Suicide events

In addition, address the following:
• Identify the sentinel event, who was involved, what occurred, and where it occurred.
• Describe the applicable accrediting agency’s requirements for reporting the event (e.g., OSHA, ACHA, CMS, CDC, CLIA, The Joint Commission [TJC], AHCA, state agencies).
• Discuss the probable cause that may have contributed to the sentinel event (e.g., process failure, human error, policy error, systems error, technology failure, etc.).
• Create a recommendation that will reduce the risk of future events from occurring.