Sentinel Event Alert 41
Errors Relating to Commonly used Anticoagulants
On September 24, 2008, the Joint Commission distributed a Sentinel Event Alert regarding errors relating to commonly used anticoagulants.
This Sentinel Event Alert discusses the importance of anticoagulation safety and how health care organizations that dispense or administer anticoagulant medications can prevent errors by implementing specific risk reduction strategies.
Read the full version of Sentinel Event Alert 41»
Joint Commission Resources has the following tools to help educate your organization on this very important topic.
Toolkit
Anticoagulation Therapy: Toolkit for Implementing the National Patient Safety Goal
Anticoagulation is a high-risk treatment. Too much medication could lead to major bleeding, and too little means clots could form. This new toolkit provides essential components to establish and manage an effective anticoagulation therapy program, including a CD-ROM with practical forms, real-life examples, and other tools you can customize to your own organization.
Medication Safety Consulting Services
Medication Safety consulting service
Our service helps organizations design and implement processes for meeting NPSG 3E. Our consultants are experts in all aspects of medication safety including storing, transporting, dispensing, and reconciling. All of JCR's medication safety consultants are pharmacists with many years of piratical experience.
For more information, please call 630.268.7400 or email ConsultingServices@jcrinc.com.
Articles
Deficits in Discharge Documentation in Patients Transferred to Rehabilitation Facilities on Anticoagulation: Results of a Systemwide Evaluation
Saint Joseph Health Care Anticoagulant Safety: Meeting the Challenges of Standard MM.6.20
Model Implementation Plan for Meeting NPSG 3E: Anticoagulation Therapy
Reducing Anticoagulant Medication Adverse Events and Avoidable Patient Harm