Error Reduction

The Joint Commission Sentinel Event Alert

Since 1998, the Joint Commission has issued 25 Sentinel Event Alerts to the healthcare community. These publications include more than 50 evidence or expert-based recommendations for preventing adverse events.

Sentinel Event Alerts address various error reduction topics:

  • Transfusion reactions
  • Inpatient suicide
  • Infant abductions
  • Wrong site surgery or other procedures
  • Patient falls
Laboratory professionals can be involved in all of these types of Sentinel Events.

The Joint Commission's first Sentinel Event Alert addressed the common practice of storing concentrated potassium chloride solutions in hospital nursing units.

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First Sentinel Event ALERT

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