Joint Commission Research Paper

Goal three by the National Patient Safety Goal for 2014 is to use medicines safely. Many errors occur regularly with medications which is why communication is so important with the doctors, nurses and patients. One process that Joint Commission requires in accredited HCO’s is medication reconciliation “creating the most accurate list possible off all medications a patient is taking, including drug name, dosage, frequency, and route, and comparing that list against the physician’s admission, transfer, and/or discharge orders with the goal of providing correct medications to the patients at all transition points within the hospital (Finkelman & Kenner, 2012, p. 388)”. Ensuring medication reconciliation to the patient, health providers and any new consults that are

Pens, I'm sure you use them nearly every day. Most likely, a fair number of the pens you use are BIC. BIC, a disposable consumer product manufacturer, was founded in 1945. The product I chose to research is the most common, the BIC Cristal ballpoint pen. BIC was created in France, now it has spread its reach to the far corners of the world. BIC sells everything from pens, to lighters, to water sports equipment.

“How JROTC has prepared me to be a better citizen of the United states of America”. JROTC has prepared me to become a better citizen by teaching me how to use leadership skills and be able to cope with subordinates. It also has prepared me to be a better citizen by showing me what the 7 army values are and what they mean. Some of the army values are respect, honor, integrity, and personal courage. JROTC has showed me how to do things different from the way I thought things should be done and how to march and be able to keep a company and platoon together when marching. Since I know a lot about the JROTC I am able to help other people become better citizens like I was taught. I am also a better citizen because i have the discipline not to do certain things that I did before I took the JROTC class.

The rules and regulations surrounding dispensing errors in the UK are governed by the Medicines Act of 1968 ‘the Act’, and the Health Act 1999, which legislates the General Pharmaceutical Council (GPhC) through the Pharmacy Order 2010. The Act is an Act of Parliament which governs the control, manufacture and supply of medicines in the UK. It was introduced to help control the use of medicinal compounds and to increase patient safety, although much of it has been modernized and repealed. It also gives power to the courts to charge any dispensing mistakes as a criminal offence.

According to the Food and Drug Administration (FDA 2009), the wrong route of administrating medication accounts for 1.3 million injuries each year. An article published in September issue of the Journal of Patient Safety estimates there are between 210,000 and 400,000 deaths per year associated with medical errors. This makes medical errors the third leading cause of deaths in the United States, behind that comes heart disease and cancer. To prevent medical errors always follow the Three Checks and most importantly the Rights of Medication Administration. The “Rights of Medication Administration” helps to ensure accuracy when administering medication to a patient. When administering medication the administer should ensure they have the Right Medication, Right Patient, Right Dosage, Right Route, Right Time, Right Route, Right Reason, and Right Documentation. Also remember the patient has the right to refuse, assess patient for pain, and always assess the patient for signs of effects.

Erica Lindsay, PharmD, MBA, JD, is a health care attorney practicing in the greater Chicagoland area. She has worked in pharmacy management and compliance for more than 15 years. Dr. Lindsay consults clients through complex pharmacy regulations and guidelines, including 340B, Medicare and Medicaid billing, and HIPAA compliance. She is on faculty of PharmCon providing instruction on pharmacy legal and regulatory issues. Dr. Lindsay is active in various organizations including the American Bar Association where she is Vice of the Nursing and Allied Healthcare Professionals Task Force and members of the Health Care Compliance Association, Cook County Bar Association, and the Chicago Bar Association. She is a graduate of Florida A&M University

JROTC, also known as Junior Reserve Officers’ Training Corps, is a program that is offered in high school, which gives students an introduction to the U.S. Army. The main mission of this program is to motivate young people to become better citizens. This program teaches self-discipline, confidence, and pride in a job well done. It offers many challenges and opportunities which is surely able to increase one’s life skills and leadership skills, such as sharpening your communication skills, strengthen your self-esteem, and improving your physical fitness. Throughout its century-long history, multiple things had changed, while other things stayed the same, but the ROTC program will continue to remain as a promising existence for years to come.

