Question.3838 - Executive Summary to CEO[WLOs: 1, 2, 3] [CLOs: 1, 2, 3, 4, 5]Prior to beginning work on this assignment, Read the Writing Center Writing an Executive SummaryLinks to an external site. webpage. Read the CMHA-CEI Policies and Procedures Manual: 1.1.13, Sentinel Events Download CMHA-CEI Policies and Procedures Manual: 1.1.13, Sentinel Events. Read the Continuous Quality Improvement (CQI) Strategies to Optimize Your PracticeLinks to an external site. resource. Read the Medical Errors Nursing CE CourseLinks to an external site. webpage. Read the QUERI – Quality Enhancement Research Initiative: QUERI Implementation Roadmap Download QUERI – Quality Enhancement Research Initiative: QUERI Implementation Roadmapresource. Read the Sentinel Events CY2018: Annual Report to the Maine State LegislatureLinks to an external site.. Read the Six Steps for Successful Incident InvestigationLinks to an external site. webpage. Read the Tools: Cause and Effect DiagramLinks to an external site. website. Watch the following videos that describe the details included in a Fishbone Diagram Whiteboard: Cause and Effect DiagramLinks to an external site. , by Institute of Healthcare Improvement Quality (Part 2: Ishikawa Diagram)Links to an external site. , by Infinity MFG Read the Using Quality Improvement Methods for Evaluating Health CareLinks to an external site. article. For this written assignment, you will prepare an executive summary for the CEO using the same sentinel event addressed earlier in the course. This report will be prepared for the CEO of the organization where the sentinel event occurred. The CEO is then required to provide details from the executive summary to the Board of Trustees and other stakeholders in the organization to identify the next steps of managing the sentinel event.Managing a sentinel event usually consists of the following steps: immediate action, planning the investigation, data collection, data analysis, corrective action plan, and reporting to accreditation agencies. For this assignment, first, review details from the Week 2 and Week 3 discussions, including responses from peers, as well as instructor gradebook feedback. Then, you will focus on the parts below to develop a cohesive plan to address the sentinel event. Address the following in the Executive Summary to CEO template Download Executive Summary to CEO template.Part 1: The Sentinel Event Summarize the facts related to the sentinel event: Description of the event Staff involved Discuss the timeline events from initiation of the error through the resolution (will vary depending upon the sentinel event): When and/or where did the error occur? When was it detected? When was it reported and to whom? Evaluate procedural errors: Identify the point in time when the error should have been detected before it occurred. What part of the process or procedure was missed that contributed to the sentinel event? Analyze accreditation agency (e.g., OSHA, ACHA, CMS, CDC, CLIA, TJC, AHCA, state agencies) requirements: Identify which agency(s) would be involved Define the agency’s purpose Discuss the agency’s reporting expectations based on the incident Part 2: Root Cause Analysis: Fishbone Diagram Create a fishbone diagram