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The Accreditation Process in Action
OnSite Survey Activities
accreditation process Accreditation Program Accreditation Report Addendum and/or assess blood and blood blood banking blood components CLIA certificate clinical clinical/service Commission on Accreditation competence cryopreserved CSGs cytology cytopathology director is responsible donor ensure equipment evaluate extranet health care organization health care-associated infections hematology histocompatibility testing identified implementing infection control program initial survey JCAHO Joint Commission laboratory director Laboratory Environment laboratory establishes laboratory maintains laboratory performs laboratory services laboratory tests laboratory uses written Monitoring National Patient Safety On-Site Survey Activities Organization Exit Conference organization manages organization's Participate pathologist Patient Safety Goals patient/client/resident performance improvement PFAs point-of-care testing policies and procedures Priority Focus Areas Priority Focus Process quality control Quality Report sample sentinel events specimens staff standards compliance Sub-processes survey agenda Surveyed Organization surveyor test results Tracer Activity transfusion reactions valid statistical virology Waived Testing written policies written procedures