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How to Use This Book HB1
Sentinel Events SE1
Standards Rationales Elements of Performance and Scoring
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Accreditation Committee accreditation decision accreditation process accreditation programs and/or anesthesia applicable appropriate assess your compliance behavior chapter clinical practice guidelines clinical privileges components conducted consistent across accreditation criteria Current Standards Comments defined demonstrate achievement Denial of Accreditation determine documentation effective Elements of Performance emergency power systems environment EP is scored EP score evaluation governing body hospital identifies hospital's implements individual initial Joint Commission's leaders licensed independent practitioner medical record medical staff bylaws ment moderate or deep monitoring nursing ongoing Option organization's organized medical staff participate patient safety policies and procedures Previous Standards Current process design Rationale Reformatted and renumbered relevant Removed require an MOS responsible restraint and seclusion restraint or seclusion rewritten risk root cause analysis sample Scoring Category sentinel event services provided specific staff members standards and EPs Standards Current Standards survey surveyors telemedicine testing tion track record achievements treatment