Check Out Latest TJC Sentinel Event Alert #43

Be sure to read the December 11, 2008, Sentinel Event Alert #43 from The
Joint Commission available at
http://www.jointcommission.org/Senti...ntAlert/sea_42

Like we haven't been addressing these issues and action
recommendations for years!!!

Also, check out the referenced Institute for Safe Medication Practices
(ISMP): Guidance on the Interdisciplinary Safe Use of Automated
Dispensing Cabinets, April 2008, available at

http://www.ismp.org/Tools/guidelines...ines_Final.pdf.

Be thoughtful readers as you may take exception to some of the
recommendations.