Addressing and Preventing Sentinel Events Essay

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Peer Response to #.1: Enhancing Collaboration in HealthcareYour discussion highlights the significance of teamwork and collaboration in improving patient care, particularly in high-pressure settings like emergency departments. Implementing formal communication strategies such as SBAR and the proactive alignment of roles in crisis scenarios are commendable practices. I want to expand on this by emphasizing the role of interdisciplinary rounds (IDRs) in fostering collaboration and improving patient outcomes.Interdisciplinary rounds, where various healthcare professionals - nurses, physicians, case managers, and pharmacists - gather to discuss patient care plans, are shown to reduce communication gaps and ensure a comprehensive approach to patient care. According to Mitchell et al. (2021), IDRs significantly improve team coordination and patient safety by promoting a shared understanding of patient needs and reducing medical errors. For example, implementing daily IDRs in an emergency department could ensure critical cases are reviewed collectively, enhancing decision-making efficiency and accuracy.Additionally, technology can augment collaboration efforts. Collaborative platforms, such as electronic health records (EHRs) with shared notes and task management features, allow real-time updates and reduce delays caused by fragmented communication. According to Folse (2023, p. 24), integrating informatics into collaborative practices empowers healthcare teams to streamline care coordination and improve patient outcomes.Finally, I would like to address the impact of fostering a culture of mutual respect and psychological safety within healthcare teams.

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Research by Schmutz and Manser (2021) suggests that when team members feel safe to voice concerns without fear of judgment, the…

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…of the error, an explanation of what occurred, and a plan to prevent recurrence. However, disclosure should be guided by organizational policies and the potential psychological impact on the patient in cases where harm was narrowly avoided, such as the medication error you described.Finally, I agree that these incidents should serve as learning opportunities. Encouraging a culture of safety, where errors are treated as opportunities for improvement rather than grounds for punishment, is crucial. Implementing morbidity and mortality conferences (M&Ms) to discuss and learn from errors can enhance team awareness and foster a proactive approach to patient safety.Your examples underscore the importance of vigilance and accountability in healthcare. Strengthening diagnostic protocols and adopting a transparent approach to error disclosure can further….....

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"Addressing And Preventing Sentinel Events" (2024, November 30) Retrieved July 5, 2025, from
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"Addressing And Preventing Sentinel Events" 30 November 2024. Web.5 July. 2025. <
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"Addressing And Preventing Sentinel Events", 30 November 2024, Accessed.5 July. 2025,
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