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JCAHO Alert Addresses Medication Errors
More than 10% of all sentinel events reported to the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) relate to medication error; but in home care, over 13% of sentinel events relate to medication error.
According to the Joint Commission, in a Sentinel Event Alert issued in January 2006, 63% of the medication errors that resulted in death or serious injury were a result of communication breakdowns. Half of the communication breakdowns would have been avoided with effective medication reconciliation, according to report authors.
To reduce errors related to medication reconciliation, the authors recommend:
As part of its current National Patient Safety Goals, the Joint Commission also requires that each accredited health care organization: