Quality & Patient Safety

Poor communication, training, and patient assessment continue to be the leading causes of sentinel events at hospitals, according to the latest sentinel event statistics available from the JCAHO.

Patient Safety Monitor Alert, May 20, 2004

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Patient suicide, post-op complications are top sentinel events

 

Poor communication, training, and patient assessment continue to be the leading causes of sentinel events at hospitals, according to the latest sentinel event statistics available from the JCAHO.

 

Patient suicide continues to be the most widely reported sentinel event, consisting of 374 of the 2,455 (15%) of sentinel events that hospitals have reported to the JCAHO since it implemented its sentinel event database in January 1995. The latest statistics are current through January 29, 2004.

 

Other more commonly reported sentinel events include:

 

  • Operative/post-operative complication - 315  have been reported to the JCAHO
  • Wrong-site surgery - 300 have been reported to the JCAHO
  • Medication error - 282 have been reported to the JCAHO
  • Delay in treatment - 161 have been reported to the JCAHO

 



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