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A sentinel event is a patient safety event that results in death, permanent harm, or severe temporary harm. Sentinel events are debilitating to both patients and health care providers involved in the event.
A sentinel event is a patient safety event (not primarily related to the natural course of a patient’s illness or underlying condition) that reaches a patient and results in death, severe harm (regardless of duration of harm), or permanent harm (regardless of severity of harm).
The Joint Commission’s Sentinel Event Policy has the following four goals: To positively impact care, treatment, and services by helping health care organiza-tions identify opportunities to change their culture, systems, and processes to prevent unintended harm.
The Joint Commission revised its definition of suicide in the Sentinel Event Policy, effective Jan. 1, 2024. The original definition, developed more than 10 years ago, focused on inpatient and “staffed around-the-clock” care settings or suicides within 72 hours of discharge.
A sentinel event is a patient safety event that results in death, permanent harm or severe temporary harm. Sentinel events are debilitating to both patients and healthcare providers involved in the event.
Sentinel Event Alert 47: Radiation risks of diagnostic imaging and fluoroscopy. Diagnostic radiation, which includes fluoroscopy, is an effective tool that can save lives. The higher the dose of radiation delivered at any one time, however, the greater the risk for long-term damage.
The Sentinel Event Data Annual Report for 2023 is now available on The Joint Commission website, including a figure showing the trend of reported sentinel events by source from 2005-2023. From Jan. 1-Dec. 31, 2023, The Joint Commission reviewed 1,411 sentinel events.
Sentinel Event Alert 55: Preventing falls and fall related injuries in health care facilities. Falls resulting in injury are a prevalent patient safety problem. Elderly and frail patients with fall risk factors are not the only ones who are vulnerable to falling in health care facilities.
The unintended retention of foreign objects (URFOs) – also called retained surgical items (RSIs) – after invasive procedures can cause death, and surviving patients may sustain both physical and emotional harm, depending on the type of object retained and the length of time it is retained.
The Joint Commission defines a sentinel event as a patient safety event (not primarily related to the natural course of the patient’s illness or underlying condition) that reaches a patient and results in: