1. Between 2010 and 2013, there were 120 de-identified sentinel events with more than 300 health IT contributing factors reported to The Joint Commission.
2. The most frequent consequences of the health IT sentinel events were medication errors, wrong-site surgeries/procedures and delays in treatment.
3. The top three health IT factors contributing to the sentinel events were human-computer interface issues, technology impeding clinical workflow and clinician communications.
The Joint Commission’s Ambulatory Buzz blog offers more information and resources on health IT safety in ambulatory settings.
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