20.HCS.PI.4 ( HCS)
The program addresses sentinel events that occur and takes steps to prevent future occurrences.

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Related Performance Requirements

(0 comments) • PI.4
1. The program has a process for preventing sentinel events. Note: Sentinel events are undesirable and usually unanticipated events that cause death or serious physical or psychological injury, or the risk thereof.
2. The program has a process for identifying and reporting sentinel events through established channels in the core setting and, as appropriate, to external agencies.
3. The program has a process for analyzing sentinel events if and when they occur.
4. The program conducts a thorough analysis of sentinel events.
5. The program documents its analysis of sentinel events.
6. The program implements changes based on its analysis of sentinel events.

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