Sentinel Events Should Result In A Blameless Society — Not Make The Employee The Scapegoat
The Happy PharmD
OCTOBER 26, 2022
When my pharmacy staff was involved in a sentinel event, we conducted a root cause analysis and action plan. These documents focused on why the sentinel event occurred. Both the label and the product had to match the order before the product. My pharmacy batched our IV solutions according to the nursing unit.
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