SENTINEL EVENTS DATA REPORT Substance Abuse Residential Services Prepaid Inpatient Heath Plan: Number of persons served during the time period who meet criteria in Note #1 below: Definitions: 1. Sentinel is an occurrence involving death or serious physical or psychological injury, “unexpected or the risk thereof. Serious injury specifically includes loss of limb or function. The phrase, the risk ‘or Time Period (check one) Due Date October 1 through March 31 April 30 April 1 through September 30 October 31 1. 2. 3. Category # of Sentinel # of Events for Events in Which there the Period was Intervention 1. Death of Recipient 2. Accidents requiring emergency room visits and/or admissions to hospitals 3. Physical illness requiring admissions to hospitals 4. Arrest or conviction of recipients 5. Serious challenging behaviors 6. Medication errors thereof,’ includes any process variation for which recurrence would carry a significant chance of a serious adverse outcome.” (JCAHO 1998) 2. Serious challenging behaviors include property damage, attempts at self-inflicted harm or harm to others, or unauthorized leaves of absence that increase the risk of serious physical or psychological harm to the consumer. 3. Medication errors mean a) wrong medication; b) wrong dosage; c) double dosage; or d) missed include instances in which consumers have refused medication. dosage. It does not Notes:
SENTINEL EVENTS DATA REPORT Substance Abuse Residential Services Time Period (check one) Due Date October 1 through March 31 April 30 April 1 through September 30 October 31 1. Category 2. # of Sentinel Events in the Period 3. # of Events for Which there was Intervention 1. Death of Recipient 2. Accidents requiring emergency room visits and/or admissions to hospitals 3. Physical illness requiring admissions to hospitals 4. Arrest or conviction of recipients 5. Serious challenging behaviors 6. Medication errors Prepaid Inpatient Heath Plan: Number of persons served during the time period who meet criteria in Note #1 below: Definitions: 1. Sentinel is an “unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Serious injury specifically includes loss of limb or function. The phrase, ‘or the risk thereof,’ includes any process variation for which recurrence would carry a significant chance of a serious adverse outcome.” (JCAHO 1998) 2. Serious challenging behaviors include property damage, attempts at self-inflicted harm or harm to others, or unauthorized leaves of absence that increase the risk of serious physical or psychological harm to the consumer. 3. Medication errors mean a) wrong medication; b) wrong dosage; c) double dosage; or d) missed dosage. It does not include instances in which consumers have refused medication. Notes:
Sentinel_Events_Data_614228_7.docx