Download fishbone diagram. You will be responsible for creating the CQI Tool (fishbone), completing the tool, copying or taking a screenshot of the completed work, and pasting the completed fishbone diagram into the final document. If you are unfamiliar with the fishbone, please refer to the Using Quality Improvement Methods for Evaluating Health CareLinks to an external site. article by Siriwardena (2009). In addition, as a learning resource, the CQI tool listed below is hyperlinked to the Institute for Health Care Improvement website, which discusses and illustrates an example of the Fishbone. Tools: Cause and Effect DiagramLinks to an external site. Part 3: Root Cause Analysis Report Create a root cause analysis. Identify the data you would collect to determine the cause. Give your rationale for choosing the data. Identify the probable cause, which may include a process failure, human error, cultural biases, policy error, systems error, technology failure, etc., that may have contributed to the sentinel event. Consider the following as applicable to your chosen event as you complete this segment: What human factors were relevant to the outcome? What process errors were relevant to the outcome? Were there any steps in the process that did not occur as intended? How did the equipment performance affect the outcome? What are the other areas in the health care organization where this could happen? Did staff performance during the event meet the expectations? Develop a corrective action plan that is geared towards eliminating future events. Explain the steps of implementing the corrective action plan. Consider the following in developing your response to this component: Identify risk reduction strategies Improvement of processes or systems Communication barriers—for example, discuss the communication breakdown that might have contributed to the sentinel event, or what barriers may have occurred to cause the breakdown in communication (e.g., residual intimidation, reluctance to report a coworker, missing information at time of transition of care, etc.). Training (e.g., orientation, professional development, cultural competency, skills training, in-service) Equipment (e.g., technology, maintenance, and updates) Policies and procedures (e.g., new or revised) Describe the monitoring process that will be used to evaluate the success of the corrective action plan. Analyze the components that may require the reallocation of budgetary resources. Consider the following as applicable to your sentinel event: Legal action Public relations (reputation leading to decreased revenue) Equipment and supplies Training and education Patient-centered communication methods (e.g., informed consent, procedural education, patient involvement [identify or mark the location of the surgical site]) Staffing (e.g., reallocating staff, role responsibilities, hiring temporary or permanent staff) Paper requirements:The Executive Summary to CEO capstone assignment Must be a minimum of 10 double-spaced pages in length (not including title and references pages) and formatted according to APA StyleLinks to an external site. as outlined in the Writing Center’s APA Formatting for Microsoft WordLinks to an external site. resource. Must include a separate title page with the following: Title of paper Student’s name University of Arizona Global Campus Course name and number Instructor’s name Date submitted Must utilize academic voice. See the Academic Voice
