This book is an update to the popular What Every Hospital Should Know About Sentinel Events. This new version has been expanded to encompass multiple health care settings, such as hospitals, ambulatory care, behavioral health care, long term care, and home care. The book discusses the most prevalent sentinel events, where they often occur, and who tend to be the victims. In addition, it explains the need for adverse event reporting and for pinpointing the causes for such events so that health care organizations can identify high-risk activities and populations before a sentinel event occurs. Special features include the following: explanation of The Joint Commission's Sentinel Event Policy and how it has evolved since its inception; updated information about sentinel events that applies to all types of accredited health care organizations; a new chapter on disclosure of medical errors that includes practical tips; and a section about how to offer an apology to patients/families after an error has occurred.
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