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Ambulatory Health Care, Hospitals, Critical Access Hospitals, Nursing Care Center, Home Care

Sentinel Event Alert, Issue 39: Preventing pediatric medication errors

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Errors associated with medications are believed to be the most common type of medical error and are a significant cause of preventable adverse events.

Related Topics: Sentinel Event Alert, Medication Errors, Sentinel Event

04/11/2008

Ambulatory Health Care, Hospitals, Critical Access Hospitals, Behavioral Health Care, Nursing Care Center, Office-Based Surgery, Home Care, Disease-Specific Care, Health Care Staffing Services

The Sorry Works! Coalition: Making the Case for Full Disclosure

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The Sorry Works! Coalition, an organization of doctors, lawyers, insurers, and patient advocates, is dedicated to promoting full disclosure and apologies for medical errors.

Related Topics: Behavioral Health Care, Medication Errors, Sentinel Event

05/26/2006

Ambulatory Health Care, Hospitals, Critical Access Hospitals, Nursing Care Center, Office-Based Surgery, Home Care

Sentinel Event Alert, Issue 35: Using medication reconciliation to prevent errors

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Medication reconciliation is the process of comparing a patient's medication orders to all of the medications that the patient has been taking.

Related Topics: Sentinel Event Alert, Sentinel Event, Medication Errors

01/25/2006

Ambulatory Health Care, Hospitals, Critical Access Hospitals, Nursing Care Center, Office-Based Surgery, Home Care

Sentinel Event Alert, Issue 23: Medication errors related to potentially dangerous abbreviations

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One of the major causes of medication errors is the ongoing use of potentially dangerous abbreviations and dose expressions.

Related Topics: Sentinel Event, Medication Errors, Sentinel Event Alert

09/01/2001

Ambulatory Health Care, Hospitals, Critical Access Hospitals, Nursing Care Center, Office-Based Surgery, Home Care

Sentinel Event Alert, Issue 19: Look-alike, sound-alike drug names

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This Sentinel Event Alert has been retired. August 2015.

Related Topics: Sentinel Event, Sentinel Event Alert, Medication Errors

05/01/2001

Hospitals, Critical Access Hospitals, Office-Based Surgery

Sentinel Event Alert, Issue 16: Mix-up Leads to a Medication Error

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This Sentinel Event Alert has been retired. August 2015.

Related Topics: Sentinel Event, Sentinel Event Alert, Medication Errors

02/27/2001

Ambulatory Health Care, Hospitals, Critical Access Hospitals, Nursing Care Center, Home Care

Sentinel Event Alert, Issue 11: High-Alert Medications and Patient Safety

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Since the Joint Commission began tracking sentinel events in 1995, the Accreditation Committee of the Joint Commission's Board of Commissioners has reviewed 89 cases related to medication errors.

Related Topics: Sentinel Event Alert, Medication Errors, Sentinel Event

11/19/1999