Answer Below:
Introduction xxxx assignment xxxx be xxxxx on xxx evaluation xxx exploration xx sentinel xxxxxx that xxxxxxxx in xxx healthcare xxxxxxxxxxx Based xx this xxxxxxxx root xxxxx analysis xxxxxxx the xxxxxxxx diagram xxx its xxxxxx evaluation xxxxx be xxxxxxx could xxxxxxxxx the xxxxxxxx causes xxxxx areas xx risk xxx staff xxxxxxxxxxx evaluation xx nexus xxxx this x sentinel xxxxx is xxxxxxxx as xx unanticipated xxxxx within xxx healthcare xxxxxxx that xxxxxxx either xxxxx or xxxxxxx physical xx psychological xxxxxx to xxx patient xxx instance x sentinel xxxxx is xxxxxxxx by xxxxxxxx including xxx wrong-site xxxxxxx medication xxxxx delay xx treatment xxxxxxx fall xxxxxxx death xx injury xx restraints xxxxxxxxxxx error xxx many xxxx that xxxxx be xxxxxxxxx through xxxx assignment xxxx The xxxxxxxx EventIn xxxx sentinel xxxxx A xxxxxxx had xxxx affected xx a xxxxxxxxxxx central xxxxxx catheter xxx insertion xxx to x nosocomial xxxxxxxxx His xxxxxx was xxxxxxxx by xxx sentinel xxxxx which xxx to xxxxxxx repercussions xxxxxxxxx organ xxxxxx sepsis xxx extended xxxxxxxxxxxxxxx The xxxxxxx s xxxxxx had xxxx even xxxxxxxx socially xxxxxxxxxxx and xxxxxxxxxxx in xxxxxxxx to xxxxx physical xxxxxxxxx In xxxxxxxxxxxxx of xxxx sentinel xxxxx hence xx is xxxxxxxxx to xxxxx on xxx treatment xxx prevention xx such xxxxxxxxx in xxx future xxxxxxxxxxx of xxx Event xxx incorrect xxxxxxxxx of x CVC x frequent xxx invasive xxxxxxxxx used xx give xxxxxxxxxx fluids xx blood xxxxxxx was xxx sentinel xxxxx In xxxxx to xxxxx infections xxx operation xxxxxxxxxxxx rigorous xxxxxxxxx to xxxxxxx methods xx this xxxxxxxx the xxxxxxxxxxxx was xxxxxxx out xxxxxxx following xxx correct xxxxxxxxxxxxx procedures x nosocomial xxxxxxxxx results xxxx the xxxxxxxxxxxx of xxxxx into xxx patient x circulation xxxxxxx side xxxxxxx from xxx illness xxxxxxxx fever xxx blood xxxxxxxx and xx increased xxxxx blood xxxx count xxx of xxxxx were xxxxx of xxxxxx In xxxxx to xxxxxxx the xxxxxxxxx and xxxx future xxxxxxxxx the xxxxxxxxx necessitated xxxxxxxxx medical xxxxxxxxxxxx including xxxxxxxxxx care xxx antibiotics xxxx sentinel xxxxx could xxxx to xxxxxxx issues xxx only xxx the xxxxxxx but xxxx for xxx families xxxx where x hike xx medical xxxxxxxx a xxxxxx hospital xxxx and xxxxxxxxx concern xxxxxxxx of xxxxxxxxxxxxxxx The xxx or xxxxxxx venous xxxxxxxx was xxxxxx without xxxxxxxxx the xxxxxxxxx sterile xxxxxxxxxx Various xxxxxxx such xx the xxxxx workload xxxxxxxxxx training xx a xxxxxxxxx for xxxxxxxx occurred xxxxxx a xxxxxx of xxxxxxx or xxxxxxxxx preparation xxxxxxxxx After xx days xx the xxxxxxxx the xxxxxxxxx was xxxxxxxxx the xxxxxxxx event xxx detected xxxx occurred xxxxx the xxxxxxx exhibited xxxxx of x bloodstream xxxxxxxxx including xxxxx chills xxx a xxxx in xxxxx pressure xxxxxxxxx The xxxxxxxxx control xxxx at xxx healthcare xxxxxxxxxxxx and xxx attending xxxxxxxxx had xxxx notified xx the xxxxxxxx incident xxxx the xxxxxxxxxxxxxx of xxxxxxxxx and xxxxxx After xxxx the xxxxxx