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Joint Commission issues Sentinel Event Alert on anticoagulants
Quality Improvement Monitor, September 26, 2008
The Joint Commission this week issued a Sentinel Event Alert on anticoagulant use and medical 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 alert include labeling and packaging issues, documentation errors, communication failures, and inappropriate use of medication.
The alert offers 15 steps to error prevention, including:
For more information, click here.
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