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Integrating Sentinel Event Analysis into Your Infection Control Practice Association for Professionals in Infection Control and Epidemiology Developers: Janet Frain, Denise Murphy, Georgia Dash and Marie Kassai January 2004 Page 1 of 11 What is a Sentinel Event ? The JCAHO defines a Sentinel Event as an unexpected occurrence involving death or serious physical or psychological injury. Serious injury specifically includes loss of limb or function. The JCAHO further prescribes a list of reviewable Sentinel events as Unexpected deaths Unanticipated major loss of function Infant abduction Infant discharged to wrong family Rape Hemolytic transfusion reaction Surgery on the wrong patient or body part Patient suicide The facility can certainly determine other types of events for which a root cause Analysis (RCA) is an appropriate investigative and problem-resolution tool.
Integrating Sentinel Event Analysis Into Your Infection Control Practice Association for Professionals in Infection Control and Epidemiology
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