was xxxxxxxxx to xxx quality xxxxxxxxx division xxx more xxxxxxxxxxx and xxxxxxxx As xx is xxxxxxxxx for xxx sentinel xxxxx impacting xxxxxxx safety xxx incident xxx also xxxxxxxx in xxx hospital x internal xxxxxxxxx system xxxxxxxxxx Efforts xxxxxxxxx the xxxxxxx s xxxxxxxxx was xxxxxxxxxx with xxxxxxxxxx care xxx antibiotic xxxxxxx The xxxxxxxx started x formal xxxxx into xxx event x underlying xxxxxx after xxxxxxxxxxxxx in xxxxx to xxxx it xxxx happening xxxxx Procedural xxxxxx Examining xxxxxxxxxx mistakes xx essential xx comprehend xxx the xxxxxxxx event xxxxxxxxxx The xxxx problem xx this xxxxxxxx was xxxx the xxx insertion xxx not xxxx using xxxxxxx methods xxxxx are xxxxxxx reasons xxx this xxxxxxx including xxxxxx detection xxxxxx deviations xxxx protocol xxx issues xx maintaining xxxxxxx equipment xxxxxxxxx Apart xxxx this xxxxxxx gaps xxx even xxxxxxxxxx with xxxxxxx contributing xx the xxxxxxxxx in xxxxxxxx adherence xxxxxxxxx training xxxxxxxxxxxx staffing xxxxxx and xxxxxxxxx issues xxxxxxxxxxxxx Agency xxxxxxxxxxxx Guidelines xxx handling xxxxxxxx incidents xxx available xxxx several xxxxxxxxxx and xxxxxxxxxxx organizations xxxxx organizations xxxx as xxx Joint xxxxxxxxxx Centers xxx Medicare xxxxxxxx Services xxx and xxxxx Health xxxxxxxxxxx set xxxxxxxxxx for xxxxxxxxx prevention xxxxxxx enhancement xxx healthcare xxxxxx The xxxxx Commission xxx is xx organization xx the xx based xx the xxxxxxxx of xxxxxxxx sentinel xxxxxx to xxxxxxx patient xxxxxx and xxxxxxxxxx quality xxxx the xxxxxxxxxxx of xxxxxxxx healthcare xxxxxxxxxxxx through xxxxxxxxxxxxx and xxxxxxxxxxxxx The xxxxx Commission x d xxxx organization xxxxxxx on x comprehensive xxxx cause xxxxxxxx of xxx sentinel xxxxx where xxx execution xx a xxxxxxxx action xxxx and xxxxxxxxxx monitoring xxxxxxxxx of xxx problem xxxx not xxxxxx Centers xxx Medicare xxxxxxxx Services xxx The xxx is xxx federal xxxxxx in xxx US xxxx provides xxxxxx coverage xx it xxxxx in xxxxxxxxxxx with xxx entire xxxxxxxxxx community xxx the xxxxxxxxxxx of xxxxxxx service xxxxxx and xxxxxxxx in xxx healthcare xxxxxx CMS x d xxxxxxx for xxxxxxx Control xxx Prevention xxx The xxx has xxxx a xxxxxxxxxx agency xxxx focuses xx developing xxxxxxxxxx against xxx prevention xx infection xxx control xx healthcare xxxxxxxx Similarly xxx planning xxx the xxxxxxxxxx of xxxxxxxx events xx based xx the xxxxxxxxxxxx system xxxxx SENSOR xxxxxxx cooperative xxxxxxxxx funding xxx technical xxxxxxx to xxx state xxxxxx department xxx maintaining xxxxxxxxxx organizations xxx Part xxxx Cause xxxxxxxx Fishbone xxxxxxxxxxxxx Fishbone xxxxxxxxxxx Root xxxxx Analysis xxxxxxxxxx Collection xx order xx determine xxx cause xx this xxxxxxxx event xxxx collection xx highly xxxxxxxxx where xx could xx collected xxxxxxx incident xxxxxxx staff xxxxxxxxxx patient xxxxxxx and xxxxxxxxx logs xxxx could xxxxxxx insights xxxx procedural xxxxxxxxxx equipment xxxxxxxxxxx and xxxxx behavior xxxx will xxxxx a xxxxxxxx analysis xx the xxxxxxxx event x root xxxxxx In xxxx scenario xxxxxxxx reports xxxx the xxxxxxxxx of xxxxxxxxxx steps xxxxxxxxx involved xxx any xxxxxxxxxx from xxxxxxxx practices xxx lead xx such x sentinel xxxxx Apart xxxx this xxxx could xx collected xxxxxxx pre-procedure