The joint commission: four key root causes loom large in sentinel event data
ED management the monthly update on emergency department management 24(6): S3-S4
2012
ISSN/ISBN: 1044-9167 PMID: 22693719 Document Number: 15458
While there are multiple contributing factors to most sentinel events, The Joint Commission (TJC) reports that four key areas — leadership, human factors, communication, and assessment — are at the root of these events with much greater frequency than other causes. This is according to data voluntarily supplied to TJC by accredited health care organizations for the years between 2004 and 2011.
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