State notification of a Sentinel Event is required within one (1) business day of discovery 2025

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It is submitted to the Joint Commission within 45 business days of the date the organization became aware of the event. If the reporting occurs after day 45, the organization has 15 business days to complete the RCA/POA tool electronically and submit to The Joint Commission.
Sentinel events (SEs)defined by The Joint Commission as unexpected safety incidents that result in death, permanent harm, or severe temporary harmserve as critical indicators of systemic vulnerabilities in healthcare delivery (1)(4). In the United States, medical errors rank as the third leading cause of death (2).
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