xxxxxxxxxx and xxxxxxxxxx supervision xx the xxxxxx staff xxxxxxx In xxxx scenario xxxxxxxxx maintenance xxxxxxxxx for xxxxxxxxxxxxx equipment xxxxx have xxx to xxxxxxxx sterilization xx the xxxxxxxxxxx However xxxx this xxxxxxxx from xxx accreditation xxxxxx requirements xxxxxx evaluation xx essential xxxx may xxxx contributed xx inconsistent xxxxxxxxx and xxxxx required xxxxxxxxxx of xxxxxxxx through xxxxxxxxx prevention xxx control xxxxxxxx Causes xxxx the xxxxxxxx event xx could xx evaluated xxxx several xxxxxxx including xxxxx error xxxxxxx failure xxxxxxxxx maintenance xxxxxx and xxxxxx gaps xxx lead xx the xxxxx of xxxxxxxxxx infection xxxxxx suggested xxxx a xxxxxxxx root xxxxx analysis xx the xxxxx or xxxxxxxxx of x sentinel xxxxx is xxxxxxxxx and xx recent xxxxxxx considerable xxxxxxx have xxxx applied xx improving xxxxxxx safety xx nexus xxxx this x root xxxxx analysis xxxxxxxxx focuses xx evaluating xxx inquiry xxx determining xxx cause xxxxxxx to xxxxxx as x primary xxxx and xxxxxxxxxxxxx priority xxxxx on xxxx scenario xx this xxxxxxxx event xx has xxxx evident xxxx a xxxxxxxxx from xxx established xxxxxxx protocol xxxxxx due xx a xxxx of xxxxxxxxxxx training xx a xxxxx in xxx judgment xxx have xxx to xxx issue xx the xxxxx hand xxxxxxxx evaluation xxxxx lack xx adequate xxxxxxxxxxx of xxxxxx staff xxxxxxx while xxxxx a xxx that xx essential xxx transfusion xxxxxxxxxx and xxxxx treatments xxxxxxxxx a xxxxxx gap xxxxx be xxx of xxx major xxxxxxx as xxxxxxxx policies xx infection xxxxxxx and xxxxxxxxxx may xxxxxxxxxx to xxxxxxxxxxxx practices xx this xxxxxxxx both xxx TJC xxx CMS xxxxx on xxxxxxxxxx measures xxxx can xxxxxxx the xxxxxxxxxxxx factors xx preventing xxxxxx incidents xxx n x Other xxxxx at xxxx Apart xxxx the xxxxx of xxxxx errors xxxxxxx failure xxxxxxxxx maintenance xxxxxx and xxxxxx gaps xxxxx issues xxx even xxxxxx the xxxx of xxxxxxx events xx the xxxxxxxxxx institution xxx instance xxxxxx surgical xxxxxxxxxxxxx anesthetic xxxxxx and xxxxx systemic xxxxxx may xxxxx such xxxxxxxx convictions xx a xxxxxxxx event xxxxxx Pollock xxxx it xx crucial xx evaluate xxxx any xxxxxxxxxxxx adherence xx the xxxxxxx protocol xxxxx be xxxxx to xxxx errors xxxxxxx to xxxxxxxx events xxxx in xxx sentinel xxxxxx event xxxxxxxxxx may xxxxxxx the xxxxxxx for xxxxxxxxxxxxx or xxxxxxxxxx hygiene xxxxxxx or xxxxx as x warning xxxxxx including xxxxxxxxx substitution xxxxxxxxxxx control xxxxxxxx protection xx medical xxxx may xx required xxxxxxxx et xx These xxxxx sets xx probable xxxxxx hence xxxxxx the xxxxxx of xxxxxxxx health xxxxxx with xxx conditions xxxx may xxxxxx the xxxxxxx in xxxxxxxxx damage xx even xxxxx Staff xxxxxxxxxxx Evaluation xx order xx evaluate xxx overall xxxx cause xx any xxxxxxx or xxxxxxxx health xxxxx it xx essential xx focus xx evaluating xxxxx performance xxxx revealed xxxxxxxxxx from xxxxxxxx behaviors xxxx as xxxxxxxxxxx documents xxxxxxx protocols xxx other xxxxxx management xxxxx has xxxx a xxxx for xxxxxxxx training xxxxxxxxxxx best xxxxxxxxx and xxxxxxxxx adherence xx safety xxxxxxxxx Part xxxxxxxxxx Action xxxxxxxxx to xxxxxxxxx Future xxxxxx According xx the xxx the xxxxxxxxxxx of xxxxxxxx events xx future xxxxxx requires x notification xxxxxx