A client who was receiving care on a psychiatric unit committed suicide at a time when nurses are known to be handing off to nurses on the next shift. What is a responsibility of the organization when responding to this sentinel event?
A) Inform local health care institutions about the event in order to promote safety.
B) Change the institution's policies regarding supervision of clients.
C) Appropriately discipline the nurses who were participating in the shift change.
D) Report the event to the Joint Commission.
Ans: D
Feedback:
Hospitals are required to report serious safety events to regulatory agencies such as the Joint Commission and to state health agencies. There is no formal responsibility to inform other local institutions. There is no obvious need for discipline, though education may be needed. Policies and procedures would be reviewed, but may not need to be changed.
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