In a live question-and-answer session, Kathryn Petrovic, MSN, RN-BC, The Joint Commission’s (TJC) field director of surveyor management and development, and Emily Wells, CSW, MSW, TJC’s project director of surveyor management and development, offered answers to...
Briefings on Accreditation & Quality - Volume 29, Issue 11
The tool consists of a short introduction and three questions, with an optional fourth item if the person has previously attempted suicide. It’s meant to be given during triage or primary nursing assessment and has been validated for use on patients 18 and older.
Briefings on Accreditation & Quality - Volume 29, Issue 10
You can expect renewed interest in your water management program. This summer, CMS sent out a new memo updating its expectations on Legionella infections. The memo, QSO 17-30-Hospitals/CAHs/NHs, was published July 6. It supersedes the former S&C 17-30-Hospitals/CAHs/NHs, issued in June 2017...
Briefings on Accreditation & Quality - Volume 29, Issue 10
Despite there being a number of methods to correctly identify patients, wrong-patient procedures still occur with distressing frequency. Many if not all of these errors are preventable, yet they still came in third on this year’s sentinel event list.
Briefings on Accreditation & Quality - Volume 29, Issue 10
In a new memo to its state survey agencies, CMS said it would use Joint Commission ligature recommendations—drawn from a task force that was convened by the commission and included several CMS suicide prevention experts—as the federal agency goes forward with clarifying and updating Interpretive...
Briefings on Accreditation & Quality - Volume 29, Issue 10
As infection prevention challenges evolve—such as emerging infectious organisms and resistance—healthcare organizations must focus on preventing hospital-acquired infections and ensuring better patient outcomes.
Briefings on Accreditation & Quality - Volume 29, Issue 10
Dialysis is one of the three main topics that have come up repeatedly at Joint Commission presentations, along with sterile compounding and pain standards. And there’s been a corresponding uptick in scoring for all of these areas in 2018.
Briefings on Accreditation & Quality - Volume 29, Issue 10
HFAP, one of the oldest accrediting organizations for U.S. hospitals, recently updated 13 of its standards to align with the expectations on ligature risk and other hazards that CMS outlined in a memo in December 2017. The standards have been approved by CMS, but will not be revised again in...
Briefings on Accreditation & Quality - Volume 29, Issue 9
Do you know the likelihood of recognizing a human trafficking victim? One who came to your facility seeking medical care? Sat with you, spoke with you, was treated by you?
Your chances are about 13% that you’ll recognize them.
Briefings on Accreditation & Quality - Volume 29, Issue 9
To keep themselves as closely aligned with CMS as possible, HFAP has updated their Acute Care Manual with new prepublication requirements on removing ligature (hanging) risks in rooms meant for suicidal patients. Several standards have been affected.