Psycholody

According to the Joint Commission (2006), a let onlook vitrine is as, an unheralded occurrence involving death or real forcible or psychological soil, or the gamble thereof. Serious injury specifically includes loss of limb or function. The phrase or risk thereof includes any process variation for which a coming back carries a significant chance of a serious inauspicious outcome. Sentinel events signal a need for agile probe and response. The importance of sentinel events in providing safe treat sluice down includes: improving quality of patient care, increasing the sentience of sentinel events, upholding the public trust of the medical dust and pinch the indicate behind the event and restructuring the organizations protocols in contingent future filter out events. As the safety officer appointed by attract Dover, the head of Johns Hopkins Childrens Center, I led an investigation in 2001 pertaining to the death a young girl by the produce of Josi e King. This event was termed a sentinel event because of a realistic medical error. The first step into my investigation was to gather using from the mother that led up to the death. The incident began in loosen up January 2001, when Josie was brought to the hospital by paramedics due to burns over her system from falling into a bath tub full of alive(p) water.

Josie was taken from the emergency room to the pediatric intensive care unit, were she was condition pain medication and an IV was established to lay out her into a drug induced coma. On day nine, Josie was operate to the step down unit. On the w ay down, while Josie was resting comfortably! , the nutrify pushed the pain button. Mrs. King questioned the reasoning for the pain medication and if it could be given less. Shortly after, Josie was taken off the morphine, given methadone and began to wake up. By day ten, Josie was fully awake and eating. On day fourteen doctors stated that Josie would be discharged in a few days. The same day, Josie began crying every time she saw...If you want to get a full essay, order it on our website: OrderCustomPaper.com

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