for xxxxxxxxxxxx risk xxxxxxxx that xxxx been xxxxx on xxxxxxxx and xxxxxxxxxxx occupational xxxxxxx and xxxxxx surveillance xxxxxxxx within xxxxx health xxxxxxxxxxx Similarly xxx even xxxxxxx on xxx development xx careful xxxxxxxxxxxxx and xxxxxxxx of xxxxxxx safety xxxxxx as xxxx as xx focuses xx evaluating xxxxxxxxxx actions xxxx could xx essential xxx reducing xxxx and xxxxxxxxxx patient xxxx In xxxxx with xxxx the xxxxxxxxxxxxxx of xxxxxxxxxxxx failures xxx risk xxxxxxx that xxxx to xx adverse xxxxx could xx developed xx prevent xxxxxxx errors xxxx based xx the xxxxxxxx and xxxxxxxxxxxxx organization xxxxxxxxxx strategies xxx eliminating xxxxxx events xxxxxxx process xxxxxxxxxxxx enhanced xxxxxxxx programs xxxxxxxxx upgrades xxxxxx updates xxx communication xxxxxxxxxxxx Gn xxxxxx et xx In xxxxx with xxxx process xxxxxxxxxxxx should xx based xx the xxxxxxxxxxx application xxx understanding xx standardization xx sterile xxxxxxxxxx enhanced xxxxxxxxxxxxx verification xxx post-procedure xxxxxxxxxx protocols xxxx could xxxxxxxxxx monitoring xxxxxxxxx ensuring xxx signs xx infection xxxx detection xxx reporting xxxxxxxx with xxxxx escalation xxxxxxxxxx for xxxxxxxxx follow-up xxxxxxxxx for xxx healthcare xxxxxxxxxxx a xxxxxxxx program xxxxx be xxxxxxxx through xxxxxxxxxxxxxxxx training xxx leadership xxxxxxxx for xxxxxxxxxxx that xxxxx provide xxxxxxxx training xxx clinical xxxxxxxxxxx On xxx other xxxx equipment xxx system xxxxxxx would xx based xx establishing x regular xxxxxxxxxxx schedule xxx all xxxxxxxxxxxxx and xxxxxxx equipment xxxx during xxxxxxxx procedures xxxx as xxx CVC xxxxxxxxxxx these xxxxxxxxxx it xx essential xx focus xx policy xxxxxxxx including xxxxxxxx infection xxxxxxx policies xxxx as xxxxxx developed xx the xxx and xxx new xxxx of xxxxxxxx health xxxxxx by xxx Joint xxxxxxxxxx CDC x d xxxxxxx it xx essential xx every xxxx to xxxxxxxx the xxxxxxxx of xxxxxxxxxxxxx barriers xxxx may xxxxxx healthcare xxxxxxxxxx Here xxxxxxxxxxxxx management xxxxx be xxxxxxxxxxxx by xxxxxxxxxxx a xxxxxx culture xxxxxxxxx reporting xxxxxxxx and xxxxxxxxxxxxxxxxx team xxxxxxxx reviewing xxxxxxxxxx and xxxxxxx insights xxxxxxxxxxxxxx Steps xxxxxx Month xxxxxx Description xxxxxxxx month xx this xxxxx it xxxxx be xxxxxxxxx for xxx healthcare xxxxxxx to xxxxx on xxxxxxxxxx a xxxxxxxxxx action xxxx implementation xxxx developing x detailed xxxxxxx timeline xxx implementing xxxx corrective xxxxxxx and xxxxxxxxx responsibilities xx relevant xxxx members xxxxxxxx and xxxxxx Rollout x months xxxx rolling xxx new xxxxxxxx programs xxx beginning xxxxxxxxx sessions xxx clinical xxxxx Here xx would xx essential xx focus xx updating xxx infection xxxxxxx policy xxx training xxx individual xxxxx accordingly xxxxxxxxx upgrades xxx process xxxxxxx - xxxxxx Here xxxxxxxxxxx the xxxxxxxx and xxxxxx scenario xxxxxxxxx should xx upgraded xxx processes xxxxxxx appropriate xxxxxxx by xxxxxxxxxx new xxxxxxxxxxxxx equipment xxx training xxx staff xxxxxxxxxxx Monitoring xxx adjusting x months xxxxxxxxxxx all xxx overall xxxxx the xxxxx approach xxxxxx be xxxxx on xxxxxxxxxx regular xxxxxx and xxxxxxxxxxx for xxxxxxxxxx adherence xx the xxx protocols xx making xxxxxxxxx changes xxxxx Implementation xxxx stepsMonitoring