Sentinel Event Statistics 1995–2015.
The Joint Commission.
This Web site provides sentinel event data reported to The Joint Commission, which includes information on 764 sentinel events reported in 2014. Unintended retained foreign objects were the most frequently submitted incidents in this time period. The data and graphs are updated quarterly and include specific analysis associated with event type by year and root causes by event type from 1995–2nd quarter 2015.
Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units.
Carayon P, Wetterneck TB, Cartmill R, et al. BMJ Qual Saf. 2014;23:56-65.
Interventions to reduce pediatric medication errors: a systematic review.
Rinke ML, Bundy DG, Velasquez CA, et al. Pediatrics. 2014;134:338-360.
How context affects electronic health record–based test result follow-up: a mixed-methods evaluation.
Menon S, Smith MW, Sittig DF, et al. BMJ Open. 2014;4:e005985.
STUDYView all related resources...
Laboratory medicine handoff gaps experienced by primary care practices: a report from the Shared Networks of Collaborative Ambulatory Practices and Partners (SNOCAP).
West DR, James KA, Fernald DH, Zelie C, Smith ML, Raab SS. J Am Board Fam Med. 2014;27:796-803.