Tag: Standards

Splash risks, droplet dispersal during instrument reprocessing

Editor's Note This pilot project, by epidemiologist Cori L. Ofstead, MSPH, and colleagues finds that routine reprocessing activities generate substantial splashing and droplet dispersal, and that currently recommended items of personal protective equipment (PPE) do not adequately protect personnel from exposure. The researchers found that: Droplets were generated during every…

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By: Judy Mathias
February 14, 2022
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The Joint Commission adds requirements, expands review process for PSCs

Editor's Note The Joint Commission announced on February 9 that it will add requirements and expand the review process to 2-days for Primary Stroke Centers (PSCs) that provide mechanical thrombectomy (MT) and are seeking advanced certification or recertification, effective July 1, 2022. The additional tracer time and requirements will help…

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By: Judy Mathias
February 10, 2022
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The Joint Commission revises Environment of Care Chapter

The Joint Commission revises Environment of Care Chapter The Joint Commission on January 26 announced that it has approved several revisions to Elements of Performance (EP) in the Environment of Care (EC) chapter, which will vary across accreditation programs. Among the revisions: Standard EC.02.04.01, EP 11, which addresses reporting incidents…

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By: Judy Mathias
January 27, 2022
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The Joint Commission revises requirements for informed consent, AV information

Editor's Note The Joint Commission, on January 12, announced that revisions to the Rights and Responsibilities of the Individual (RI) chapter addressing the written policy on informed consent and organizational use of images, films, and recording of patients will become effective July 1, 2022. Among the revisions: A new bullet…

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By: Judy Mathias
January 13, 2022
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Mastering surveys by The Joint Commission, CMS during COVID-19 pandemic

The 2021 OR Manager Conference in Chicago saw John R. Rosing, MHA, FACHE, executive vice president and principal of Patton Healthcare Consulting, Naperville, Illinois, give his annual update on mastering Joint Commission standards and Centers for Medicare and Medicaid (CMS) regulations. The past 2 years of COVID-19 restrictions have delayed…

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By: Judith M. Mathias, MA, RN
December 16, 2021
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The Joint Commission seeking comments on new heart attack certification program

Editor's Note The Joint Commission, on October 27, announced that it will launch a new Comprehensive Heart Attack Center Certification in July 2022 and is seeking comments on the newly proposed standards. The Joint Commission also has revised standards for its current certification programs: Acute Heart Attack Ready and Primary…

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By: Judy Mathias
October 28, 2021
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The Joint Commission to implement new, revised PI, LD accreditation standards for labs

Editor's Note The Joint Commission on October 12 announced that it will implement new and revised Performance Improvement (PI) and Leadership (LD) accreditation standards for its Laboratory Accreditation Program, effective January 1, 2022. The revisions factor in two common themes of organizations with successful improvement programs: Adoption of an established…

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By: Judy Mathias
October 13, 2021
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The Joint Commission: Deadline for ISMP Medication Safety Self Assessment for Perioperative Settings extended

Editor's Note The Joint Commission, on September 15, announced that the deadline to participate in the Institute for Safe Medication Practices’ (ISMP) Medication Safety Self Assessment for Perioperative Settings has been extended to December 10. The self-assessment helps those in perioperative settings see how well their organizations’ systems and practices…

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By: Judy Mathias
September 16, 2021
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AORN to launch ‘Center of Excellence in Surgical Safety: Prevention of RSI’

Editor's Note AORN announced on August 15 that it will launch a new “Center of Excellence in Surgical Safety: Prevention of RSI.” Facilities will be recognized as Centers of Excellence for implementing a surgical team-based program to prevent retained surgical items (RSI). The complimentary program, sponsored by the AORN Foundation…

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By: Judy Mathias
August 16, 2021
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The Joint Commission revises HCSS certification program

Editor's Note The Joint Commission announced on August 4 that revisions to three Health Care Staffing Services (HCCS) certification standards will go into effect January 1, 2022. The changes include: Human Resources Management (HSHR) Standard HSHR.3 will now clarify that this is the organization’s new employee orientation for clinical staff…

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By: Judy Mathias
August 5, 2021
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