![]() ![]() The new definition will state, “Fall event – Fall resulting in any of the following: any fracture surgery, casting, or traction required consult/management or comfort care for a neurological (for example, skull fracture, subdural or intracranial hemorrhage) or internal (for example, rib fracture, small liver laceration) injury or a patient with coagulopathy who receives blood products as a result of the fall death or permanent harm as a result of injuries sustained from the fall (not from physiologic events causing the fall). An event can also be considered sentinel event even if the outcome was not death, permanent harm, severe temporary. The purpose is to help organizations understand whether a fall qualifies for review as a sentinel event. TJC is now including a definition for fall events in their Sentinel Event Policy. ![]() This new definition will be more closely aligned with established guidelines from the National Database of Nursing Quality Indicators™ and the National Quality Forum. The Sentinel Event Policy explains how Joint Commission International partners with health care organizations that have experienced a serious patient safety event to protect the patient, improve systems, and prevent further harm. Sentinel Event Definition Includes Falls. ![]() The Joint Commission will be defining fall events in their Sentinel Event Policy starting Januto help address the need for more preventive fall measures. ![]()
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