JCAHO Patient Safety Requirements
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Transcript JCAHO Patient Safety Requirements
JCAHO Patient Safety
Requirements
Background
&
Summary
Background
1999 Institute of Medicine report:
“To Err is Human: Building a Safer Health
System”
Estimated 44,000 – 98,000 medical error deaths
annually
More than from highway accidents, breast
cancer, or AIDS
Additional IOM Activity
Quality of Healthcare
in America Project
Crossing the Quality
Chasm -report
recommends total
redesign of health care
delivery system
JCAHO Patient Safety
Requirements
In response to IOM
reports and public
outcry
Intermeshed
throughout the
standards
>50% of standards
now relate to patient
safety
What Must We Do?
Create Culture of
Safety
Program development
and oversight
Encourage error
reporting
Non-punitive system
Don’t tolerate cover-ups
Support employees
involved in serious
errors
Culture of Safety (continued)
Root Cause Analysis
Intensely analyze the
error
Redesign system
Test new design
Educate staff on
changes
Follow-up on the new
design
Ask Questions
Safety Survey:
ask for
suggestions on
improving safety
Employees
Medical staff
Patients
Technology Promotes Safety
•
•
•
•
Assess needs
Accessibility
Timeliness
Links to internal
equipment
• Links to external
resources
Patient Centered Care
Assess for safety risk
factors like falls
Incorporate
assessment into care
plan
Provide safety
education for patients
and families
Prevent Errors (continued)
Analyze & redesign
high risk areas
including:
Medication (from
ordering to
administration)
Errors reported by
other facilities
Those identified in risk
management
Prevent Errors
Adequate
allocation of
resources
Human
Information
Physical
Financial
Disclose Unanticipated
Outcomes
The attending
physician must tell the
patient and family if
the outcome is
significantly different
from that anticipated
This includes surgical
complications
Disclose Errors
Tell the patient
and/or family when
an error has
occurred