Becker's Hospital Review

65 CMO / CARE DELIVERY 10 most common sentinel events of 2022: Joint Commission By Mackenzie Bean P atient falls were the most common sentinel event reported among hospitals in the first six months of 2022, according to a Sept. 7 report from e Joint Commission. e accrediting body received 832 reports of sentinel events in the first six months of 2022, 90 percent of which healthcare organizations voluntarily reported. If this rate continues in the second half of the year, total sentinel event reports will likely surpass the 1,197 sentinel events reported in 2021, which represented the highest annual level seen since the accrediting body started publicly reporting them in 2007. e Joint Commission defines a sentinel event as a patient safety event that results in death, permanent harm, severe temporary harm or intervention required to sustain life. Only a small portion of all sentinel events are reported to e Joint Commission, meaning conclusions about the events' frequency and long-term trends should not be drawn from the dataset, the organization said. e 10 most frequently reported sentinel events for the first half of 2022: 1. Fall — 199 2. Unintended retention of a foreign object — 30 3. Suicide — 26 4. Delay in treatment — 25 5. Wrong surgery — 19 6. Assault/Rape/Sexual Assault — 16 7. Medication management — 12 8. Self-harm — 11 9. Fire — 10 10. Clinical alarm response — 7 n Dr. Amy Compton-Phillips leaves Providence By Mackenzie Bean A my Compton-Phillips, MD, left her role as president of clinical operations at Renton, Wash.-based Providence Sept. 1. Dr. Compton-Phillips announced her departure from the 51-hospital system in a Sept. 15 LinkedIn post. "I have decided that my path in helping fix a broken healthcare system lies outside of Providence," she wrote. "My colleagues there remain valiant leaders in creating health for a better world, but my personal path needs to be focused on simplifying health." Dr. Compton-Phillips did not specify what her next career move will be but said, "working on high-performing integrated delivery systems and implementing patient focused, value-based care is my calling." Her departure comes about two months after Providence announced plans to adopt a new operating model that includes a leaner executive team and new divisional structure. Editor's note: Becker's has reached out to Providence for comment and will update the article as more information becomes available. n 2 nurses assaulted every hour, Press Ganey analysis shows By Erica Carbajal M ore than 5,200 nursing personnel were assaulted in the second quarter of 2022, with patients being the largest source of violence, according to newly released data from Press Ganey. In the second quarter of 2022, an analysis of Press Ganey's National Database of Nursing Quality Indicators showed that on average, two nurses were assaulted every hour. That translates to about 57 assaults per day and 5,217 per quarter, according to findings published Sept. 8. The findings are based on the organization's analysis of 483 U.S. facilities in its national database. The majority of aggressors are patients, Press Ganey found. Psychiatric units and emergency departments saw the highest number of assaults, while obstetrics and neonatal intensive care units had the lowest number of reported nurse assaults. "Nurses take an oath to do no harm, and many put their own safety and health at risk to help a patient. However, violence should not be considered 'just part of the job,'" said Jeff Doucette, DNP, RN, chief nursing officer at Press Ganey. "What's especially concerning about these numbers is that they are likely even higher, as assaults generally go underreported by healthcare professionals — and nurses in particular." To mitigate violence toward nurses, Press Ganey said organizations should implement reporting systems and formal policies for risk identification, among other steps. n

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