Policy Manual sample

MDT Home Health Care Agency, Inc. SENTINEL EVENT CRITERIA: The event has resulted in an unanticipated death or major permanent loss of function, not related to the natural course of the patient’s illness or underlying condition. The event is one of the following (even if the outcome was not death or major permanent loss of function unrelated to the natural course of the patient's illness or underlying condition): • Unexpected death, including suicide of patient • Any act of violence • A serious injury • Psychological injury • Significant adverse drug reaction • Significant medication error • Other undesirable outcomes as defined by the HHA • Adverse patient care outcomes • Patient injury, (witnessed and un-witnessed) including falls Also, we considered: • All identified cases of unanticipated death or permanent loss of function associated with a healthcare related infection • Suicide of a patient in a setting where the patient receives care • Unanticipated death of full term infant • Infant or child abduction or discharge to the wrong family • Rape (by family, other patient, visitor or staff) • Hemolytic transfusion reaction involving administration of blood or blood products having major blood group incompatibilities Home Health Agency Nursing Manual J-68