Joint Commission Sentinel Event Alert focuses on misuse of vials

Patient Safety Monitor Insider

August 13, 2014

There have been 49 outbreaks since 2001 due to the mishandling of injectable medical products, according to the CDC. Although 28 involved invasive bloodstream infections, 21 resulted in the transmission of hepatitis B or C.

But these statistics may just be the tip of the iceberg. Due to the difficulty in directly tracing the misuse of vials to possible outbreaks, the CDC estimates that many more outbreaks born from the misuse of vials go unreported.

The existing statistics, coupled with the direct harm these outbreaks have on patients, led The Joint Commission to release a Sentinel Event Alert on June 16 highlighting some of the patient safety risk factors associated with the misuse of vials in healthcare.

This is an excerpt from an article in Patient Safety Monitor Journal.

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