RAFT Task 2WGU

Western Governor's University

RAFT Task 2

A.1 Sentinel Event

A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof ().

Root Cause Analysis: Potential Child Abduction

Recently a three year old female was brought to Nightingale Hospital for an outpatient surgical procedure accompanied by her mother. They presented to the registrar who entered all information into the computer and copied insurance card, she did not obtain any parental photo identification or inquire about custody arrangements. Patient and her mother were taken to the pre-operative area to prepare for surgery and complete the necessary physical assessments, as well as sign consents...