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Sentinel Event Alert 63: Optimizing Smart Infusion Pump Safety with DERS

机译：Sentinel事件警报63：用ders优化智能输注泵安全

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Editor’s Note: For over two decades, The Joint Commission has developed and disseminated Sentinel Event Alerts (SEAs).SEAs identify specific types of adverse events and high-risk conditions, describe their underlying causes, and recommendsteps to reduce risk and prevent future occurrences. Health care organizations should consider the information in SEAs whendesigning or redesigning processes, including specific suggestions contained in the alerts to mitigate risks. Recently, The JointCommission decided that co-publishing SEAs in the Journal would help expand dissemination efforts by reaching beyondhealth care organizations to the broader quality and safety community, including researchers and policymakers. In this issue,we are proud to publish Sentinel Event Alert 63: Optimizing Smart Infusion Pump Safety with DERS (dose error reductionsoftware). The SEA describes actions health care organizations can take to reduce the risk of errors caused by the misuse ofsmart infusion pumps, especially errors that can be avoided by the optimal use of DERS. We will co-publish future SEAsthat we think would be of interest to the Journal’s audience. We hope you enjoy this new addition to the Journal.
机译：编者按：在过去的二十年中，联合委员会已制定并散发哨兵事件警报有限公司（SEAS）。战略环评确定特定类型的不良事件和高风险的条件下，描述他们的根本原因，并推荐步骤，以减少风险，防止未来发生。医疗保健机构应考虑策略性当信息设计或重新设计流程，包括包含在警报，以减轻风险的具体建议。近日，联合委员会决定，在杂志联合发布的SEA将有助于扩大通过接触传播之外的努力医疗保健机构，以更广泛的质量和安全的社区，包括研究人员和政策制定者。在这个问题上，我们很自豪地发布哨兵事件警报63：优化智能输液泵的安全与DERS（剂量误差减少软件）。策略性行动说明医疗机构可​​以采取减少错误造成的误用风险智能输液泵，特别是可以通过DERS的最佳利用来避免错误。我们将共同发布未来战略环评我们认为会感兴趣的杂志的受众。我们希望你喜欢这个新增加的杂志。

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