Since 2007, about 800 sentinel events are reported to the Joint Commission every year according to their summary data of sentinel events. All accredited hospitals are encouraged but not obligated to report to the Joint Commission every sentinel event. The hospital must review all sentinel events. Unanticipated severe maternal morbidity resulting in permanent or severe temporary harm Prolonged fluoroscopy with very high or inappropriate dose or to the wrong siteįire during direct patient care caused by hospital equipment Severe neonatal jaundice (bilirubin >30 mg/dl) Surgery on the wrong individual or wrong body part Hemolytic transfusion reaction due to blood transfusion with major blood group incompatibilities Unanticipated death during care of an infantĭischarge of an infant to the wrong family Suicide during treatment or within 72 hours of discharge The Joint Commission include the following: Hospitals vary in their definitions, investigations, and reporting of sentinel events.
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