO said in its "Sentinel Event Alert" issued July 21 on preventing infant death and injury during delivery.

Since 1996, 47 hospitals have reported cases of perinatal death or permanent disability under the accreditor's Sentinel Event Policy. Communication issues topped the list of identified root causes (72%). Staff competency was also an identified cause in 47% of cases and 25% of hospitals plan to revise their competency assessment. Go to http://www.jcaho.org/about+us/news+letters/sentinel+event+alert/sea_30.htm to read the full "Sentinel Event Alert."

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