2009 Annual Hospitals Report - Nevada State Health Division ...

2009 Annual Hospitals Report
Another purpose of sentinel event reporting is to encourage healthcare facilities to analyze the underlying issues which
contributed to sentinel event occurrence. As such, NSHD requires that facilities report the corrective actions they take in
response to a sentinel event. Table 9 below shows the top 10 corrective actions taken by hospitals in 2009. Staff
education/in-service training and situation analysis ranked high at 55.2% and 39.3% respectively.
TOP 10 CORRECTIVE ACTIONS
in 2009 among hospitals
how to read this table:
This table shows the top ten corrective actions taken by hospitals in response to the occurrence of a
sentinel event, including the category of the corrective action and a percentage of the total for each.
TOP 10 CORRECTIVE ACTIONS
(January 1, 2009 – December 31, 2009)
corrective action % of sentinel events reported
staff education/in-service training 55.2%
situation analysis 39.3%
policy review 32.8%
process review 32.8%
procedure review 29.4%
process modification 19.4%
disciplinary action(s) 14.4%
policy modification 10.0%
environmental change(s) 8.5%
equipment modification(s) 7.5%
procedure modification 7.5%
Table 9
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