Sentinel event

Instructions:
Research Sentinel Events in nursing, including but not limited to The Joint Commission Websites:

The Joint Commission (Links to an external site.)

Select a specific sentinel event that has taken place and is documented on The Joint Commission site. Your account of the event should be as realistic as possible, as if it actually happened in your hospital or health care setting – OR – choose one from your own experience and describe the event as it happened or likely happened.

As the department leader, you will be responsible for creating a fishbone diagram & a plan of corrective action to satisfy The Joint Commission, and to prevent future sentinel events.

Write a page paper that explores the sentinel event, analysis of causes, develops a plan of corrective action, and proposes future evaluation of the plan.

Conduct a literature review that informs a plan for corrective action.
Citations are required for all information that is “not common knowledge”