Improvement Plan with Evidence-Based and Best-Practice Strategies

 

Preventive measures can be taken to minimize sentinel events on priority making sure about the cause of the event. Mainly 2 steps to be taken as the best strategy to respond to sentinel events which include system-based investigation of the cause of the event through root cause analysis and making a corrective action plan. Finding out what exactly happened, why it happened, and what are the latent conditions. Healthcare system design may have certain conditions about an incident that includes a provider having policies and layouts, the procedure to inherit the risk, products or resources like medical devices, peripherals (hospital infrastructure and surrounding factors, capability to prevent accidental treatments, and outdated policies.

Applying the strategy to an effective action plan that should address identification of corrective actions to control system hazards, implementation of action plans, timely completion of the action plan, applying strategy to evaluate how effective the plan is working along with strategies that sustain the change. Conductive a root cause analysis followed by a corrective action plan is the best strategy so far which is also called Sentinel Event Measure of Success (SE MOS) implemented by the Joint Commission in 2020 (Mc Gowan., 2022). The SE-MOS strategy can be beneficial with teamwork and cultural transparency to enhance patient safety protocols and investigate causes of sentinel events for the implementation of preventive measures (MC Gowan., 2022)

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