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JCAHO defines sentinel events as events that cause signficant injury or mortality. However, many PSOs may focus on "near miss events" in an effort to avoid "a major catastrophe." "Near miss events" are not statistically significant in root cause analyses. It is important for a statistician well
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A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof...The phrase, "or the risk thereof" includes any process variation for which a recurrence would carry a significant chance of a serious adverse outcome.
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It reappeared--that section does not make any sense, so I removed it.
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