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Legislation/Regulation > Sentinel Event Alerts
Sentinel Event Alert. January 26, 2010;(44):1-4.
The Joint Commission issues Sentinel Event Alerts to highlight areas of high risk and to promote the rapid adoption of risk reduction strategies. Adherence to these recommendations is then assessed as part of Joint Commission accreditation surveys at health care organizations nationwide. This recently retired alert targets prevention of maternal death and highlights the need to manage blood pressure, pay attention to vital signs following cesarean delivery, and hemorrhage. The alert also provides recommendations around educational strategies, identifying specific clinical triggers for action, and conducting adequate risk assessments. As of September 2016, current guidance will being distributed by a new initiative.
Journal Article > Study
Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system.
A continuous physiologic monitoring system appeared to detect physiologic instability earlier than standard monitoring techniques. Prior research has questioned the false negative rate of such systems, but that problem was not noted in this study.