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 / 974 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
OnCourse Learning is an approved sponsor by The NY State Education Dept. of Continuing Education for Physical Therapists and Physical Therapist Assistants from 10/21/09 to 10/20/21.
This activity is provided by the TX Board of PT Examiners Accredited Provider GED012010TPTA2012004 for 01/01/2010 to 01/31/2013; 1601004 for 02/01/2013 to 01/31/2016; and 1902004TX for 02/01/2016 to 01/31/2019 and meets continuing competence requirements for PT and PTA licensure renewal in TX. The assignment of TX 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 CA as an approved reviewer and provider of continuing competency courses for the state of CA.
OnCourse Learning is a licensed physical therapy continuing education sponsor (#216.000275) with The IL Dept. of Financial and Professional Regulation from July 2013 through 9/30/2018.
This course has been approved as meeting the continuing education requirements for PTs and PTAs by:
The OH Physical Therapy Association (approval no. 10S0991 for 6/2/10 to 6/2/11; 11S0894 from 06/08/11 to 06/08/12; 12S1143 for 06/09/12 to 06/09/13; 13S1537 for 06/10/13 to 06/10/14; 14S1222 for 06/11/14 to 06/11/15; 15S1145 for 06/12/15 to 06/12/16; 16S1791 for 06/13/16 to 06/13/17; 17S5439 for 05/09/17 to 05/09/18).
The FL Physical Therapy Association (approval no. CE100615657, exp. date 12/31/10; CE110015654 for 01/01/11 to 12/31/11; CE120017197 for 01/01/12 to 12/31/12; CE130019643 for 01/01/13 to 12/31/13; CE140021528 for 01/01/14 to 12/31/14; CE150024044 for 01/01/15 to 12/31/15; CE16-27095 for 01/01/16 to 12/31/16; CE17-518137 for 01/01/17 to 12/31/17; CE18-518137 for 01/01/18 to 12/31/18). Approval of this course does not necessarily imply The FL Physical Therapy Association supports the views of the presenter or the sponsors.
The TN Physical Therapy Association for Class 1 CE Requirement (approval no. 3756 for 05/09/11 to 05/08/12, 4372 for 05/09/12 to 05/08/13; 5078 for 05/09/13 to 05/08/14; 5690 for 05/09/14 to 05/08/15; 6151 for 05/09/15 to 05/08/16; 2016-172 for 05/09/16 to 05/08/17; 2017-218 for 5/9/17 to 5/8/18).
The PA Board of Physical Therapy (approval no. PTCE003855 for 01/01/13 to 12/31/14; PTCE006770 for 01/01/15 to 12/31/16; PTCE010142 for 01/01/17 to 12/31/18).
The NJ Board of Physical Therapy Examiners (approval no. 481-2010, exp. date 1/31/12; 115-2012 from 02/01/12 to 01/31/14; 237-2014 for 02/01/14 to 01/31/16; 2016-449 for 02/01/16 to 01/31/18; 1801-197 for 2/1/18 to 1/31/20).
This course has been approved by:
The MD State Board of Physical Therapy Examiners for 0.1 CEU for 04/28/11 to 04/28/15; 03/16/15 to 03/16/19.
The NV State Board of Physical Therapy Examiners for 0.1 units of continuing education for 01/30/12 to 07/31/13; 07/31/13 to 07/31/15; 07/31/15 to 07/31/17; 11/29/17 to 7/31/19.
The IL Chapter CE Committee has certified that this course meets the criteria for approval of CE offerings established by The IL Physical Therapy Association (approval no. 437.3409 for 6/1/10 to 6/1/11; 437-3836 for 06/01/11 to 06/01/12; 437-4345 for 06/01/12 to 06/01/13; 437-4889 for 06/01/13 to 06/01/14). According to the Rules for the Administration of the IL Physical Therapy Act (section 13460.61) published by the IL Dept. of Professional Regulation, a PT or PTA applying for re-licensure in IL can earn a maximum of 50% of their required CE hours from self-study. The hours awarded of this course are designated for self-study CE credit.
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: 1/23/2020


Unless stated above, the planners and authors of this course have declared no relevant conflicts of interest that relate to this educational activity. OnCourse Learning 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

Sort By
Patricia G - Laredo, TX  ·  Nov 11, 2018
Very informative and easy to learn.
Was this review helpful?  0
Kristina R - Irving, TX  ·  Nov 08, 2018
informative information to share with coworkers
Was this review helpful?  0
JUNE S - reading, PA  ·  Nov 08, 2018
case study very helpful
Was this review helpful?  0
Mary R - Encinitas, CA  ·  Nov 08, 2018
This is a very good refresher
Was this review helpful?  0
Ken T - Sunnyvale, CA  ·  Oct 31, 2018
very good proactive subject for preventing accident issues.
Was this review helpful?  0
  Page: of 50  
Price: $19.00
CE-PRO Price: $9.50