Read the article and look at the PowerPoint in the module to better understand
sentinel events. Then find an example of a specific sentinel event from a reputable
website, The Joint Commission or news, and write the following:
Investigate a specific sentinel event, describe and discuss the event. Provide an
entire overview of what happened during the sentinel event. (Please pick a specific
event that happened to a patient and discuss that event, i.e., if you wanted to look at
postpartum hemorrhage that led to a patient death, you would find an article that
specifically talks about an actual event to a patient that experienced the hemorrhage,
then died.)
Identify the factors that contributed to this event.
Describe the role of nursing on prevention of future events
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