Latest Sentinel Event Alert targets anticoagulants
Accreditation Connection, September 26, 2008
The Joint Commission has released its latest Sentinel Event Alert targeting anticoagulant use and medical errors. This is the fourth alert The Joint Commission has issued this year. There have been a number of high-profile medical errors involving anticoagulants in the national media, and The Joint Commission’s alert is intended to offer methods for preventing further errors.
This is not the first time The Joint Commission has targeted anticoagulants. Requirements introduced into the 2008 National Patient Safety Goals are set to hit the point of full implementation on January 1, 2009. The Joint Commission also addresses anticoagulants under the medication management standards.
Common factors in anticoagulant errors highlighted in The Joint Commission’s report include labeling and packaging issues, documentation errors, communication failures, and inappropriate use of medication.
For more information or to view the Sentinel Event Alert itself, go to The Joint Commission’s Web site at here.
Comments
0 comments on “Latest Sentinel Event Alert targets anticoagulants ”
Related Products
-
Medication Reconciliation
Dispel persistent regulatory myths that complicate medication management and walk away with focused, integrated processes to...
-
Meeting Anesthesia and Sedation Challenges
Join expert speakers Mary Hoppa, MD and Bud Pate, REHS, as they provide sustainable, comprehensive solutions to help you...
-
Medication Reconciliation: Solutions to meet Joint Commission’s 2011 Changes
In December, 2010, The Joint Commission completed its analysis of this consistently problematic standard and announced newly...
-
Suicide Risk
With limited resources it’s a challenge for hospitals to perform thorough suicide risk assessments. Join our expert speakers...
-
Briefings on The Joint Commission
Briefings on The Joint Commission will help you with all of your accreditation and survey preparation needs. Every month...
Most Popular
- Articles
-
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: TPO disclosures to a business associate
- Q/A: Coding infusions to correct low potassium levels
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- The debate continues: Nurses who reported physician to the Texas Medical Board file federal appeal
- State medical board will hear unprofessional charges against OB-GYN
- Capturing all necessary codes for IUD insertion and removal can be challenging
- QA:Coding multiple initial infusions
- OB services: Coding inside and outside of the package
- E-mailed
-
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Q/A: Coding infusions to correct low potassium levels
- Know criteria for coverage when podiatrists use Dermagraft® tissue substitute
- Note: Clarification of reference (non-patient) laboratory testing
- Get the facts on coding for non-biodegradeable drug delivery implants
- Facility E/M Levels, 2009 OPPS
- Do not separately report defibrillation
- Defining 'integral' for self-administered drugs is challenging
- Consider the big picture before querying physicians
- Conference Update: 2012 CDI Professional of the Year nominations, poster session submission period open; additional discount hotel rooms acquired
- Searched