Communication Regulations at Nightingale Hospital Western Governors University Communication Regulations at Nightingale Hospital Nightingale Hospital complying with Joint Commission’s is not occurring. The Universal Protocols (UP) met on some months and not on others. The Time-Out Hospital Wide UP looks like hospital was increase in compliance over the year and reached the one hundred percent make until December. This protocol should be preform at every surgery or minor procedure (where
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A Sentinel Event is defined by The Joint Commission (TJC) as any unanticipated event in a healthcare setting resulting in death or serious physical or psychological injury to a patient or patients, not related to the natural course of the patient's illness. Sentinel events specifically include loss of a limb or gross motor function, and any event for which a recurrence would carry a risk of a serious adverse outcome. Sentinel events are identified under TJC accreditation policies to help aid in rootcause
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COMPLAINCE STATUS Joint Commission clearly explained that a Periodic Performance Review is as an assessment tool designed to help in assisting the healthcare organization contributes greatly in the improvement and monitoring performance all through the year. The periodic performance focuses more on the measures that has to do with patients safety and care and at same time given the facility for unremitting standards fulfillment. NCH is 100% compliance with most standards of Joint Commission in the following
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that monitor quality of care are the Joint Commission and the NCQA. Participation in the Joint Commission is voluntary, but states may link their facility licensure requirements to Joint Commission participation, or payers may link their reimbursement to facilities that have attained Joint Commission accreditation. The Joint Commission has established performance standards and quality indicators that facilities must meet, and regular site visits by Joint Commission teams assess facility compliance with
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Priority Focus Area: Communication In preparation of a review from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Nightingale Community Hospital will focus on improving its communication process in the operating room. The purpose of communication in the healthcare setting is to disseminate information in such a way as to create shared understanding about the patient and about what needs to be done for a positive outcome. (synergia.com) A patient is at his most vulnerable
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Accreditation audit 4 June 2015 Contents A. Tracer Audit 3 A1. Focus issue 3 A2. Corrective action 4 Works Cited 5 A. Tracer Audit The tracer was performed as part of a process improvement to assess compliance with The Joint Commission standards (The Joint Commission, 2015). In this process, a random patient chart was chosen and the process followed from admission to discharge including any directly related follow-up or readmission. The chart chosen for this tracer was for a 67-year-old female
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becoming a high reliability institution. The Joint Commission has developed a framework for hospitals that incorporate high reliability healthcare (The Joint Commission, 2013). The Joint Commission is urging healthcare leaders to use a framework that it has developed to advance their organizations through phases of advancement, eventually creating environments in which there is zero patient harm (The Joint Commission, 2013). According to the joint commission, healthcare organizations must commit to transparency
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Healthcare Law and IT Brittany Technology is constantly evolving and advancing. As the healthcare industry becomes more electronic the laws protecting patient health information also need to evolve to cover the ever changing technologic advances. The concerns of protecting patients’ private healthcare information have grown as the use of electronic medical records has become more prevalent throughout the industry. In the 1960s computers began being used for generalizing human behavior
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Needleman, et al., concluded that reducing the nurse-patient ratio resulted in the patient being at less risk for developing hospital-acquired illnesses as well as a reduced risk of inpatient mortality. The reader will also be informed about the Joint Commission’s protocol for reducing the occurrence of wrong-patient, wrong-site, and wrong-procedure during surgical procedures. Politics, Legislation, and Implications to Patient Care As the American population ages, healthcare and its resources
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Compliance Action Plan The Priority Focus Area of Medication Management for the next Joint Commission visit requires that Nightingale Hospital plan its medication management process, label all medications, and increase patient safety when administering anticoagulant therapy. In planning medication management processes, the Joint Commission requires hospitals to have a written policy that gives staff responsible for the management of medications and licensed independent practitioners access to
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