its patients, N.C.H gets the joint commission periodically to come in and rate all the departments as well as the quality of care that the hospital provides. This evaluation by the joint commission is important because its seal of endorsement on a hospital means that the hospital rates highly in all aspects of care. Patients and their families constantly look for that supreme seal of excellence. Therefore N.C.H wants to make sure its services measure up to the joint commission standards. The previous
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Sentinel Event: Child Abduction Description of Event A three-year-old patient presented to the hospital for outpatient surgery of bilateral myringotomies with mother. After the patient was registered, consent for surgery signed by mother, and prepped for surgery, the mother gave the pre-op nurse her phone number and left to run an errand with instructions to be called if her daughter was finished with surgery sooner than expected. The mother was expecting the patient would be ready to go home
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needs to improve upon. Improving these areas would be just one step toward increasing patient care and satisfaction at this hospital. There are three areas to focus on that Nightingale Community Hospital is not in compliance with according to the Joint Commission standards. These areas are reporting critical results within 60 minutes, labeling medication containers and relations with anticoagulation therapy. One is in reporting of critical results hospital-wide. The survey results showed the
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Assignment 1-2: Accreditation by the Joint Commission Using a current Joint Commission Manual for any of the Joint Commission’s (JC) accreditation programs and the JC’s Website (www.jointcommissions.org) respond to the following questions. 1. List the accreditation programs and the types of facilities accredited by each accreditation program. * Ambulatory Care Accreditation Program – This accreditation program was established in 1975. Organizations accredited by this program are free
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The Joint Commission is a nonprofit organization that certifies more than 18,000 health care organization and programs throughout the world. Founded in 1951, the Joint Commission provides a national symbol of quality for health care as well as analyzes each organization’s commitment to meeting high quality performance standards. The Joint commission focuses on accrediting Acute Care Hospitals, ambulatory, behavior health, long term care, health care facilities, clinical laboratories, health care
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in Healthcare Quality, the Joint Commission, the Healthcare Facilities Accreditation Program, and Det Norske Veritas Healthcare Inc.,’s program (Thompson, 2013). Healthcare organizations must consider their needs when determining which nationally accredited organizations to enter into agreements with. Thompson (2013) states, “The Joint Commission dominates the field. In 2010–11, the report states, 90% of hospitals with so-called deemed status obtained it from the Joint Commission. The rest of the
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Michelle Purcell Ms. Williams EBP Project One of the most dangerous activities for hospital patients is the seemingly simple act of getting out of bed; it can lead to a hard fall, serious injuries and several thousands of dollars in added medical bills. Studies show that falls are most likely to happen between 7 p.m. and 7 a.m. and are commonly the result of patients getting up to use the bathroom. Patient’s most at risk for falls are those who are elderly, forgetful, or possibly
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Executive Summary Nightingale Community Hospital (NCH) is currently preparing for its triennial Joint Commission survey which is expected in approximately 13 months. The Joint Commission primary focus areas for NCH are Information Management, Medication Management, Communication, and Infection Control. The primary focus area outlined in this summary is Communication. The Joint Commission has three standards in which NCH is evaluated. Currently, NCH is non-compliant with standards UP.01.01
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Hospital (NCH) has thirteen months until their next Joint Commission audit. This report will evaluate Nightingale Hospital’s compliance in The Priority Focus Area of Communication using the Universal Protocol Standards from the Joint Commission Handbook. “The Universal Protocol was created to address the continuing occurrence of wrong site, wrong procedure and wrong person surgery and other procedures in Joint Commission accredited organizations” (Joint Commission, 2013). The Standards of Universal Protocols
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hospital must meet medication management standards set forth by the hospital and the Joint Commission. Medication management often involves the efforts of multiple services and disciplines. It is part of Nightingale’s policy that a patient’s information is accessible to a physician, pharmacist or nurse in the management of a patient’s medication. Nightingale Hospital has all the policies in place that the Joint Commission looks for to keep the hospital accredited. A1. Plan for Compliance In
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