In the context of nursing facilities, what are "sentinel events"?

In the context of nursing facilities, sentinel events represent unexpected occurrences that lead to serious injury or death of residents. These events are critical because they signal significant issues within the facility's operations or patient care processes. The recognition and reporting of sentinel events are essential for quality improvement, ensuring that such incidents are investigated thoroughly to prevent future occurrences. Facilities often use sentinel event reports to identify trends and implement changes in policies or practices that can enhance patient safety. The focus on serious outcomes such as injury or death underscores the gravity of these situations and the need for heightened awareness and intervention in nursing care environments. This understanding is vital for nursing facility administrators, as they must maintain the highest standards of care and safety for all residents.