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Sentinel Event Alert.
Oakbrook Terrace, IL: The Joint Commission.
This newsletter provides guidance to health care organizations for responding to commonly reported incidents. The Joint Commission issues these sentinel event alerts to review selected incidents, determine the root causes involved, and provide a summary of recommendations for future prevention.
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Related Resources
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Sentinel Event.
The Joint Commission.
PRESS RELEASE/ANNOUNCEMENT
Patient controlled analgesia by proxy.
The Joint Commission. Sentinel Event Alert. December 20, 2004;(33):1-2.
STUDY
Sentinel events. In memory of Ben—a case study.
Haas D. Jt Comm Perspect. March/April 1997;17:12-15.
BOOK/REPORT
4th Ed. Patient Safety Essentials for Health Care.
Oakbrook Terrace, IL; Joint Commission on Accreditation of Healthcare Organizations; 2006. ISBN: 0866889892.
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Resource Type
Newsletter/Journal
Target Audience
Health Care Providers
Health Care Executives and Administrators
Approach to Improving Safety
Root Cause Analysis
Origin/Sponsor
United States of America