![]() ![]() ![]() Perioperative clinicians might be aware of a previous wrong site surgery in their facility, but many will remark, "We had a wrong site surgery a few years ago, but we changed our policy and have not had a problem since." Those same clinicians may be aware that their department has experienced a wrong site surgery approximately once every three or four years or one wrong site surgery for every 50,000 surgeries performed. In fact, most busy clinicians focus on day-to-day operations and clinical events. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) implemented its sentinel event policy in 1996 to evaluate sentinel events in JCAHO-accredited hospitals. These alarming data suggest that serious problems exist in hospitals and other health care facilities, but the sentinel event statistics posted on JCAHO's web site may go unnoticed by many perioperative clinicians. (1) Of those occurrences, 75% (n = 1,935) resulted in death, and the remainder resulted in loss of function or other injuries. This is a newsletter that identifies the most frequently occurring sentinel events. Since the inception of the sentinel event program at JCAHO in January 1995, more than 2,455 sentinel events affecting 2,570 patients have been submitted and reviewed. In addition, the Joint Commission publishes, Sentinel Event Alert. The most recent Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) sentinel event statistics emphasize the potential seriousness of being hospitalized. Each day, patients are injured in hospitals, and some of those injuries result in serious adverse outcomes or death. For some patients, hospitals are dangerous places. ![]() People get sicker and die there." Her friends view her as witty and insightful, but her colleagues, who are concerned about patient safety, find wisdom in her words. Joint Commission National Patient Safety Goal to standardize procedures to. A retired perioperative nurse in her early 80s has been known to make the statement, "If I get sick, don't let me go to the hospital. Under the Joint Commissions revised sentinel event policy, effective April 1, hospitals are encouraged, but not required, to voluntarily report certain adverse. Maryland hospitals are required to report serious adverse events to. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |