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The 2011 Joint Commission Hospital Standards and 2010
The Joint Commission TJCCenters for Medicare Medicaid
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accordance accreditation adverse drug reactions Analysis/Guidelines anesthesia applicable appropriate approved behavioral restraint blood components Care PC CMS and TJC completed compliance credentials deemed status defined discharge planning doctor of medicine ensure Environment evaluation governing body hospital policy Hospital Standards 2011 hospital’s priorities Human Resources HR identified implemented improvement are established Individual RI infection control Infection Prevention informed consent job description Leadership LD maintained Management of Human MD/DO medical record medical staff bylaws Medicare medication errors monitored needs notified nuclear medicine orders organization’s leadership osteopathy patient safety activities performance improvement personnel pharmacy policies and procedures policies/procedures practitioners privileged priorities for performance Quality and patient quality improvement radiology registered nurse related to patient requested privilege restraint and seclusion restraint or seclusion Rights & Responsibilities risk sedation Services cont services provided Services RC staffing Suggested Documents Survey Tips testing tissue TJC requires TJC standards treatment Utilization Review Verify written