Joint Commission New Sentinel Event Alert 61: Managing the Risks of Direct Oral Anticoagulants

July 30, 2019    |   By: Tina Hilmas, RN, BSN, CPPS

The Center for Patient Safety wants to share this important harm-prevention advice from The Joint Commission and its Sentinel Event Alert: Managing the Risks of Direct Oral Anticoagulants.

The Joint Commission collects information on serious events, and then aggregates the learning from those into Sentinel Event Alerts. They are designed to notify the healthcare community about potentials dangers to patients.

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Joint Commission New Sentinel Event Alert 61: Managing the Risks of Direct Oral Anticoagulants:

The Center for Patient Safety wants to share this important harm-prevention advice from The Joint Commission and its Sentinel Event Alert: Managing the Risks of Direct Oral Anticoagulants. The Joint Commis

CPS Safety Watch/Alert – Culture Can Improve the Control of Multi-Drug Resistant Organisms:

Issue: A number of events reported co CPS’ Patient Safety Organization (PSO) demonstrate poor handoff communication about the patients’ infectious disease status Examples include: Patient with

CPS Safety Alert/Watch – Culture can Improve the Control of Multi-Drug Resistant Organisms:

ISSUE:A number of events reported to CPS’ Patient Safety Organization (PSO) demonstrate poor handoff communication about the patients’ infectious disease status.Examples include:~Patient with s

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