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During your next survey by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), its unknown where surveyors will go, which staff members theyll speak to, and which patients will be traced. But one thing is certain: Compliance with the National Patient Safety Goals will be a key focus.
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In April 2002, Donna Zazworsky , MS, RN, CCM, FAAN, director of grants, partnerships, and policy at St. Elizabeth of Hungary Clinic in Tucson, AZ, got a telephone call from a case manager at
a local hospital who wanted to know if the clinic had a hospital bed it could donate for use by a 17-year-old patient who was being discharged.
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The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has appointed an expert panel to assist in a study of hospitals efforts to address cultural and linguistic issues that affect patient care. The 2½-year study will attempt to identify best practices for providing culturally and linguistically appropriate care in hospitals, and could play a role in future JCAHO accreditation standards. The study will involve site visits to a sample of 60 hospitals starting in May 2005.
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Patient safety experts advocate elimination of fear in the workplace so staff members can more effectively identify and resolve safety concerns. The elimination of fear is necessary to create an environment of trust and cooperation, essential ingredients of initiating and sustaining patient safety improvements.
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Unless your organization is lucky enough to be found 100% compliant after your next survey by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) or after completing the periodic performance review, youll have to address noncompliant areas for which you must set measures of success (MOS) and then gather data to evaluate improvement.
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This is the second in a two-part series on the recent General Accounting Office report on the Joint Commission on Accreditation of Healthcare Organizations. Last month, we covered the reports controversial findings and the Joint Commissions response. This month, we cover new legislation that could affect your future surveys.
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You may not be an architect, but it might be time for you to start paying a little more attention to the way your hospital is designed especially if youre about to have a new facility built or youre embarking on a substantial renovation.
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The Joint Commission on Accreditation of Healthcare Organizations 2005 National Patient Safety Goals that will apply specifically to hospitals have been finalized but many eager quality managers didnt wait for this news to take action.
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As often occurs when new Joint Commission on Accreditation of Healthcare Organizations standards are introduced, hospitals are rushing to complete failure mode and effect analysis (FMEA) projects to comply with patient safety requirements.
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Its without question one of the most tragic things that can occur at any hospital: An infants death during delivery.
