Root Cause Analysis: Responding to a Sentinel Event - LWW
https://journals.lww.com/homehealthcarenurseonline/Fulltext/2013/09000/Root_Cause_Analysis__Responding_to_a_Sentinel.6.aspx
webThe Joint Commission defines a sentinel event as “an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof” (The Joint Commission, 2012, p. 1). “Risk thereof” refers to incidents for which a recurrence would involve a significant risk of serious adverse outcome.
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