Q: Our assessment for compliance with the LSC has been made, and some deficiencies have been identified. The problem is that some of these deficiencies will take longer than 45 days to resolve. What should be my plan of action?
Briefings on Accreditation & Quality - Volume 23, Issue 4
Fatigue has recently been recognized in the medical literature to increase the incidence of adverse events. Fatigue is a widely recognized patient safety issue. Nurses who worked over 12 hours per day or 60 hours per week were found to have made three times the number of medical...
Despite sustained attention from hospital leaders, wait times in the University of California, San Francisco (UCSF) ED were considerably longer than desired. Knowing that longer wait times means poor patient satisfaction and a higher risk of poor health outcomes, a team of resident physicians...
Years ago, when I wanted information on certain patient safety subjects, I might have gone to multiple sources—the Internet (of course), a colleague within my network, and maybe even a book.
Briefings on Accreditation & Quality - Volume 23, Issue 4
In 2009, The Joint Commission added Leadership standard LD.03.01.01, ”Leaders create and maintain a culture of safety and quality throughout the hospital,” to recognize that behavior that intimidates others and affects staff morale and turnover can also be damaging to patient care, and to...
Briefings on Accreditation & Quality - Volume 23, Issue 4
During summer 2011, AHAP surveyed hospitals coast to coast to gauge how tracer methodology has evolved in recent years and how effective hospitals are finding this challenging, but often pivotal process. Seventy-two percent of respondents reported that they maintain formal tracer...
The Joint Commission requires healthcare facilities to train employees annually. Part of that training includes best practices for infection control (IC), but effective training requires infection preventionists (IP) to employ training methods based on evidence-based best practices that yield...
Briefings on Accreditation & Quality - Volume 23, Issue 4
Recently in this space, we talked about CMS’ changing stance on the so-called ”30-minute rule.” To follow up, we thought it was time to take a look at the Institute for Safe Medication Practices (ISMP) and its recently developed Acute Care Guidelines for Timely Administration of...