• 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 years.  Human factors, leadership, communication and assessment also continue to be the four most frequently identified root causes.
Tip: Those who conduct RCAs should be particularly alert for the common root causes. Those responsible for choosing FMEAs might consider focusing on one of the most frequent events listed here to understand how to further lower that risk before the next occurrence.