![]() ![]() ![]() The new definition (below), from the American College of Obstetrics and Gynecology, the US Centers for Disease Control and Prevention, and the Society of Maternal and Fetal Medicine, replaces "blood products" with "RBCs." In addition, the definition of severe maternal morbidity has changed. For obstetrics, the Joint Commission considers severe maternal morbidity a sentinel event only if the outcome was unexpected in relation to the condition being treated. Causing some confusion among obstetric providers is that not all cases that meet the definition of severe maternal morbidity are considered sentinel events. Any intrapartum (related to the birth process) maternal death or severe maternal morbidity.Īmong the listed examples of a sentinel event is severe maternal morbidity (see Box).Fire, flame, or unanticipated smoke, heat, or flashes occurring during an episode of patient care.Prolonged fluoroscopy with cumulative dose > 1,500 rads to a single field or any delivery of radiotherapy to the wrong body region or > 25% above the planned radiotherapy dose.Severe neonatal hyperbilirubinemia (bilirubin > 30 mg/dL).Unintended retention of a foreign object in a patient after an invasive procedure, including surgery. ![]() Invasive procedure, including surgery, on the wrong patient, at the wrong site, or that is the wrong (unintended) procedure. ![]()
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