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Click ‘Get Form’ to open the sentinel event form in the editor.
Begin by filling out the 'What is being reported?' section, selecting either 'Sentinel Event' or 'Near Miss'.
Enter today's date, date of discovery, date and time of the event, and if applicable, the date of death.
Provide the patient's age and gender. Specify the admitting diagnosis for clarity.
In the description field, briefly outline the event including its location to provide context.
Check all applicable types of events from the list provided, ensuring you capture all relevant details.
Answer yes or no to questions regarding unanticipated deaths, transfers, and NQF criteria compliance.
Complete reporter information including name, title, contact number, email address, and facility name.

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Versions	Form popularity	Fillable & printable
2023	4.9 Satisfied (30 Votes)
2014	4.4 Satisfied (27 Votes)

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Which is a reportable patient safety event?

(6) Criminal events, including the following: (A) Any instance of care ordered by or provided by someone impersonating a physician, nurse, pharmacist, or other licensed health care provider. (B) The abduction of a patient of any age. (C) The sexual assault on a patient within or on the grounds of a health facility.

What is an example of a sentinel event?

Such events are called sentinel because they signal the need for immediate investigation and response. Each accredited organization is strongly encouraged, but not required, to report sentinel events to The Joint Commission.

Which situation should be reported as a sentinel event?

A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Serious injury specifically includes loss of limb or function.

What is the sentinel event policy in a hospital?

The Sentinel Event Policy explains how The Joint Commission partners with health care organizations that have experienced a serious patient safety event to protect the patient, improve systems, and prevent further harm.