Tool/Toolkit
CRP resource or tool (e.g. CANDOR)

Web resource/Digital Article
General website that contains CRP related information, may be non-specific or general or mixed resources on a website. Article published on-line. Not available as paper version.

TJC Patient Safety Systems Chapter, Sentinel Event Policy and RCA2

Decription

The Joint Commission published three reports that address patient care and reducing risks of adverse health outcomes: the Patient Safety Systems , Sentinel Event Policy, and RCA2. The Patient Safety Systems report explains how healthcare professionals can develop effective measures to promote patient safety and compassion towards coworkers. The Sentinel Event Policy report details how the Joint Commission collaborates with healthcare institutions to promote patient safety and improve systems that reduce the risk of adverse incidents. The RCA2: Improving Root Cause Analyses and Actions to Prevent Harm report illustrates strategies that institutions or individuals can utilize to analyze the hazards and faults in their systems to they can effectively prevent future adverse medical outcomes.

Citation

Sentinel Event | Joint Commission. (n.d.). Retrieved April 20, 2019, from http://www.jointcommission.org/sentinel_event.aspx

Types

Tool/Toolkit, Web resource/Digital Article

Topics

Action Plans & Improvement, Adverse Events & Analysis, Culture

Attributes

Best Practice, Recommended