![]() ![]() Patient death or serious injury associated with the use of contaminated drugs, devices, or biologics provided by the healthcare settingĢB. ![]() Intraoperative or immediately postoperative/postprocedure death in an ASA Class 1 patientĢA. Unintended retention of a foreign object in a patient after surgery or other invasive procedureġE. Wrong surgical or other invasive procedure performed on a patientġD. Surgery or other invasive procedure performed on the wrong patientġC. Surgery or other invasive procedure performed on the wrong siteġB. Any intrapartum (related to the birth process) maternal death or severe maternal morbidity, Additionally, a SE includes any item on the following National Quality Forum Serious Reportable Event (SRE) List (if not already covered by TJC list above):ġA.Fire, flame, or unanticipated smoke, heat, or flashes occurring during an episode of patient care.Prolonged fluoroscopy with cumulative dose >1,500 rads to a single field or any delivery of radiotherapy to the wrong body region or >25% above the planned radiotherapy dose.Severe neonatal hyperbilirubinemia (bilirubin >30 milligrams/deciliter).Unintended retention of a foreign object in a patient after an invasive procedure, including surgery.Invasive procedure, including surgery, on the wrong patient, at the wrong site, or that is the wrong (unintended) procedure (Invasive procedures, including surgery, on the wrong patient, or at the wrong site, or that is the wrong procedure, are reviewable under the policy, regardless of the type of the procedure or the magnitude of the outcome.).* Any staff-witnessed sexual contact as described above * Admission by the perpetrator that sexual contact, as described above, occurred on the premises * Sufficient clinical evidence obtained by the hospital to support allegations of unconsented sexual contact One or more of the following must be present to determine that it is a sentinel event: Rape, assault (leading to death, permanent harm, or severe temporary harm), or homicide of any patient receiving care, treatment, and services while on site at the hospital [Sexual abuse/assault (including rape) as a sentinel event is defined as nonconsensual sexual contact involving a patient and another patient, staff member, or other perpetrator while being treated or on the premises of the hospital, including oral, vaginal, or anal penetration or fondling of the patient’s sex organ(s) by another individual’s hand, sex organ, or object.Hemolytic transfusion reaction involving administration of blood or blood products having major blood group incompatibilities (ABO, Rh, other blood groups).Any elopement (that is, unauthorized departure) of a patient from a staffed around-the- clock care setting (including the ED), leading to death, permanent harm, or severe temporary harm to the patient.Abduction of any patient receiving care, treatment, and services.Discharge of an infant to the wrong family. ![]()
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