Sentinel Data
Case Scenario
Debrief
RISKs
Prevention Ideas
100

What is the total # of healthcare related infant abductions in the USA? 

345

100

When was the abduction? 

7PM / Shift change

100

What issue was there with the hallways? 

they were open access 

100

Where did the abductor leave to? 

The stairwell

100

If a nurse see's a near miss, what should they do? 

REPORT it

200

When was the last reported NY hospital abduction? 

1987

200

What malfunctioned? 

tracking device 

200

How much security education did the mom have? 

none!

200

how quick should you call a code pink after noticing a baby is missing?

ASAP! 

200

How can a nurse address gaps in patient education? 

  1. assess patient education levels + provide reeducation 

300

How many infants under 6 are still missing?

16

300

What was the abductors disguise? 

Scrubs/fake ID

300
What about the timing of the abduction made the patient vulnerable 

it was during shift change

300

A child abduction from a hospital is a _______ event? 

Sentinel 

300

How can a nurse help prevent security system and technology failures 

verify security tag function

400

How many Hospital-specific U.S. abductions (1964-2025)? 

140

400

What was the abductors lie for taking the baby? 

Check up on another floor

400

What unit did the abduction occur on?

Mother/Baby

400

This Sentinel event can lead to patient _____ and family _____

Patient harm and family trauma 

400

Name 3 things on our new nurse checklist

Did I…

  • Match the ID bands

  • Test the RFID

  • Document teaching

  • Report any suspicious persons

  • Verify Photo ID on discharge 

500

What was the source of national abduction stats? 

National Center for missing and exploited children

500

REAL CASE: how was Marlene abducted? 

at Gunpoint by a women in the nursery
500

A code was called after how long?

30 min

500

What is the role of hospital security in this event? 

  • Allowing the “fake” nurse into the hospital & unit

  • Poor surveillance 

500

What are the shortcomings of the Smart sense band? 

shortcomings: 

  • Reliance on proper installation and maintenance 

  • Still requires staff alertness and promptness in their action

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