xxx Evaluation xxxxxxx evaluated xxxxxxxx and xxxxxxxxxx any xxxxxxxx events xxxxx on xxx five xxxxxx of xxxxxxxx measuring xxxxxxxxx improving xxx controlling xxx future xxxxx In xxxxx with xxxx to xxxxxx the xxxxxxxxxxxxx of xxx corrective xxxxxx plan xxx following xxxxxxx could xx applied xx continuous xxxxxxxxxx and xxxxxxxxxx including xxxxxxxx tracking xxxxxxx audits xxx spot xxxxxx staff xxxxxxxxxx assessments xxxxxxxx collection xxx outcome xxxxxxx and xxxxxxxxx By xxx implementation xx this xxxxxxxxxx action xxxx the xxxxxxxxxxxx aims xx significantly xxxxxx the xxxx of xxxxxx sentinel xxxxxx and xxxxxxx overall xxxxxxx safety xxxx Budgetary xxxxxxxxxxxxxxxxx following xxxxxxxx outlines xxx budgetary xxxxxxxxxxxx for xxx implementation xx the xxxxxxxxxx action xxxx and xxxxxxxx the xxxxxxxxx impact xx sentinel xxxxxx events xxxx the xxxxxxxx allocation xxxxx to xx broken xxxx considering xxx vision xx legal xxxxxxx managing xxx sentinel xxxxxx events xxx insurance xx the xxxxxxxx patient xxxxxx relations xxxxxxxxx upgrades xxxxxxxx patient xxxxxxxxxxxxx and xxxxxxxx Apart xxxx this xxxxxx planning xxx reducing xxx risk xx sentinel xxxxxx events xxxxx to xx even xxxxxxx in xxxx budget xxxxxx allocation xxxxx in xxx Legal xxxxxxx and xxxxxxxxx costs xxxxxx relations xxx reputation xxxxxxxxxx Equipment xxxxxxxx and xxxxxxxxxxx Training xxx Staff xxxxxxxxxxx Patient xxxxxxxxxxxxx and xxxxxxx Staffing xxxxxxxxxxxxx and xxxxxxx Monitoring xxx evaluation xxxxx Contingency xxxx Total xxxxx BudgetConclusion xx can xx hence xxxxxxxxx that xxxxxxxx sentinel xxxxxx events xxxxx require xxxxxxxxxxx evaluation xxx management xx prevent xxx overall xxxxx of xxx patient xxx in xxxxxx issues xxxxxxxxx ramifications xxxx be xxxxxxxxx considered xxxx managing xxx sentinel xxxxxxx effects xxx putting x corrective xxxxxx plan xxxx motion xx order xx pay xxx legal xxxxxxx public xxxxxxxxx equipment xxxxxxxx training xxxxxxx communication xxx staffing xxx organization xxxx wisely xxxxx its xxxxxxxxx Maintaining xxx organization's xxxxxxxxx and xxxxxxxxxx requires xxxxxxxx a xxxxxxx between xxxxxxxxxx financial xxxxxxx and xxxxxxxxx investments xx safety xxx quality xxxxxxxxxxx ReferencesAbout xxx CMS x d xxxxx www xxx gov xxxxxxxxxxxx CDC x NIOSH xxxxxx health xxxxxx CDC xxx https xxxx cdc xxx NIOSH-WHC xxxxxx sensorGn xxxxxx M xxxxx D xxxxxx L xxxxx M x Staehelin x Zoller x Ceschi x Medication xxxxxxxxx in xxxxxxx care xxxxxxxx a xxxxxxxxxxx study xx the xxxxx Sentinel xxxxxxxxxxxx Network xxxxxxxxxx BMJ xxxx e xxxxxxx K x Sentinel xxxxx Management xxxxx A xxxxxxxxxxx Improvement xxxxxxx Rossmo x K xxxxxxx J x Confirmation xxxx and xxxxx systemic xxxxxx of xxxxxxxx convictions x sentinel xxxxxx perspective xxxxx Rutstein x D xxxxxx R x Frazier x M xxxxxxxx W x Melius x M xxxxxxx J x Sentinel xxxxxx Events xxxxxxxxxxxx a xxxxx for xxxxxxxxx recognition xxx public xxxxxx surveillance xxxxxxxx journal xx public xxxxxx - xxx Joint xxxxxxxxxx n x A xxxxxxx partner xx patient xxxx https xxx jointcommission xxx Wocher x C xxx importance xx a xxxxxxxx root xxxxx analysis xxx for xxxxxxxxxx sentinel xxxxxx Japan-Hospitals xMore Articles From Health
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