| Educational Information........................................................................................ |
4 |
| |
|
| Goal...................................................................................................................... |
4 |
| |
|
| Learning Objectives.............................................................................................. |
4 |
| |
|
| Introduction........................................................................................................... |
5 |
| |
|
| Identifying Sentinel Events.................................................................................... |
7 |
| |
|
| Risk-Reduction Strategies.................................................................................... |
11 |
| |
|
| Root Cause Analysis............................................................................................ |
23 |
| |
|
| Shifting the Focus................................................................................................. |
28 |
| |
|
| Appendix............................................................................................................... |
33 |
| |
|
| Self-Assessment Questions.................................................................................. |
35 |
| |
|
| Answer Sheet....................................................................................................... |
37 |
| |
|
| Evaluation Form................................................................................................... |
38 |
