A sentinel event is  any unanticipated event in a healthcare setting that results in death or serious physical or psychological injury to a patient, not related to the natural course of the patient's illness. 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 specifically include loss of a limb or gross motor function. 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 Joint Commission tracks events in a database to ensure events are adequately analyzed, and that undesirable trends or decreases in performance are caught early and mitigated. Specific events requiring review Sentinel events include "unexpected occurrences involving death or serious physical or psychological injury, or the risk thereof" and all of the following, even if the outcome was not death or major permanent loss of function  : Infant abduction, or discharge to the wrong family. Unexpected death of a full-term infant. Severe neonatal jaundice (bilirubin over 30 milligrams/deciliter). Surgery on the wrong individual or wrong body part. Instrument or object left in a patient after surgery or another procedure. Rape in an acute-care setting. Suicide in an acute-care setting, or within 72 hours of discharge. Hemolytic transfusion reaction due to blood group incompatibilities.A fatal transfusion reaction must be reported within 7 days. Radiation therapy to the wrong body region or 25\% above the planned dose.
A sentinel event is " any unanticipated event in a healthcare setting that results in death or serious physical or psychological injury to a patient, not related to the natural course of the patient's URL 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 Joint Commission tracks events in a database to ensure events are adequately analyzed, and that undesirable trends or decreases in performance are caught early and mitigated. Specific events requiring review Sentinel events include "unexpected occurrences involving death or serious physical or psychological injury, or the risk thereof" . They also include the following, even if death or major loss of function did not occur : Infant abduction, or release of an infant to an incorrect family. Unexpected death of a full-term infant. Severe neonatal jaundice (bilirubin over 30 milligrams/deciliter). Surgery on the wrong individual or wrong body part. Instrument or object left in a patient after surgery or another procedure. Rape in an acute-care setting. Suicide in an acute-care setting, or within 72 hours of discharge. Hemolytic transfusion reaction due to blood group incompatibilities.A fatal transfusion reaction must be reported within 7 days. Radiation therapy to the wrong body region or 25\% above the planned dose.
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"
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illness.
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specifically include loss of a limb or gross motor function. Sentinel events
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and all of
. They also include
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the outcome was not
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permanent
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did not occur
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discharge to the wrong
release of an infant to an incorrect