Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross-sectional study.
Baartmans MC, van Schoten SM, Smit BJ, et al. Using the Generic Analysis Method to analyze sentinel event reports across hospitals: a retrospective cross-sectional study. J Patient Saf. 2023;19(3):158-165. doi:10.1097/pts.0000000000001104.
Sentinel events are adverse events that result in death or severe patient harm and require a full organizational investigation to identify root causes and make recommendations to prevent recurrence. This study pooled sentinel event reports from 28 Dutch hospitals to identify common system-level contributing factors. Aggregation of system-level factors may provide more urgency in implementing recommendations than a single case at one organization.