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You already should know that Joint Commission on Accreditation of Healthcare Organizations surveyors want to see compliance with restraint and seclusion standards. But to improve quality in this area, youll need to do more.
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Editors note: This column will be a regular feature in Hospital Peer Review profiling a facility that recently has been surveyed by the Joint Commission on Accreditation of Healthcare Organizations.
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If youre looking for resources to help with quality improvement programs in your facility, access the new National Quality Measures Clearinghouse web site (www.qualitymeasures.ahrq.gov).
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Now that the long-awaited revised accreditation standards from the Joint Commission on Accreditation of Healthcare Organizations have been unveiled, what changes should you make in the way you prepare for surveys?
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Shown here is the policy that is followed at Paradise Valley Hospital in National City, CA, for credentialing of volunteer clinicians during a disaster.
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Recognizing and effectively responding to impaired physicians is a critical component of a hospitals patient safety initiative. The Joint Commission on Accreditation of Healthcare Organizations has an explicit requirement that the hospital medical staff have a process to identify and manage matters related to individual physician health (MS.2.6).
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A root-cause analysis points to a lack of redundancy as the critical failure that allowed organs to be transplanted into a patient with the wrong blood type, according to information from Duke University in Durham, NC, the site of a recent notorious sentinel event.
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Clinical pathways often are hailed as a premier quality improvement tool, but they also are seen as pie-in-the-sky solutions because they dont do any good if clinicians dont actually use them after all the fanfare of introducing them.
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Question: Does the Joint Commissions standard on spiritual assessment apply only to behavioral health or to all health care settings? What are we expected to do in making this spiritual assessment?
