Sentinel Event Activity
A sentinel event is described as an unexpected event that involves a severe physical or psychology injury or death or the risk of such incidents. In this case, the serious physical or psychological injury specifically incorporates loss of function or limb. Sentinel incidents are seemingly sporadic though they are clear-cut incidents that take place regardless of the patient's condition ("Sentinel Events," 2012). However, these events usually reflect the hospital and procedure deficiencies, which contribute to unnecessary patient outcomes. Some of the most common sentinel events include medication error that result in death, suicide in inpatient wards, clinical process involving the wrong patient, and maternal deaths. As part of enhancing patient safety and quality of health care, nurse administrators play a crucial role in identifying these events, barriers that contribute to them, and developing measures to correct the barriers.
Sentinel Event Example
An 88-year-old male has been diagnosed with Chronic Obstructive Pulmonary Disease at a local health facility. The patient lives with his adult daughter and her family (possibly causing harm to them) because of his condition. The 88-year-old male patient is currently receiving home health care services from Nightingale Home Care. As a result of smoking while using oxygen, the patient has caused a sentinel event.
Barriers that Occurred in this Event
As previously mentioned, one of the major ways for addressing sentinel events include identifying barriers i.e. communication and/or...
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