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- Never Events
- Provider-Patient Communication
Bunting RF Jr, Schukman J, Wong WB. Washington, DC: Atlantic Information Services, Inc.; 2009. ISBN: 1933801557.
This biannually updated publication and companion CD provide detailed health care risk management strategies and tools to reduce adverse events.
St. Paul, MN: Minnesota Department of Health; January 2009.
This report provides background on the Minnesota Never Events reporting initiative, tips for patients on how to receive the safest care possible, and a table of events reported by all hospitals in the state.
Canadian Patient Safety Institute. October 2018.
Legislation/Regulation > Sentinel Event Alerts
A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department.
Sentinel Event Alert. 2010 Nov 17;(46):1-4.
Suicide among hospitalized patients remains an under-recognized never event, as it has ranked among the most common sentinel events reported to The Joint Commission over the past decade. While specialized psychiatric units are designed and staffed to minimize suicide risk, emergency departments and general medical wards are not, and prior research has shown that a significant proportion of inpatient suicide attempts occur in these settings. This Sentinel Event Alert reviews risk factors for inpatient suicide, and delineates prevention strategies hospitals can use to minimize risk. A case of an inpatient suicide attempt on a general medical ward is discussed in this AHRQ WebM&M commentary.