The Joint Commission in March unveiled Sentinel Event Alert (SEA) 57, which stresses the role of leadership in developing and sustaining a culture of safety. It goes on to claim that leadership’s failure in this regard contributes to several adverse events, including wrong site surgery and treatment delays. It’s impossible to completely eliminate human and mechanical error completely, the accreditor writes. But leaders can take a role in mitigating and catching these mistakes before they hurt someone.
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