Questions and Answers
As of 2014, which of the following was among the top five most common sentinel events, according to The Joint Commission?
Which of the following is the best example of an incident?
The cause of an incident is:
A deviation
Which of the following is an example of a sentinel event?
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Which of the following is the best definition of 'sentinel event'?
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The reason for incident reports is to:
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When reporting an incident, report the following:
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According to The Joint Commission, the top three root causes of sentinel events have to do with patient assessment, orientation/training of facility staff, and:
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Which of the following is the best definition of 'incident'?
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When discussing an adverse event with a patient, a best practice is to:
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When dealing with a conflict between you (the provider) and the patient or his or her family, it is best to continue to work alone toward building a better relationship.
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Study Notes
Sentinel Events and Incidents
- Delay in treatment ranked among the top five sentinel events in 2014 as per The Joint Commission.
- Incidents are characterized by unwanted outcomes, exemplified by medication overdoses.
- The underlying cause of incidents is identified as deviations from standard facility operations or patient care.
Definitions and Examples
- Sentinel events are unexpected occurrences that lead to death or serious injury, such as patient suicide.
- The term "incident" refers to any event that results in an unwanted outcome.
Reporting and Prevention
- The purpose of incident reports is to document and analyze incidents to prevent future injuries or harm.
- Essential details to include in incident reports are the location and time of the incident.
Root Causes of Sentinel Events
- The Joint Commission highlights three primary root causes of sentinel events:
- Patient assessment issues
- Inadequate orientation/training of facility staff
- Poor communication among clinicians
Best Practices
- When discussing adverse events with patients, it is crucial to explain the situation and reasoning without assigning blame.
- In conflict situations between healthcare providers and patients or their families, it is recommended to collaborate with another healthcare team member to improve the relationship.
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Description
Test your knowledge on adverse events, specifically the most common sentinel events identified by The Joint Commission as of 2014. This quiz includes definitions and examples to help you understand key concepts related to patient safety and incident reporting.