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The Joint Commission Hospital Accreditation & National Patient Safety Goals Readiness

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Continuous-readiness checklist for a Joint Commission hospital accreditation survey, including the current National Patient Safety Goals and tracer methodology focus areas.

The Joint Commission CAMHTJC National Patient Safety Goals

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National Patient Safety Goals - Identification & Communication

  • Are at least two patient identifiers used before care, treatment, and services? *
  • Are critical test and diagnostic results reported to the responsible provider on a timely, defined basis? *

National Patient Safety Goals - Medication Safety

  • Are all medications, containers, and solutions labeled on and off the sterile field? *
  • Is extra care taken with patients on anticoagulant therapy (education, monitoring, protocols)? *
  • Is an accurate medication reconciliation performed and communicated at transitions of care? *

National Patient Safety Goals - Infection & Harm Prevention

  • Does the organization comply with current CDC or WHO hand hygiene guidelines? *
  • Is a suicide risk assessment conducted for patients being treated for behavioral health conditions? *
  • Are alarm systems managed so clinically significant alarm signals are not missed? *

Universal Protocol (Surgical/Invasive)

  • Is a pre-procedure verification process conducted to confirm the correct patient, procedure, and site? *
  • Is the procedure site marked by a licensed practitioner accountable for the procedure? *
  • Is a time-out performed immediately before starting the invasive procedure? *

Tracer & Survey Logistics Readiness

  • Are staff able to describe the organization's process for reporting safety events and sentinel events? *
  • Is the Statement of Conditions (SOC) and Basic Building Information current and accessible? *
  • Are ORYX/measurement performance data available for review during the survey? *

The Joint Commission Hospital Accreditation & National Patient Safety Goals Readiness 체크리스트 전체 다운로드

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