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What is it called when an at-risk patient experiences an adverse response to medication while unattended?

Sentinel event

The situation described is termed a sentinel event. Sentinel events are significant occurrences that result in unintended harm to a patient, such as an adverse response to medication, and are often associated with system or process failures. The defining characteristic of a sentinel event is that it signals a need for immediate investigation and response, as it represents a critical lapse in patient safety and quality care standards.

In the context of the healthcare system, understanding sentinel events is instrumental for compliance and improving patient safety protocols. These events can prompt a thorough review of clinical practices and lead to changes that aim to prevent similar occurrences in the future. Having this awareness is crucial for healthcare providers to mitigate risks and enhance patient care environments.

The other terms do not accurately capture the severity or implications of the scenario. An initiator typically refers to something that starts an action or process, a latent outcome relates to consequences that may emerge over time from an earlier event, and a slip suggests a minor error or inadvertent mistake rather than a significant patient safety concern. Thus, sentinel event is the most appropriate term for the adverse response experienced by the patient while unattended.

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