The Onyx Sentinel is also equipped with anti-gravity technology, similar to that of the monitors. The central sphere is known to emit a blackbody radiation equivalent to 6,000 degrees Kelvin (5,726.85☌ / 10,340.33✯) in its normal active state, and 15,000 degrees Kelvin (14,726.85☌ / 26,540.33✯) when charging. The booms are covered in a matte silver metal engraved with a subtle circle pattern, while the central eye is surrounded by tiny Forerunner glyphs floating a centimeter off the surface. The central eye is the weaponry and offensive capability of the sentinel and is capable of unleashing a devastating beam of energy. These booms can change position for various purposes, and will rapidly "pop" into place to form a triangular plane when the sentinel's shields are active. Hovering around this sphere are three meter-long cylindrical spars or "booms", which are suspended in midair at equidistant points around the sphere. The interior of the sphere, only visible if the casing is breached, glows blue-white with heat. Reporting conveys the health care organization’s message to the public that it is doing everything possible, proactively, to prevent similar patient safety events in the future.įurther, reporting the event enables “lessons learned” from the event to be added to The Joint Commission’s Sentinel Event Database, thereby contributing to the general knowledge about sentinel events and to the reduction of risk for such events.The Onyx Sentinel shares a vaguely similar appearance to a monitor-a round metallic sphere a quarter meter in diameter, with a central red "eye" that glows golden. Reporting raises the level of transparency in the organization and promotes a culture of safety. The opportunity to collaborate with a patient safety expert in The Joint Commission’s Sentinel Event Unit of the Office of Quality and Patient Safety. The Joint Commission can provide support and expertise during the review of a sentinel event. Organizations benefit from self-reporting in the following ways: Each accredited organization is strongly encouraged, but not required, to report sentinel events to The Joint Commission. Such events are called "sentinel" because they signal the need for immediate investigation and response. Severe temporary harm and intervention required to sustain lifeĪn event can also be considered sentinel event even if the outcome was not death, permanent harm, severe temporary harm and intervention required to sustain life. The Sentinel Event Policy explains how The Joint Commission partners with health care organizations that have experienced a serious patient safety event to protect the patient, improve systems, and prevent further harm.Ī sentinel event is a Patient Safety Event that reaches a patient and results in any of the following: Careful investigation and analysis of Patient Safety Events (events not primarily related to the natural course of the patient’s illness or underlying condition), as well as evaluation of corrective actions, is essential to reduce risk and prevent patient harm. The Joint Commission adopted a formal Sentinel Event Policy in 1996 to help hospitals that experience serious adverse events improve safety and learn from those sentinel events.
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