Becker Hospital 2012). Dr. Steinberg states “As a consultant and expert witness, I see many cases that could be avoided with some thoughtful review and analysis. Typically, the cases I review are either related to the hospital not following Joint Commission standards, either by ignoring required policies and procedures, or physician credentialing and privileging
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requirements of the Joint Commission (JC) on Accreditation of Healthcare Organization. * Corrective action plan for a compliance with the JC’s standards for the communication focus area. * Justification of an importance for the communication standards for NCH. Current Status NCH Communication standards compliance to 2013 Joint Commission Hospital Standards for Communication NCH current standards and protocols in place | Joint Commission(JC) Standard Number | Joint Commission Standards, retrieved
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surrounding this process improvement, the hospital has been able to reduce the number of deliveries to less than 5% for the last 6 months (Gateway Medical Center, 2015). The hospital has also become a member of the Joint Commission (Gateway Medical Center, 2015). The Joint Commission accreditation will conduct surveys to evaluate the facility’s compliance with national standards (Gateway Medical Center, 2015). These improvements can only be achieved by having strong leadership within the hospital
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Compliance Status The following executive summary focuses not only on the identified gaps in the current process, but also the corrective action plan to support compliance in the noted areas of the Communications Standards as provided by The Joint Commission, (National Patient Safety Goals, 2013). The high risk associated with surgical procedures performed on the wrong site has driven a risk mitigating approach to the processes involved for these procedures. The goal is to prevent harm to patients
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The Joint Commission has set accreditation standards in such places as General Hospitals, Nursing Homes, Behavioral Hospitals, and Labs that evaluate the safety and care provided by these institutions. The Joint Commission will come to a facility unannounced, this will help the and do a comprehensive onsite evaluation where they look at the patients experience in that facility and will focus on how that facility can improve their operational systems these improvement will help in the care and safety
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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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a new method of healing that is more holistic in approach. The Joint Commission (2005) recommends spiritual assessment program which can help the medical officers to know the needs of the patients aside from the usual physical treatment. It will help them gather information about the spiritual needs of the patient which can then be used to form a new framework that will address such needs and some related issues (Joint Commission,2005, p. 6). Assessing the spiritual state of a patient is
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Task 1 Maggie Miklos January 25, 2014 Executive Summary At Nightingale Community Hospital (NCH) one of our core values is to provide superior service and outstanding clinical care as noted in our safety statement. We welcome The Joint Commission (TJC) to survey our facility on a triennial basis to ensure compliance with their established standards and Priority Focus Areas: Infection control, Communication, Medication Management, and Information Management. In anticipation of the
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“pre-procedure verification, site marking, and a time out performed immediately prior to the procedure.” (Maureen Burger RN, 2011) In Joint Commission standard: UP.01.01.01 the hospital is to “implement a preprocedure process to verify the correct patient.” The standard goes on further to state that the hospital identify the items that need to be available for the procedure, (Commission, 2011) In response to this Nightingale has implemented a preprocedure hand-off check list that asks several questions that
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examination of its policies and practices to keep up with the latest Joint Commission standards. Clinical practice is constantly affected by changes in the health care system and other factors. It is the responsibility of the hospital to be aware of such changes and modify its practice and align its goals in order to better serve the community at large. In short, it means the hospital needs to maintain compliance with the Joint Commission standards and provide consistent and quality care to its recipients
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