Sentinel Events Should Result In A Blameless Society — Not Make The Employee The Scapegoat
The Happy PharmD
OCTOBER 26, 2022
These documents focused on why the sentinel event occurred. In this particular case, the physician folded the medication order when he placed it in the nurse’s bin. The nurse transcribed the medication order on the patient’s (nurse’s) record system. Both the label and the product had to match the order before the product.
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