Human Factors and Sentinel Events: Death and Permanent Loss
Human Factors - Sentinel Events: Death and Permanent Loss The Joint Commission on Healthcare Accreditation just released its latest findings on Sentinel Events. Here at CCG we always make sure to study the results and attempt to determine how these results can impact and improve our training curriculum to better serve our clients. In the latest data reported, there was information provided purporting how "Human Factors" resulted in death or loss of function as they were considered a "root cause". The JC defined "Human Factors" as: "Staffing levels, staffing skill mix, staff orientation, in-service education, competency assessment, staff supervision, resident supervision, [...]