Spotlight

Opportunities & Survey Tips

Patient Information Security

Protecting patient health information from unauthorized access can be a challenge with the wide variety of forms that ...
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OPPE Evaluation – Key Factors for Improvement

It's time to look at OPPE again.  While performing mock surveys, we frequently see issues with OPPE documentation.  ...
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AORN Surgical Attire Guidelines

While surveying organizations, I have noticed that many Operating Rooms and Ambulatory Surgery Centers' Infection Control Plans state ...
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Checking Patient’s Equipment from Home for Safety

The use of a patient's own medical equipment and devices in the inpatient setting may be necessary when ...
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Safety Briefings for Survey Teams

Ensuring you have a safe work environment is paramount; this includes during an actual regulatory survey.  In January ...
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Key Factors by TJC for Functional and Organizational Integration

As organizations continue to expand their footprints to address patient and community needs, we are often asked about ...
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Readily Retrievable Documents

One of the easiest deficiencies a regulatory or accrediting organization can render against an organization is a finding ...
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Point of Use Sterile Instrument Reprocessing Procedures

We are observing increasing incidence of organizations struggling to follow their point of use sterile instrument reprocessing procedures.  ...
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Surgical Fire Risks in Procedural Areas

We are noticing that many organizations are not including special procedural areas as part of their proactive assessments ...
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