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October 2017

6th Edition In-Depth: Appropriateness Review
Each month we highlight a section of the new 6th edition hospital standards. This series of articles provides a closer look at areas of concern for JCI-accredited hospitals and any health care organization focused on patient safety and quality improvement.
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Standard MMU.5.1: Medication prescriptions or orders are reviewed for appropriateness.
 
New language has been added to the intent and to several of the measurable elements to help clarify the requirements of the appropriateness review.
 
The goal of an appropriateness review is to improve the quality and safety of adding a new medication to the patient’s treatment plan and to reduce the risk of an adverse medication event. The process for the clinical medication review was first defined by Zermansky et al. as “… the process where a health professional reviews the patient, the illness, and the drug treatment ... .”
 
The Institute for Healthcare Improvement (IHI) has identified that every medication order should be reviewed by a pharmacist to ensure appropriate selection of drug, dose, route, and frequency, as well as to check for interactions with other medications.
 
Click to here to read the full article.
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Why Report Sentinel Events to JCI?
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JCI-accredited organizations are encouraged—but not required—to self-report sentinel events and severe adverse events. Careful evaluation of these types of patient safety events includes conducting a comprehensive analysis of the event at the system and process level, as well as developing and implementing appropriate corrective actions that may reduce the probability of similar events from occurring in the future. A thorough and credible analysis is essential to identify contributing factors and opportunities for improvement to reduce risk and prevent patient, visitor, or staff harm.
 
Click here to read the full article.
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Last Opportunity for Face-to-face Education from JCI in 2017
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For accredited organizations, the Accreditation Update provides a thorough two-day curriculum on updates to JCI’s hospital accreditation standards and evaluation process. Events scheduled for Buenos Aires (23-24 October) and Dubai (6-7 November) are still open for registration. 
 
The Practicum is JCI’s comprehensive five-day primer on the accreditation process and includes simulated survey instruction in local JCI-accredited organizations. The Dubai Practicum in November is still taking reservations; for more information go to the Practicum home page.
 
A unique two-part educational program is scheduled for Shanghai in November. Named Foundations of Accreditation Parts I and II, registrants can choose to augment a three-day classroom curriculum with two days of on-site instruction on tracer methodology (a central element of JCI accreditation surveys) in JCI-accredited hospitals. Find out more or register here.
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JCI Expands Hospital Accreditation into New Markets
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With 900-plus accredited organizations in 68 countries, Joint Commission International has joined forces with thousands of health care leaders and clinicians across the globe to improve patient safety and support the advancement of health care quality improvement. In 2017 three new countries joined the JCI global community: Cambodia, Georgia, and Myanmar.
 
Since 1999 hundreds of organizations have earned JCI accreditation, forming an elite group of organizations that have achieved Gold Seal of Approval® recognition in quality and safety.
 
Click here to find a JCI-accredited organization.
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The Journal Seeks Papers on Pain Management and Opioid Use
We are currently seeking papers on studies of strategies to improve pain management, particularly improving judicious prescribing and safe use of opioids. Topics of interest include, but are not limited to, the following:
  • Pain assessment methods
  • Patient and family engagement in goal-setting to set realistic expectations of pain control
  • Control of postoperative pain with opioid-sparing techniques
  • Strategies to identify patients at high risk of respiratory depression during inpatient treatment
  • Patient and family education to minimize post-hospitalization use of opioids and proper disposal of opioids
  • Audit and feedback of providers’ opioid prescribing behavior to decrease prescribing inappropriately high dose or long durations of opioids
  • Use of protocols for managing pain in patients in recovery from opioid addiction
We invite submissions from all types of health care organizations.
 
Click here for complete instructions for authors.
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Visit JCI at the International Forum on Quality and Safety in Healthcare Conference
Visit us at booth #11 during the International Forum on Quality and Safety in Healthcare (ISQua) in London, 1-4 October, to discuss how we can help your organization achieve its quality and safety goals. Click here to learn more.
 
Also, see the JCI poster presentations on Monday, 2 October, during the conference:
 
JCInsightCompliance to JCI’s 5th Edition Hospital Program’s Decision Rules
The objective of this study was to review overall and regional compliance with decision rules for all hospitals undergoing a full accreditation survey under JCI’s 5th Edition Hospital Program, which was in effect from 1 April 2014 to 30 June 2017, and to use accreditation performance data to focus on opportunities for improvement.

Click here to view poster.
 
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Lessons from Sentinel Events
A sentinel event (SE) is an unexpected patient safety event involving death or serious physical or psychological injury. Accredited organizations conduct a root cause analysis for each SE and voluntarily report SEs and root cause data. The JCI team mapped the most frequent types of root causes of sentinel events to standards from the JCI Accreditation Standards for Hospitals, 6th Edition. Standards that address the causes, trends, settings, and outcomes of sentinel events may help accredited organizations identify potential systems risks. Through identifying potential systems risks, organizations can develop and implement strategies to provide safer care for their patients in a safer environment.

Click here to view poster.
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