Research


part one

. Is staffing currently adequate at your facility? Why or why not?

  • How could you promote changes to ensure staffing becomes or remains adequate?

Part 2

Review these most common sentinel events in healthcare  TED talk on Transparency, Compassion, and Truth in Medical Errors. (Links to an external site.)

Most Common Healthcare Sentinel Events (2005-2016)

  • Wrong patient, wrong site, wrong procedure
  • Unintended retention of foreign body
  • Delay in treatment
  • Suicide
  • Operative/postoperative complications
  • Fall
  • Medication error
  • Criminal event
  • Perinatal death/injury
  • Medical equipment related
    (The Joint Commission, 2018)

 questions, part 2

What could a risk manager do to prevent or minimize the risk of this sentinel event occurring again?

  • If you were the manager supervising the shift on which this event occurred, what would your response have been to the situation?
  •  How can you prevent or minimize the risk, and how would you respond should the event occur despite your efforts? In what way might sentinel events and staffing be related?
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