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JCInsight Newsletter

JCInsight 2015

July 2016

New and Revised Requirements: Joint Commission International Accreditation Standards for Laboratories, 3rd Edition

Our new manual Joint Commission International Accreditation Standards for Laboratories, Third Edition, was published 1 July 2016 and will be effective for on-site surveys starting 1 January 2017. A list of major changes to the laboratory standards is available here.

JCI’s Vice President, Accreditation, Standards, and Measurement, Dr. Paul Chang will deliver the closing keynote address at HIMSS Asia Pacific 2016. His presentation, titled “The Role of Technology in Transforming Hospitals towards High Reliability Organizations, will discuss the part technology plays in eliminating common health care challenges in health care organizations. Don’t miss this exciting session, 25 August, 16:45 - 17:30, in Bangkok, Thailand.

You have the opportunity to complete a field reviewof proposed new and revised standards for JCI’s 6th edition Hospital Standards. The purpose of this review is to examine the new and updated standards to determine if they are reasonable for hospitals to come into compliance with the requirements. The field review deadline is Sunday, 7 August, 23:00 GMT - 6, and you can access the survey at this link:

Register for our 2016 International Practicums and Foundations of Accreditation events. Also, read the August edition of JCInsight for information on 6th edition Accreditation Update education events. See the education matrix below to determine which event is best for you and your staff. 


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Research findings confirm that health care worker fatigue poses a serious threat to patient safety. Fatigue diminishes staff’s capacity to recognize important, but subtle changes in a patient’s condition. Studies have confirmed a correlation between health care worker fatigue and actual and near-miss medical errors. The United States-based Joint Commission requires that organizations identify conditions and practices that may contribute to health care worker fatigue, implement processes to identify fatigue that poses a threat to patient safety, and take action to minimize that risk. While this is not a Joint Commission International requirement, this is an important concept that crosses borders.

Work-hour requirements may be met with skepticism. Some clinicians and health care leaders worry that increasing the number of transfers and hand offs, as well as adding “night float” or “day float” clinicians, risks fragmenting care and thus increases patient safety risks. However, studies have shown that work-hour rules can improve patient care. To combat the effects of worker fatigue, do the following:

  • Whenever possible, come to work well rested.
  • Recognize when you are tired and acknowledge the limits of human memory and performance.
  • Ask team members for help with interventions when you are feeling the effects of fatigue.

During the end of your shift, when you are most likely to be very tired—especially if work-hour requirements have resulted in an increased number of transfers—pay special attention to policies and procedures for hand offs