Evidence-Based Paper

“A Sentinel Event is defined by The Joint Commission (TJC) as any unanticipated event in a healthcare setting resulting in death or serious physical or psychological injury to a patient or patients, not related to the natural course of the patient\’s illness.”

Two sentinel events happened in a hospital in 1 month.

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A. 50-year-old male in ICU passed away after suffering from Ventilator-associated Pneumonia. The patient was vented after surgical removal of the right lung lobe. It was post-op day #9.

B. 45-year-old female passed away from an overdose of patient-controlled analgesia (PCA). Patient was placed on PCA after laparoscopic bowel resection. It was post-op day #3.

Write a 1000 word paper on how to prevent any future such sentinel events.

SAMPLE SOLUTION

Evidence-Based Paper
Prevention of preventable errors and adverse events in healthcare is key to ensuring safe and quality and patient care. Sentinel events refer to unexpected death or loss of function not related to the natural course of the patient’s illness or underlying condition or wrong-site, wrong-procedure, wrong-patient surgery. Sentinel events signal the need for immediate investigations and response (Boltey, Yakusheva & Costa, 2017). This paper describes ways to prevent future sentinel events. The first sentinel event is the death of a 50-year-old male patient who died due to ventilator-associated pneumonia. The patient had been vented after surgical removal of the right lung lobe….

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