Sentinel Event

From a health care provider perspective (e.g., hospital, physicians practice, long-term care, hospice, home health, surgery center, etc.), write a brief description of unintended retention of a foreign object in your own words.

In addition, address the following:

• Identify the sentinel event, who was involved, what occurred, and where it occurred.
• Describe the applicable accrediting agencys requirements for reporting the event (e.g., OSHA, ACHA, CMS, CDC, CLIA, The Joint Commission [TJC], AHCA, state agencies).
• Discuss the probable cause that may have contributed to the sentinel event (e.g., process failure, human error, policy error, systems error, technology failure, etc.).
• Create a recommendation that will reduce the risk of future events from occurring.

https://www.jointcommission.org/en-us/knowledge-library/support-center/standards-interpretation/sentinel-event-policy-and-procedures