Accreditation Issues for Risk Managers
This publication, developed in collaboration with the American Society for Healthcare Risk Management (ASHRM), describes the important role that risk managers play in safety and quality and how they can become more involved in continuous standards compliance efforts. It also introduces key Joint Commission initiatives such as the National Patient Safety Goals and gives a comprehensive overview of Shared Visions-New Pathways(R) and its key components, including the Periodic Performance Review.
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The Risk Manager and Patient Safety
The Risk Manager and the Care Recipient
The Risk Manager and the Environment of Care
The Risk Manager and the Organization
FMEA and RCA Key Risk Reduction Tools 21
Highlights of the Accreditation Process
accreditation cycle Accreditation Link accreditation process activities advance directives adverse events alarms ambulatory American Hospital Association appropriate areas ASHRM care recipients caregivers CCTV clinical communication compliance coordination CPOE developed drug effective emergency ensure equipment facility failure mode Figure FMEA full PPR guidelines health care organization Health System Healthcare Risk Management high-risk hospitals identify implement informed consent involved issues JCAHO Joint Commission requires leadership legal counsel Maricopa Medical Center medical record medical staff medication errors ment monitoring National Patient Safety nurse on-site survey option organiza outcomes patient safety Periodic Performance Review pharmacy physicians plans of action potential PPR extranet tool PPR process prevent problem quality improvement recipients redesign reduce response restraint risk reduction role Root Cause Analysis sentinel events Sidebar Society for Healthcare special-cause specific staffing standards strategies surveyors tion tracer triennial survey