¶ … sentinel event is reported to JCAHO through a root cause analysis and an action plan according to set timetables and procedures. In addition, a sentinel event can have numerous civil and criminal implications. Fortunately, through the methodical reporting and root cause analysis established by JCAHO, hospital administrators can develop highly effective risk management programs.
The Basics Of Sentinel Event Reporting
A reviewable sentinel event may be self-reported or reported after notification that JCAHO is aware of the event. Self-report uses a computerized form in the "Continuous Compliance Tools" subsection of the "Self-Report Sentinel Event" section on the "Joint Commission Connect" ™ intranet site (JCAHO, 2012, p. 13). The hospital must prepare a root cause analysis and action plan within 45 calendar days of the occurrence or awareness of the occurrence and must submit them to JCAHO within 45 calendar days of the known occurrence. If reviewability is determined more than 45 days after the known event, the hospital has 15 calendar days to submit the root cause analysis and action plan to JCAHO and if the hospital fails to submit them more than 45 calendar days after the due date, the failure may affect the hospital's accreditation (JCAHO, 2012, p. 9). If JCAHO determines that the root cause analysis and/or action plan are unacceptable, it will consult with the hospital and grant an additional 15 calendar days to bring those documents into compliance. If the hospital still fails to submit an acceptable root cause analysis and action plan and if JCAHO determines that the hospital did not make serious efforts to improve, accreditation may be affected (JCAHO, 2012, p. 16). If JCAHO determines that the root cause analysis and action plan are acceptable, it will so notify the hospital and assign an appropriate follow-up activity that the hospital will have 4 months to complete (JCAHO, 2012, p. 17). The hospital may...
Sentinel events need to be reported directly by hospitals so that all may learn and change, rather than waiting for them to appear as scandals in the press" (Sherman, p. 99). The JCAHO emphasizes that, "In support of its mission to improve the quality of health care provided to the public, the Joint Commission includes the review of organizations' activities in response to sentinel events in its accreditation process,
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