Joint Commission Standards

1969 Words Jun 11th, 2012 8 Pages
Executive Summary Joint Commission Standards Compliance

Prepared by: AK- Joint Commission Priority Focus Area: Communication RAFT Task 1

The Joint Commission Priority Focus area for Nightnigale included the four areas: • • • • Information Management Medication Management Infection Control Communication

All these priorities focus on the national patients safety goal as the most important in patient management and treatment, and guide the hospitals toward appropriate policies and protocols to follow and to minimize any possible mistakes or patients harm. I choose the priority focus area of Communication to discuss the current compliance status of our organization concentrating on the standards, which did not meet the Joint
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Usually results delivered to unit clerk who could take long time in delivering the important message to medical staff.

2. Verbal Order / Read Back elements: Goal is 100%. • This is so important to minimize any wrong information or orders misunderstanding, or even misinterpretation. The lack of full compliance increase the risk of wrong treatments, medications and the consequences could be major. Our institution compliance varied between departments, and was noticed that surgical and in specific orthopedic department was the least compliant with verbal order policy. The compliance in this department was 62%. Reasons for this non compliance include: a. Lack of pathways for specific medical problems, where standard orders are the acceptable route to minimize inappropriate orders. b. Timing of the verbal orders, specifically during the night, where most of non-compliance documented. c. Surgical and specifically orthopedic department have a significant trust between surgeon and staff, which lead to non-compliance. These elements should be addressed aggressively to avoid harm.

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3. Unacceptable Abbreviations: Goal 100%. • • • Despite the significant reduction in using unacceptable abbreviation, it still exists in some departments and by specific physicians. Our institution compliance was 99.6%. This is significant because of the number of orders analyzed, suggesting despite the better % that it still a huge number of orders or unacceptable