Almost 8,000 total sentinel events have been reported to TJC since 1995. The majority of reports were submitted by hospitals (64%), 62% of the total reports resulted in patient death, and the most prevalent types of events reported through this voluntary reporting system are wrong-patient, wrong-site, or wrong-procedure, and unintended retention of a foreign body. Leadership, human factors and communication were identified as the most frequently identified root cause of such events.
Search our site
Interested in email updates?
Follow us on social media
Be a Safety Sponsor!
Patient Safety Organization (PSO) Services
EMS Patient Safety Organization (EMS PSO) Services
Survey on Patient Safety
Missouri HEN (#mohen)
Interested in learning more about any of our patient safety services?