ED management : the monthly update on emergency department management
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Unsafe injection practices with respect to the misuse and unsafe use of vials is being targeted by The Joint Commission (TJC). The accrediting agency has issued a Sentinel Event Alert, putting hospitals on notice that they need to take strong steps to insure that health care workers fully understand and are carrying out practices that protect patients from the dangers of vial misuse. ⋯ Experts suggest vial misuse is often due to a lack of understanding of how to apply safe injection practices. To make improvements, experts recommend that hospital administrators first take steps to observe what is happening in their care environments, and then develop targeted action plans.