1. In the workplace there is a generic Medication Management Policy and Procedures for Adult Services (Issue 10, 2012) document. This is kept to hand in a locked cupboard, readily available to read. It requires that all Healthcare Staff are given mandatory training and refreshers are provided. Legislation which surrounds the administration of medication includes The Medicines Act 1968, The Misuse of Drugs Act 1971, The Data Protection Act 1998, The Care Standards Act 2000 and The Health and Social Care Act 2001

4. Patient care policy of pharmacist review of medications that is in place fails to address the allergic reactions of the patient as the number one priority of the pharmacist. According to the Joint Commission policy all medications ordered must be reviewed for patient allergies or potential sensitivities.

Henry Louie Norwest was born on May 1st, 1884 in Fort Saskatchewan, a small town outside of Edmonton in Alberta. He was a very unique solider as he was Metis. His mother, Geneviève Norwest was of French descent, and his father, Louie Norwest was a member of the Kiskaquin, a Cree first Nations band. Henry was one of three siblings, he had a half-brother named Joe Norwest, as well as a sister, Madeline Norwest who lived in Lacombe, Alberta. His parents later moved to Prince Albert, Saskatchewan. Growing up with a First Nations heritage, Henry learned many valuable skills that would later help him during life in the war. The most notable of these skills was the ability to hunt, as it thought him invaluable camouflaging and gun skills. Growing

On August 27, 1908, Lyndon Baines Johnson was born to Sam and Rebekah Johnson.; he was the first of their five children. He was born near the central Texas community of Johnson City, which was named for some of his relatives. His family included some of the earliest settlers of the Lone Star State. They were cattlemen, cotton farmers, and soldiers for the Confederacy. Lyndon’s father, Sam Johnson, had won the election to the Texas legislature and he served five terms before he switched careers and became a farmer. He had a very strong relationship with his mother, Rebekah Johnson.

The Joint Commission is a not-for –profit organization. It’s a private nongovernmental program that is purposed for improving the quality of health care. The Joint Commission accredits more than 21,000 health care organizations in the United States. This document has created a standard and national patient safety goal in which health care providers must comply. A list was created do to the fact that many error has been made throughout the medical system. The Joint Commission brought forth, which is known as the do-not-use-list. This list contain many errors of words been misuse when it comes down to the medical field. When dealing with medication it’s very easy to make a mistake by a hand written prescription cause by rush handing writing

In 2003, The Joint Commission made one of their first goals to improve the accuracy of identifying patients to reduce or eliminate patient identification errors. This continues to be an accreditation requirement. Their recommendations to do this are to use at least two patient identifiers when administering medications, and when providing treatments or procedures. Acceptable identifiers may be the individual’s name, an assigned identification number, telephone number, or other person-specific identifier. Patient room number or physical location may not be used as an appropriate identifier. Healthcare provides should re-identify the patient with each encounter, each medication pass, and each procedure. There have been procedures and protocols throughout the country have been put into place to make the care provided to patients safer. Another element of this requirement is that all containers should be labeled in the patients presences after using the patient identifiers

Although Proclamation 455/2005 envisages that valuations will eventually be carried out by certified private or public institutions or individuals, it also states that until such time as institutions of private or public nature, as well as individuals with the required capacity/ability become available, the valuations will have to be made by committees to be established under Article 10 of the proclamation or by owners of utility lines as provided under Article 6 of the same

Not only does the electronic method of prescribing save time, it has also cut down on the number of accidents caused by the misinterpretation of handwriting. Although now almost obsolete, hand-written prescriptions have been the cause of many medical errors because certain sound-alike or look-alike drugs have, in the past, been incorrectly substituted for one another. A report given by the insurance company, Excellus BlueCross BlueShield disclosed that if all physicians were to begin using electronic-prescription systems, “more than two million adverse reactions or events – ranging from inconsequential to severe – could be avoided each year” (wgrz.com). According to pharmacist and associate director for the Food and Drug Administration’s Office of Drug Safety, Jerry Phillips, “Six-hundred sound-alike or look-alike drug pairs have been identified as possible sources of error since 1992” (nytimes.com). For example, Lamictal, a mood-stabilizing anticonvulsant, is quite similar in spelling to Lamisil, an antifungal drug. Because of these strong similarities, it is not difficult to understand how easy it could be for medical personnel to mistake certain medications. But with e-prescribing, because the prescription is sent directly from the prescriber to the pharmacy, the number of accidents caused by misinterpretation of handwriting has already been