The number of sentinel events in hospitals in the United States increased by 19% from 2021 to 2022, on the basis of new data.
Reporting sentinel events to The Joint Commission began in 1996 as a way to help healthcare organizations improve safety. The annual review is based on an aggregate database of reports analyzed each year, according to the review authors.as a patient safety event that reaches a patient and results in death, permanent harm , or severe harm .
A total of 1441 sentinel events were reported in 2022. Patient falls accounted for the majority of these events, continuing a trend in increasing rates of patient falls from previous years. Falls considered sentinel events were those resulting in any fracture, surgery, casting, or traction, consultation or comfort care for neurologic or internal injury, the need for blood products, or death or permanent harm as a result of injuries sustained in the fall.
Most of the events occurred in hospital settings; of these, the most common were falls followed by the retention of foreign objects and incorrect surgeries . Overall, 90% of sentinel events were reported by the healthcare organizations; the remaining 10% were reported by patients, families, or employees .
Kaafarani said that The Joint Commission was not surprised by the type of sentinel events reported, which has remained consistent with previous years.
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