If your hospital is accredited by The Joint Commission (TJC), your CEO recently received a letter. That letter alerts the CEO that Joint Commission surveyors have been given additional training in four subjects to focus on when they arrive at your door for a survey. These subjects are:
- high-level disinfection and sterilization;
- sterile compounding of medications;
- identification and protection of potentially suicidal patients; and
- hemodialysis.
Each of these is the source of many “Immediate Threat to Life” findings by TJC. Greeley has also found them to be the subject of many adverse actions by CMS. So, it behooves all hospitals to pay special attention to these areas (and not just immediately before your next survey window opens.)
Editor’s note: this blog post originally appeared on The Greeley Company’s website.
To view the full blog post, click here.
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