Sentinel Event Management & RCA Support
Sentinel events require immediate, thorough, and well-documented responses to ensure patient
safety, prevent recurrence, and comply with Joint Commission expectations. GPHA Solutions
provides expert guidance to help organizations navigate the investigation, analysis, and
reporting of sentinel events.
Our Sentinel Event Management & RCA Support Includes
Event Investigation & Documentation:
Guiding leadership through initial fact-finding,
documentation, and Joint Commission notification requirements.
Root Cause Analysis (RCA):
Leading or facilitating a structured RCA process to
identify contributing factors and underlying system issues.
Corrective Action & Risk Mitigation:
Developing targeted corrective and preventive
action plans to address root causes and improve processes.
Policy & Workflow Updates:
Revising procedures and protocols to prevent recurrence
of similar events.
Staff Debriefing & Education:
Supporting team communication and lessons learned,
including training on event prevention.
Regulatory Compliance:
Ensuring all sentinel event management processes align with
Joint Commission standards and CMS Conditions of Participation.