![]() The new definition will state, “Fall event – Fall resulting in any of the following: any fracture surgery, casting, or traction required consult/management or comfort care for a neurological (for example, skull fracture, subdural or intracranial hemorrhage) or internal (for example, rib fracture, small liver laceration) injury or a patient with coagulopathy who receives blood products as a result of the fall death or permanent harm as a result of injuries sustained from the fall (not from physiologic events causing the fall). The Joint Commission Sentinel event definition, policy revised 2021 National Council on Radiation Protection and Measurements Publications NCRP - Report No. ![]() Sentinel events are debilitating to both patients and health care providers involved in the event. Sentinel event definition, policy revised. Reporting sentinel events to The Joint Commission involves submitting a Sentinel Event Notification Form (SENF) within 48 hours of the event. The Joint Commission defines a sentinel event as a patient safety event that results in death, permanent harm, or severe temporary harm. This new definition will be more closely aligned with established guidelines from the National Database of Nursing Quality Indicators™ and the National Quality Forum. 2021 The Joint Commission Published by the Department of Corporate Communications J. Finally, the findings will also be disseminated to the Joint Commission for review to publish as a an example for other hospitals to follow. The Joint Commission will be defining fall events in their Sentinel Event Policy starting Januto help address the need for more preventive fall measures. The framework and its 24 analysis questions are intended to provide a template for analyzing an event and an aid in organizing the steps and information in a root cause analysis.
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