The new definition will state, “Fall event – Fall resulting in any of the following: any fracture surgery, casting, or traction required consult/management or comfort care for a neurological (for example, skull fracture, subdural or intracranial hemorrhage) or internal (for example, rib fracture, small liver laceration) injury or a patient with coagulopathy who receives blood products as a result of the fall death or permanent harm as a result of injuries sustained from the fall (not from physiologic events causing the fall). The above list is consistent across all Joint Commission accreditation programs, though some of these events may be unlikely to occur in certain settings. This new definition will be more closely aligned with established guidelines from the National Database of Nursing Quality Indicators™ and the National Quality Forum. Abstract: This column focuses on the JCAHOs definition, detection and prevention of sentinel events-and the reduction of errors in general. 1 The US Joint Commission, sentinel event policy and procedures (2008) http. The Joint Commission will be defining fall events in their Sentinel Event Policy starting Januto help address the need for more preventive fall measures. Maintain patients and the publics confidence on the public healthcare system.
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