Unintended retention of a foreign object in a patient after surgery or other Invasive procedure, including surgery, on the wrong patient or wrong site Having major blood group incompatibilities (e.g., ABO, Rh, other blood groups) Hemolytic transfusion reaction involving administration of blood or blood products Staff member, licensed independent practitioner, visitor, or vendor while on site at Rape, assault (leading to death or permanent loss of function), or homicide of a Patient receiving care, treatment, and services Rape, assault (leading to death or permanent loss of function), or homicide of any Permanent harm, or severe temporary harm to the patientĭischarge of an infant to the wrong family The-clock care setting (including the emergency department), leading to death, Unanticipated death of a full-term infantĪbduction of any patient receiving care, treatment, and servicesĪny elopement (i.e., unauthorized departure) of a patient from a staffed around Suicide of any patient receiving care, treatment, and services in a staffedĪround-the-clock care setting or within 72 hours of discharge Patient rape is an example of a sentinel event subject to review by the Joint Commission. Sentinel events-sentinel because they signal the need for immediate investigation and responseĢ. Medical errors that do result in injury are sometimes called preventable adverse events or Not all errors will result in harm to the patient. A medical errorĬan occur at any stage in the process of providing patient care, from diagnosis to treatment,Īnd even while providing preventative care. Kinds of failures: either the correct action does not proceed as intended, which is describedĪs an "error of execution," or the original intended action is not correct, which is describedĪs an "error of planning".
Medical errors rise to the level of medical malpractice or negligence. To note that medical errors are not defined as intentional acts of wrongdoing and that not all The IOM Committee on Quality of Healthcare in America definesĮrror as "the failure of a planned action to be completed as intended or the use of a wrong
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