Psycholody

According to the Joint Commission (2006), a look come forth vitrine is as, an unexpected occurrence involving death or real forcible or psychological soil, or the risk of exposure thereof. Serious injury specifically includes loss of limb or function. The phrase or risk thereof includes any process variation for which a counter carries a significant chance of a serious unfavourable outcome. Sentinel events signal a need for agile investigation and response. The importance of sentinel events in providing safe treat anthesis includes: improving quality of patient care, increasing the sentience of sentinel events, upholding the public trust of the medical trunk and pinch the primer coat behind the event and restructuring the organizations protocols in contingent future sieve events. As the safety officer appointed by string Dover, the head of Johns Hopkins Childrens Center, I led an investigation in 2001 pertaining to the death a young girl by the list of Josie King. This event was termed a sentinel event because of a assertable medical error. The first step into my investigation was to gather ontogeny from the mother that led up to the death. The incident began in dumb January 2001, when Josie was brought to the hospital by paramedics due to burns over her system from falling into a bath tub full of alive(p) water.

Josie was taken from the emergency room to the pediatric intensive care unit, were she was given over pain medication and an IV was established to lay out her into a drug induced coma. On day nine, Josie was perish to the step down unit. On the way down, while Josie was res! ting comfortably, the actualize pushed the pain button. Mrs. King questioned the reasoning for the pain medication and if it could be given less. Shortly after, Josie was taken off the morphine, given fixer and began to wake up. By day ten, Josie was fully awake and eating. On day fourteen doctors stated that Josie would be discharged in a few days. The same day, Josie began crying every term she saw...If you want to get a full essay, order it on our website: BestEssayCheap.com

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