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  2. Sentinel event - Wikipedia

    en.wikipedia.org/wiki/Sentinel_event

    Sentinel events can be caused by major mistakes and negligence on the part of a healthcare provider, and are closely investigated by healthcare regulatory authorities. Sentinel events are identified under The Joint Commission (TJC) accreditation policies to help aid in root cause analysis and to assist in development of preventive measures. The ...

  3. Alarm fatigue - Wikipedia

    en.wikipedia.org/wiki/Alarm_fatigue

    The United States-based Joint Commission's sentinel event reports 80 alarm-related deaths and 13 alarm-related serious injuries over the course of a few years. On April 18, 2013, the Joint Commission issued a sentinel event alert that highlighted the widespread problem of alarm fatigue in hospitals.

  4. Electronic health record - Wikipedia

    en.wikipedia.org/wiki/Electronic_health_record

    A 2008 Sentinel Event Alert from the U.S. Joint Commission, the organization that accredits American hospitals to provide healthcare services, states, 'As health information technology (HIT) and 'converging technologies'—the interrelationship between medical devices and HIT—are increasingly adopted by health care organizations, users must ...

  5. International Patient Safety Goals - Wikipedia

    en.wikipedia.org/wiki/International_Patient...

    The International Patient Safety Goals (IPSG) were developed in 2006 by the Joint Commission International (JCI). The goals were adapted from the JCAHO's National Patient Safety Goals. [1] Compliance with IPSG has been monitored in JCI-accredited hospitals since January 2006. [1]

  6. Never event - Wikipedia

    en.wikipedia.org/wiki/Never_event

    A never event is the "kind of mistake (medical error) that should never happen" in the field of medical treatment. [1] According to the Leapfrog Group never events are defined as "adverse events that are serious, largely preventable, and of concern to both the public and health care providers for the purpose of public accountability." [2]

  7. Independent medical review - Wikipedia

    en.wikipedia.org/wiki/Independent_medical_review

    These physicians are contracted by an independent review organization, medical management companies, third party administrators (TPAs) or utilization review companies to provide objective, unbiased determinations on what the root cause of the treatment was, whether there is medical necessity, if there was a sentinel event, what was the reason ...

  8. Medical error - Wikipedia

    en.wikipedia.org/wiki/Medical_error

    The Joint Commission's Annual Report on Quality and Safety 2007 found that inadequate communication between healthcare providers, or between providers and the patient and family members, was the root cause of over half the serious adverse events in accredited hospitals. [51]

  9. SENSOR-Pesticides - Wikipedia

    en.wikipedia.org/wiki/SENSOR-Pesticides

    Sentinel Event Notification System for Occupational Risks (SENSOR)-Pesticides is a U.S. state-based surveillance program that monitors pesticide-related illness and injury. It is administered by the National Institute for Occupational Safety and Health (NIOSH), twelve state health agencies participate.