What are the Top Root Causes of Surgical Sentinel Events?

The following are the most common root causes between 2004 and 2013 for operative and postoperative complications, unintended retention of foreign objects and wrong-patient, wrong-site wrong-procedure sentinel events as reviewed by The Joint Commission. Sentinel events often have more than one cause, according to the data.

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Ellie Rizzo

Op/post-op complications:

Human factors — 62 percent

Communication — 53 percent
Assessment — 49 percent

Leadership — 40 percent

For a full list of top root causes for perioperative complications, object retention and wrong-surgeries, continue reading on Becker’s Hospital Review.

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At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.

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Is ambulatory care healthcare’s big margin engine? 4 leaders weigh in

Wednesday, July 29
1:00 PM - 2:00 PM CDT

Presenters: Joe Ganley, athenahealthJeffrey Flynn, CASC, Gramercy Surgery CenterBryan Tsao, Access Center, Loma Linda University HealthJason Zepeda, Northridge Hospital Medical Center, CommonSpirit HealthGreg DeConciliis, PA-C, CASC, Boston Out­Patient Surgical Suites

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