![]() Any occurrence that has resulted in an unanticipated death or major permanent loss of function not related to the natural course of the individual’s condition” AND the following occurrences (even if the outcome was not death or major permanent loss of function):.This subset of reviewable sentinel events as defined in the Behavioral Health Standards Manual includes the following:.There are other types of sentinel events that are not subject to review by TJC. TJC has a definition of “reviewable sentinel events”. This means that this subset of sentinel events is subject to review by TJC.Organizations are encouraged, but not required, to report sentinel events to TJC. Reporting a sentinel event to TJC is still voluntary. ![]() ![]() In addition, it’s important to be aware of the following key points related to TJC’s Sentinel Event Policy: If TJC becomes aware of the event, the organization is required to share its RCA, corrective actions, and associated measurement activities with TJC’s Office of Quality Monitoring. Since these specific types of incidents are now categorized as “reviewable sentinel events,” organizations are required to conduct a root cause analysis (RCA) if such an event occurs. The rationale for expanding the Sentinel Event Policy was to promote improved security and safety throughout the overall environment regardless of who the victim is. The specific change to the policy was that the list of “reviewable sentinel events” was expanded to include “Rape, assault (leading to death or permanent loss of function), or homicide of a staff member, licensed independent practitioner, visitor, or vendor while on site at the health care organization.” In 2013, TJC expanded its Sentinel Event Policy to include certain harmful events involving staff, visitors, or vendors that occur while these individuals are on the premises of the healthcare organization. So, the following is a recap of TJC requirements related to sentinel events. During recent consultations, we’ve noticed that some organizations haven’t updated their sentinel event policy to include all the current TJC requirements.
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