![]() ![]() Reporting of sentinel events to The Joint Commission is a voluntary process, and no conclusions should be drawn about the actual relative frequency of events or trends in events over time. The remaining sentinel events were reported either by patients or their families, or employees of a healthcare organization. ![]() The majority of sentinel events (90%) were voluntarily self-reported to The Joint Commission by an accredited or certified healthcare organization. Our goal is to help prevent these types of adverse events from occurring again.” Each accredited organization is strongly encouraged, but not required, to report sentinel events to The Joint Commission. “For each sentinel event, a Joint Commission patient safety specialist worked with the impacted healthcare organization to identify underlying causes and improvement strategies. “COVID-19 continued to present challenges to healthcare organizations throughout 2022, and we saw the number of sentinel events increase above pre-pandemic levels,” notes Haytham Kaafarani, MD, MPH, FACS, chief patient safety officer and medical director, The Joint Commission. Of all the sentinel events, 20% were associated with patient death, 44% with severe temporary harm and 13% with unexpected additional care/extended stay. Most reported sentinel events occurred in a hospital (88%). Unintended retention of foreign object (6%)įailures in communications, teamwork and consistently following polices were the leading causes for reported sentinel events.The most prevalent sentinel event types were: The Joint Commission reviewed 1,441 sentinel events in 2022. Sentinel events are debilitating to both patients and health care providers involved in the event. The Sentinel Event Policy requires accredited hospitals. A sentinel event is a patient safety event that results in death, permanent harm or severe temporary harm. safety to benefit both the patient and the healthcare organization (The Joint Commission, 2009). The Joint Commission has released its Sentinel Event Data 2022 Annual Review on serious adverse events from Jan. Such events are called sentinel‘ ’ because they signal the need for immediate investigation and response.
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