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A sentinel event is "any unanticipated event in a healthcare setting that results in death or serious physical or psychological injury to a patient, not related to the natural course of the patient's illness". Sentinel events can be caused by major mistakes and negligence on the part of a healthcare provider, and are closely investigated by healthcare regulatory authorities. Sentinel events are identified under The Joint Commission (TJC) accreditation policies to help aid in root cause analysis and to assist in development of preventive measures. The Joint Commission tracks events in a database to ensure events are adequately analyzed, and that undesirable trends or decreases in performance are caught early and mitigated.

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  • センチネルイベント (ja)
  • Sentinel event (en)
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  • A sentinel event is "any unanticipated event in a healthcare setting that results in death or serious physical or psychological injury to a patient, not related to the natural course of the patient's illness". Sentinel events can be caused by major mistakes and negligence on the part of a healthcare provider, and are closely investigated by healthcare regulatory authorities. Sentinel events are identified under The Joint Commission (TJC) accreditation policies to help aid in root cause analysis and to assist in development of preventive measures. The Joint Commission tracks events in a database to ensure events are adequately analyzed, and that undesirable trends or decreases in performance are caught early and mitigated. (en)
  • センチネルイベント(英: sentinel event)は、警鐘事象(けいしょうじしょう)とも呼ばれ、「医療現場において、患者の病気の自然な経過とは関係なく、患者の死亡や身体的または心理的な重篤な傷害につながる予期しないイベント(事象)」のことである。センチネルイベントは、医療提供者側の重大な誤りや不注意によって引き起こされることがあり、医療規制当局によって綿密に調査されている。センチネルイベントは、(TJC、米国の医療機関およびプログラムを認定する非営利組織)の認定方針に基づいて特定され、根本原因の解析を助け、予防策の開発を支援するものである。合同委員会は、データベース内のイベントを追跡して、イベントが適切に分析され、望ましくない傾向や実績の低下が早期に検出され、軽減されるようにする。 (ja)
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  • Suicide (en)
  • Fall (en)
  • Delay In Treatment (en)
  • Op/Post-op Complication (en)
  • Unintended Retention of a Foreign Body (en)
  • Wrong–patient, wrong-site, wrong-procedure (en)
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  • Main Sentinel Events reported to the Joint Commission in 2015 (en)
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  • Number of events (en)
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  • Type of event (en)
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  • A sentinel event is "any unanticipated event in a healthcare setting that results in death or serious physical or psychological injury to a patient, not related to the natural course of the patient's illness". Sentinel events can be caused by major mistakes and negligence on the part of a healthcare provider, and are closely investigated by healthcare regulatory authorities. Sentinel events are identified under The Joint Commission (TJC) accreditation policies to help aid in root cause analysis and to assist in development of preventive measures. The Joint Commission tracks events in a database to ensure events are adequately analyzed, and that undesirable trends or decreases in performance are caught early and mitigated. (en)
  • センチネルイベント(英: sentinel event)は、警鐘事象(けいしょうじしょう)とも呼ばれ、「医療現場において、患者の病気の自然な経過とは関係なく、患者の死亡や身体的または心理的な重篤な傷害につながる予期しないイベント(事象)」のことである。センチネルイベントは、医療提供者側の重大な誤りや不注意によって引き起こされることがあり、医療規制当局によって綿密に調査されている。センチネルイベントは、(TJC、米国の医療機関およびプログラムを認定する非営利組織)の認定方針に基づいて特定され、根本原因の解析を助け、予防策の開発を支援するものである。合同委員会は、データベース内のイベントを追跡して、イベントが適切に分析され、望ましくない傾向や実績の低下が早期に検出され、軽減されるようにする。 (ja)
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