SENTINEL EVENT HOW TO

Vocera ® software has standardized drop down boxes so you don’t have to type out full messages. Look for a communication platform that can incorporate templates and automatically attach patient, event, and care team context to calls and messages.

SENTINEL EVENT HOW TO

4 Steps to Better Hand-Off CommunicationĬollectively, TJC’s tips one, two, and five talk about determining the information that needs to be communicated, standardizing on how to communicate it, and managing how care teams send and receive communication.

In this blog, I consolidate TJC’s eight tips from the Alert into four steps and emphasize the role clinical communication and workflow technology can play in supporting patient safety during hand-offs. Sentinel Event Alert 58 is worthy of a fresh look. Hand-off communication is as critical to patient safety as it ever was, and the Alert’s guidance is as relevant today as when it was published in September 2017. hospitals and medical practices were responsible at least in part for 30 percent of all malpractice claims, resulting in 1,744 deaths and $1.7 billion in malpractice costs over five years.

The Alert cites a study which estimated that communication failures in U.S. This definition was part of TJC’s Sentinel Event Alert 58: Inadequate hand-off communication.

It is a real-time process of passing patient-specific information from one caregiver to another or from one team of caregivers to another for the purpose of ensuring the continuity and safety of the patient’s care.” “A hand-off is a transfer and acceptance of patient care responsibility achieved through effective communication. The Joint Commission (TJC) has a definition of a hand-off, and it shows the inseparable relationship between patient hand-offs and communication:

Sentinel event