Prior to beginning work on this discussion,

· Read the Sentinel Emotional Events: The Nature, Triggers, and Effects of Shame Experiences in Medical Residents (Links to an external site.)

Your initial discussion post must be a minimum of 250 words. All referenced materials must include citations and references in APA format.

Using the sentinel event you created in the Week 2 Discussion, this week you will focus on the patient’s perspective. In your post, discuss the ramifications for the patient and patient’s family. Consider the following questions in developing your initial post:

· What are the needs of the patient and patient’s family after the occurrence?

· What are the cultural variables or social impacts on patient care?

· What, if any, are the financial implications (immediate and long-term) for the patient and patient’s family?

(Week 2 Discussion)

In recent decades, sentinel events have been rising caused by health practitioners’ conduct. One of these events is Kareem Cooley’s case at the Lincoln Hospital trauma center (Dorn and Linge, 2019). The 25-year-old was discharged from the hospital despite having a history of suicide. Cooley had, in 2015, tried to commit suicide by jumping off a building but was saved by cops. The hospital did not evaluate the risk factors of Cooley’s suicide attempt or check his previous medical history, indicating that he had been hospitalized at Bellevue hospital for attempted suicide. In the past, Cooley tried to jump in front of a moving train. The staff at Lincoln’s hospital sent him home and advised him to seek a walk-in clinic. Cooley instead committed suicide.

The Joint Commission (TJC) helps health organizations recover from adverse events and improve safety. Although the sentinel event cannot be reported directly to the TJC, the Agency for Health Care Administration (AHCA) requires hospitals and ambulatory surgical centers to report the event within 15 days after the event occurred (Dynan and Smith, 2021). The event is, in turn, referred to the Department of Health (DOH) for investigation if the event resulted from a health care professional’s conduct.

Cooley’s suicide event resulted from human and process failure. The medical practitioners failed to collect his medical history information before discharging Cooley. Although the practitioners knew he had a high risk of suicide, they discharged Cooley without evaluating the risk and predisposing factors that forced him to attempt suicide. The practitioner’s negligence and reluctance to follow the required admission process led to Cooley’s death. The event could have been avoided and prevented by adhering to the ethical code of conduct in the medical profession. Health practitioners have a duty of care to their patients, including reducing the risk of harm (Rodziewicz et al., 2022). Following the right procedures for admitting and discharging patients is vital in enhancing patients’ safety. Patient safety in the future can be promoted by promoting a culture of safety within health organizations.

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