Sentinel Events Should Result In A Blameless Society — Not Make The Employee The Scapegoat
The Happy PharmD
OCTOBER 26, 2022
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. The medication record system containing all the medications that the patient was taking was called the “kardex”.
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