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Joint Commission issues Sentinel Event Alert on reuse of vials

Accreditation Insider, June 17, 2014

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The Joint Commission this week issued a new Sentinel Event Alert calling attention to the misuse of single-dose/single-use and multiple-dose vials. This has adversely affected thousands of patients, including outbreaks of bloodborne pathogens and associated infections including hepatitis B and C, meningitis, and epidural abscesses.


The alert said misuse of vials primarily involves the reuse of single-dose vials, which are intended to be used once for a single patient. Single-dose vials usually lack preservatives and thus, using them more than once carries risks for bacterial contamination, growth, and infection.


Read the Sentinel Event Alert here.



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