![]() For example, reducing paper records in favor of easily transferrable electronic patient care records (ePCRs) can cut down on data entry errors or lost documentation. ![]() However, The Joint Commission also states that at least a quarter of medication-related injuries are preventable, primarily through better communication procedures and technologies. Fortunately, most do not cause serious harm, but those that do can be expensive: each preventable adverse drug event (ADE) costs a hospital approximately $8,750. On average, according to The Joint Commission, a hospitalized patient is subject to at least one medication error per day (though error rates vary widely among hospitals). and kill thousands, with an annual cost of at least $3.5 billion. Better Communication and Technology to Report and AddressĪccording to the Institute of Medicine (IOM), medication errors harm 1.5 million people yearly in the U.S. ![]() You can take the damage from a sentinel event and bring some good out of the situation by making improvements and increasing awareness of similar risks across the industry. Voluntary reporting can not only improve operations in your hospital but bring to light potential similar situations for your peers as well. While it might feel natural to want to downplay or keep quiet on the event, in the long run, it benefits more people to address the situation directly and honestly. Follow The Joint Commission’s reporting and root-cause analysis requirements, detailed in the organization’s accreditation manual.Sentinel events have many victims, so a comprehensive support system of services is essential. Provide support for patients, family members, and staff. ![]()
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