The nurse manager is updating unit staff on findings by The Joint Commission. Which of the following statements shows an understanding of untoward events in the hospital setting? The primary cause of untoward events is
a. "unclear, ineffective communication.".
b. "unclear chain of communication for re-porting.".
c. "ineffective reporting of the untoward event.".
d. "lack of consistent supervision of nursing staff.".
A
Ineffective communication was identified as the root cause for nearly 70% of all sentinel events reported. The majority of those untoward events involved communication failure. The other op-tions were not identified as the majority of all sentinel events.
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