Improving Patient Safety

584 Words2 Pages
The Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the National Patient Safety Initiative, the American College of Surgeons (ACS), the New York State Department of Health (NYS DOH), and the Agency for Healthcare Research and Quality (AHRQ) have all developed regulatory and accreditation standards. For example, the JCAHO recommends that the surgical team pause and articulate the surgical site before commencing, to reduce medical error. Standards and accreditations include issues such as institutional hygiene and safety, as well as policy and procedure related to patient care. In addition to these overarching regulatory and accreditation standards, individual institutions often also develop their own policies and procedures designed to promote patient safety. The guidelines established by organizations and initiatives related to patient safety will inform administrative and organizational policy. Although there will be some variation from institution to institution, all regulations should ultimately be rooted in evidence. Even with these concurrent regulatory and accreditation standards, medical errors such as wrong site surgery continue to plague health care. The case study shows that extraneous factors such as "multiple surgeons, multiple procedures, unusual time pressure due to organizational rather than clinical issues, and unusual patient characteristics" sometimes prevent regulatory and accreditation standards from being met, used, or
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