Tag: Accreditation

ISMP releases perioperative medication safety tool

Editor's Note The Institute for Safe Medication Practices (ISMP), on May 18, released a new perioperative medication safety self assessment to help hospitals, ASCs, and other surgery settings evaluate their medication practices and identify challenges and opportunities for improvement. The tool also offers providers a way to document compliance with…

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By: Judy Mathias
May 20, 2021
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The Joint Commission announces top 5 most challenging requirements for 2020

Editor's Note The Joint Commission, on May 12, listed the top 5 standards most frequently identified as “not compliant” during surveys and reviews from January 1 to December 31, 2020. The top five for accredited hospitals are: NPSG.15.01.01: Reduce the risk for suicide. EP1. IC.02.02.01: The hospital reduces the risk…

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By: Judy Mathias
May 13, 2021
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The Joint Commission: Aisle widths must have at least 36 inches of clearance

Editor's Note The Joint Commission announced April 21 that, effectively immediately, Life Safety Code surveyors will cite noncompliance in suites with aisles that have less than 36 inches of clearance from side to side to facilitate egress in hospitals and critical access hospitals. The finding will be scored at Life…

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By: Judy Mathias
April 22, 2021
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The Joint Commission issues new Heads-Up Reports for first quarter 2021

Editor's Note The Joint Commission, on April 14, announced that new Heads-Up Reports for first quarter 2021 are now available for all accredited programs. The downloadable report is posted in the “Resources and Tools” section of an organization’s secure Joint Commission Connect extranet site. Each report identifies important topics or…

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By: Judy Mathias
April 15, 2021
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The Joint Commission issues Sentinel Event Alert on smart infusion pump safety

Editor's Note The Joint Commission, on April 14, issued Sentinel Event Alert 63: Optimizing smart infusion pump safety with DERS [dose error reduction software]. Though smart infusion pumps combine computer technology and drug libraries (stored in DERS) to limit the potential for dosing errors, errors still occur each year. Bypassing…

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By: Judy Mathias
April 14, 2021
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The Joint Commission creates new requirements addressing patient admission, discharge, transfer

Editor's Note In response to a May 2020 Centers for Medicare & Medicaid Services final rule on interoperability and patient access, The Joint Commission has created new requirements that address patient admission, discharge, and transfer notifications. The new requirements, which apply to hospitals and critical access hospitals, address the electronic…

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By: Judy Mathias
April 8, 2021
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The Joint Commission launches SAFER Dashboard

Editor's Note The Joint Commission, on April 6, launched the SAFER Dashboard for its accredited healthcare organizations. The dashboard, which is accessible on an organization’s Joint Commission Connect extranet site, is a data analytic tool that allows organizations to view their survey data and national comparison data in one place.…

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By: Judy Mathias
April 8, 2021
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Importance of critical event debriefs cannot be overstated

During the COVID-19 pandemic, healthcare workers nationwide have experienced patient deaths on a scale like never before. Whether from COVID-19 or other complications, surgical services staff sometimes lose patients despite their best efforts, and these failures to rescue can leave lasting psychological or emotional scars. Many healthcare facilities have ramped…

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By: Elizabeth Wood
March 19, 2021
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Joint Commission returns to unannounced onsite surveys March 15

Editor's Note The Joint Commission on March 10 announced that it will be returning to unannounced onsite surveys. Beginning March 15, organizations will no longer receive a phone call or email when it has been determined the area is at low enough risk for an accreditation survey team to visit.…

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By: Judy Mathias
March 11, 2021
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Joint Commission offers Advanced Certification for Spine Surgery

Editor's Note The Joint Commission on February 24 announced that it will be offering an Advanced Certification for Spine Surgery (ACSS) in collaboration with the American Academy of Orthopaedic Surgeons (AAOS). The new program will be available in July to hospitals, critical access hospitals, and ambulatory surgery centers that perform…

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By: Judy Mathias
February 25, 2021
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