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Run: Sentinel Event Root Cause Analysis

Guide sentinel event reviews with a clear RCA structure that captures the timeline, identifies system causes, and turns findings into tracked corrective acti...

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Event Overview

Event date and time documented critical (required)

Note (optional)

Location and unit of occurrence identified critical (required)

Event type classified accurately critical (required)

Immediate notification completed critical (required)

Yes No N/A

Event Sequence and Timeline

Chronological event sequence documented critical (required)

Provide a clear, time-ordered narrative of what happened before, during, and after the event.

Key decision points identified critical (required)

Timeline gaps or unknowns identified

Immediate clinical response reviewed critical (required)

Yes No N/A

Proximate Cause Analysis

Direct cause identified critical (required)

Evidence supporting proximate cause reviewed critical (required)

Yes No N/A

Human factors considered critical (required)

Yes No N/A

System or process breakdowns identified critical (required)

Root Cause Determination

Root cause statement completed critical (required)

Root cause is supported by evidence critical (required)

Yes No N/A

Contributing factors identified critical (required)

Root cause distinguishes system issues from individual error critical (required)

Yes No N/A

Corrective Actions and Follow-Up

Corrective actions defined critical (required)

Action owner assigned critical (required)

Target completion date established critical (required)

Note (optional)

Effectiveness monitoring plan defined critical (required)

Leadership review completed critical (required)

Yes No N/A

Documentation and Approval

Supporting documents attached critical (required)

Yes No N/A

RCA reviewed by multidisciplinary team critical (required)

Yes No N/A

Inspector signature completed critical (required)

Get your results

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Email (required)

Your name (optional)

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