title: New Joint Commission report warns: sentinel events most likely in the ED.
abstract: According to new data from the Joint Commission on Accreditation of Healthcare Organizations, most sentinel events resulting in death or permanent injury occur in the emergency department (ED). The most frequently missed diagnosis was meningitis, so surveyors will want to see policies for diagnosis, treatment, and adequate follow-up. Identify and monitor high-risk groups, including patients who leave without being seen. An effective system is needed to address abnormal findings that surface after the patient has left the ED.
mesh_terms: D000068:Accreditation; D004636:Emergency Service, Hospital / Q000592:standards*; D006801:Humans; D007087:Illinois; D007591:Joint Commission on Accreditation of Healthcare Organizations; D019300:Medical Errors / Q000517:prevention & control*; D012308:Risk Management / Q000592:standards*; D018571:Sentinel Surveillance; D014481:United States