Linking risk management strategies to accreditation standards. Accreditation Issues for Risk Managers. Publisher: Joint Commission Resources, Inc.; 174 pages; $65 ($58.50 for ASHRM members for a limited time) www.ashrm.org (Members Services, Tools & Products) or (800) 242–2626, item 178851
✍ Scribed by Ruth Nayko
- Publisher
- Wiley (John Wiley & Sons)
- Year
- 2004
- Tongue
- English
- Weight
- 116 KB
- Volume
- 24
- Category
- Article
- ISSN
- 1074-4797
No coin nor oath required. For personal study only.
✦ Synopsis
Linking risk management strategies to accreditation standards J oint Commission Resources and ASHRM have collaborated to develop Accreditation Issues for Risk Managers, a basic resource for facilitating the alignment of risk reduction strategies with accreditation requirements. Numerous clinical and operational risks are addressed and linked to the many applicable generic accreditation standards for the various types of JCAHO-accredited organizations.
As an example: "Accreditation Link: Informed Consent -The Joint Commission requires that informed consent is obtained with the goal being mutual understanding between patient and those providing services. JCAHO also requires that organizations have policies in place on informed consent and that the informed consent is documented (see standard RI.2.40)." (The health care setting's applicable accreditation manual must be reviewed for the complete list of all standards that can be linked to risk management issues for the specific type of health care setting).
Additionally, Chapter 1 and Appendices A and B provide a concise overview of the new JCAHO accreditation process, "Shared Visions-New Pathways" that became effective Jan. 1, 2004.
Chapters 2 through 5 cover key areas related to accreditation. Medication, pain, restraint and seclusion management as well as falls and suicide prevention are discussed as patient safety concerns. In addition, issues such as patients' rights, confidentiality and privacy, informed consent, disclosure of unanticipated outcomes, advance directives and patient complaints are covered. Significant environment of care areas addressed include infection control, security, equipment management and maintenance and emergency planning. Organizationwide efforts to manage risk include a culture of safety, communication, staffing effectiveness and an effective performance improvement process.
Chapter 6 provides templates for conducting a root cause analysis and a failure mode and effects analysis. The templates provide a useful tool for risk managers who are responsible for or must collaborate with performance improvement managers in facilitating these analyses.
Throughout the book, examples are provided to illustrate risk management issues and risk reduction strategies. These examples are