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RTN1504_B2_2014 Sentinel Event Statistics
• PR: Sentinel Event Statistics for 2014 (PDF/QV) [REF: JCSC, LDR, PI] Perspectives April 2015, Vol 35, #4, Pg 9 JCp1504_B2 It is significant to note that Falls (#2), Suicide (#3), Delay in Treatment (#4), Criminal Events such as assault/rape/homicide (#5) and Medication Errors (#10) continue in the Top 10 listing as they have for many…
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RTN1504_B3_Human Factor Analysis
*TS: Human Factors Analysis in Patient Safety Systems (PDF/QV) [REF: AOM, LDR, PI] The Source, April 2015, Vol 13, #4, Pg 1 JCs1504_B3 According to statistics reported in this month’s Perspectives, ‘Human Factors’ are the #1, most frequently identified root cause of Sentinel Events reported to the Joint Commission (see Article 1504B2). This article makes it…
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RTN1504_B5_De-escalation/Self-Defense…when a patient…turns violent
* EC: From De-escalation to Self-Defense: What to do when a patient or visitor turns violent (PDF/QV) [REF: EM, LDR, PI, RN, SFT] EC News, April 2015, Vol 18, #4, Pg 7 JCe1504_B5 This article is essentially a continuation of the January 2015 article: Code Black and Blue (Environment of Care News, January 2015, Volume 18,…