Improving Patient Safety - PT21

Improving Patient Safety

Practice Errors and Sentinel Events in Occupational and Physical Therapy

by Kaitlin MacDonald, MOT, OTR/L and Susan Ann Swinehart, OTD, MS, BA/OT
(4.4 / 1078 ratings )

This course is credentialed for:
Physical Therapy (1.00 Hour(s))

Price: $19.00
CE-PRO Price: $9.50


Safe, reliable care is the expectation of patients, family, and staff. While it is impossible to eliminate medical errors, that is the goal. In 1996, The Joint Commission established a sentinel event policy; this was done to help healthcare facilities and providers learn from adverse events, which would in turn lead to improved patient safety. Subsequent to the sentinel event policy, national patient safety systems and goals have been established. The Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine defines medical error as “the failure of a planned action to be completed as intended or the use of a wrong plan to achieve an aim.” This course seeks to identify patient safety categories, systems, and goals.


The goal of this patient safety continuing education program is to define, according to The Joint Commission, sentinel safety events, national patient safety goals, and patient safety systems. These will be described, as they affect practice and service delivery models. After studying the information presented here, you will be able to:
  • Define sentinel safety events
  • Identify patient safety goals and examples of a therapist’s response
  • Describe harm to patients and healthcare providers
  • Describe establishing a clinical atmosphere that promotes patient safety

Approval Information
This course is intended for multiple professions, includingphysical therapists and occupational therapists.
Physical Therapists: Take this version of the course to ensure you receive appropriate credit.
For the version accredited or approved for another profession, go to your specific profession at If you have a CE Direct login ID and password (generally provided by your employer), please log in as you normally would at and search for this topic title.
Relias LLC (formerly OnCourse Learning) is an approved sponsor by the New York State Education Department of CE for physical therapists and physical therapist assistants from 6/11/2019 to 6/10/2022.
This activity is provided by the TX Board of PT Examiners Accredited Provider 1902004TX for 02/01/2016 to 01/31/2019 and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE.
OnCourse Learning is recognized by the Physical Therapy Board of California as an approved reviewer and provider of continuing competency courses for the state of California for 4/5/10 to 12/31/18. Relias LLC is recognized by the Physical Therapy Board of California as an approved reviewer and provider of continuing competency courses for the state of California as of 1/1/2019.
Relias LLC (formerly OnCourse Learning) is a licensed physical therapy continuing education sponsor (#216.000290) with the Illinois Department of Financial and Professional Regulation from October 2018 through September 30, 2020.
This course has been approved as meeting the continuing education requirements for PTs and PTAs by:
The OH PT Association (approval no. 19S0936 for 05/11/19 to 05/11/20).
The FL PT Association (approval no. CE18-518137 for 01/01/18 to 12/31/18). Approval of this course does not necessarily imply the FL PT Association supports the views of the presenter or the sponsors.
The TN PT Association for Class 1 CE Requirement (approval no. 2017-218 for 5/9/17 to 5/8/18).
The PA Board of PT (approval no.  PTCE010142 for 01/01/17 to 12/31/18).
The NJ Board of PT Examiners (approval no. 1801-197 for 2/1/18 to 1/31/20).
This course has been approved by:
The MD State Board of PT Examiners for 0.1 CEU for 03/16/15 to 03/16/19.
This course has been approved by the NV State Board of PT Examiners for 0.1 units of non-clinical continuing education for 12/23/2019 to 7/31/2021.
Other states may accept this course for meeting their CE requirements. Check with your state association or board.

Course Originally Released on: 7/13/2010
Date of Most Recent Review: 1/23/2017
Course Termination/Update Date: 7/31/2020


Unless stated above, the planners and authors of this course have declared no relevant conflicts of interest that relate to this educational activity. Relias LLC guarantees this educational activity is free from bias.

Please see CE Course Instructions to learn how to earn CE credit for this module.


For Florida professionals:

This course completion will be electronically reported to CE Broker as required per Florida Statute 456.025(7). Click here to view your CE Broker transcript and check the status of your CE requirements with a FREE 7-day CE Broker trial subscription. It may take up to 24 hours for the course to appear on your CE Broker transcript.

It is now required that all CE is completed and reported to CE Broker before you renew your license. When you complete continuing education with us, OnCourse Learning will report your hours for you.

Read more about the new license renewal process at and claim your free Basic Account in CE Broker to see what has already been reported for you.

Please check the licenses/certifications section under my account (after logging in) to make sure you have entered a valid FL license number. This information is required for correct reporting of your course completions to CE Broker.


Reports to CE Broker


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Debbie B - Arlington, TX  ·  Apr 28, 2020
good information, good review
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LEEANN N - hendersonville, NC  ·  Apr 15, 2020
good review of patient safety
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Jennifer B - Iola, TX  ·  Mar 30, 2020
Very much needed in my profession
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Alice L - San Rafael, CA  ·  Feb 27, 2020
Reinforces what is clinically right to do
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Karola S - Fairbanks, AK  ·  Feb 08, 2020
This lecture increased my knowledge.
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Price: $19.00
CE-PRO Price: $9.50