These are the front line defenders when an abduction happens. The quality assurance committee can then continue to monitor the policy for compliance, impact, and maintenance.
Conclusion In the end a child being abducted whether by a parent who does not have custody or by a stranger is an emotionally trying experience for any parent as well as the child.
All measures must be taken to ensure that the sentinel event does not occur again. The current issue is how to prevent child abductions within the hospital. It is during this phase that the hospital will need to ensure that every aspect of the plan is in place in a timely manner so that it can be properly evaluated.
Emotional barriers include stereotyping, fear, anger, frustration, and mistrust.
Ways to decrease the presence of barriers and improve the staff interactions include a standardized hand off report, decreasing use of jargon or slang, giving timely feedback, decreasing physical barriers and talking in person, and learning about other cultures Neusom, Ruby, n.
While there are always legal and financial issues involved when something happens to a patient to compromise their safety, care, or well being, it is important that the hospital learns from these mistakes and takes action to correct them for the future.
All staff must complete proper training regarding the new plan before it can be put into use. A security officer at a hospital has many responsibilities and depending on the needs of the hospital those duties may vary. They also will be a resource with regards to the requirements of the Joint Commission standards and be able to help identify any missteps that are resulting in non-compliance.
The development of risk management officers and committees started when lawsuits and insurance premiums began to rise. This Raft2 sentinel event may take up to two months to complete depending on the ability of the committees to get the materials needed for training as well as materials installed and dispersed.
The more data that is gathered and analyzed the better understanding and better outcome the hospital can hope for in fixing the problem. Overall quality improvement is vital to patient safety and necessary for the continued advancement and improvement of patient care.
The officer expressed concern over the delay in time of reporting the abduction when in fact, the nurse was unaware that the mother did not know the child had been discharged. They also will know budgets available for changes that need to be made to staff or security systems.
Also by having staff involved in the planning process they will be more likely to adopt the new policy and follow it, because it will make sense to them and fit into their needs for the hospital. The officer usually sits on many different committees to help with improving and maintaining staff education, competence, patient safety, and hospital management.
The administrative staff involvement will be important as they will be looking at the information from a corporate standpoint. The next nurse to receive the patient and have contact with her was the OR nurse.
During this time the committee will hear from the legal department, safety and security department, staff from all areas of the hospital, and administrative staff.
It is simply the process of making things better or improving them. After staff has been trained it is time to put the plan into action. This is one way to help identify the parents as the parents of the patient.
It is the responsibility of all staff to identify areas of concern and report to the risk management committee so that changes can be made. For the hospital a plan needs to be developed that includes the input of security, OR staff, ER staff, OB staff, radiology, and administration.
Knowledge is power and the more the staff knows the better equipped they will be to identify and handle barriers as they arise.Patient Safety Systems Chapter, Sentinel Event Policy and RCA2 The Patient Systems chapter is designed to clarify the relationship between Joint Commission accreditation and patient safety.
As the chapter states, “The ultimate purpose of The Joint Commission’s accreditation process is to enhance quality of care and patient safety.
SinceThe Joint Commission has issued sentinel event alerts in response to unexpected incidents involving death or serious physical or psychological injury (or risk thereof).
These events are identified as sentinel due to the gravity of the injury and the need for immediate investigation and response.
The goal is often to determine the root. Raft2 Sentinel Event Essay Sentinel Event: Child Abduction Description A sentinel event is defined by The Joint Commission as an event that results in unanticipated death or major loss of function not related to the natural course of a patient’s condition.
and I think it does a really nice job capturing the essence of what a Sentinel Event is, and their definition is a patient safety event not primarily related to the natural course of the patient's illness or. Although sentinel events still occur, the incidence of sentinel events has declined in most measures between andThe 10 most common sentinel events.
Wgu Aft2 Accreditation Audit Task 2 In: Business and Management Submitted By jennic7 Words Pages 12 Sentinel Event Nightingale Community Hospital recently experienced a sentinel event that involved the possible abduction of a 3 year old patient.
As defined by the Joint Commission (), a sentinel event is an unexpected.Download