Sentinel Event Alert 42

Safely Implementing Health Information and Converging Technologies

The Sentinel Event Alert 42 issued by The Joint Commission on December 11, 2008, warns that implementation of technology and related devices is not a guarantee for success, and may actually jeopardize the quality and safety of patient care.

The Joint Commission’s Alert urges greater attention to understanding when a technology may (or may not) be applicable, choosing the right technology, understanding the impact technology can have on the quality and safety of patient care, and attempting to quickly fix technology when it becomes counterproductive.

The Alert makes clear that the overall safety and effectiveness of technology in health care ultimately depends on its human users, and that any form of technology can have a negative impact on the quality and safety of care if it is designed or implemented improperly or is misinterpreted.
 

Read the full version of Sentinel Event Alert 42»
 

  Joint Commission Resources has the following tools to help educate your organization on this very important topic.


Articles

E-mergency Management:  A Model Plan for Continuing Patient Care During Computer/Communication System Failures

Implementing Computerized Physician Order Management at a Community Hospital

Technology:  PET/CT and Patient Safety

Maximizing the Benefits of CPOE Technology

Health Information Technology's Role in Patient Care

Using the e-SOC to Help Manage Your Building:  Embracing Technology Makes Facilities Management Run Smoothly

Reviving and Managing Your Contingency Plans:  Being Prepared for Equipment, Utilities, and Emergency-related Failure or Disruption

When Medication-related Technology Doesn't Work Correctly

Reducing the Risk of Errors Involving Digital Imaging

Maximizing the Benefits of Smart Pump Technology:  Addressing Potential Errors Proactively