Jcaho Medication Error

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Why Is It Important For Facilities To Have Joint Commission Approval

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hospitals? Survey says "Y ...NEXTFast food served in hospitals? Survey says "Y ... Modern medicine JCAHO's Patient Safety Goals, Part 2: Preventing med errors January 01, 2007 http://www.jointcommission.org/facts_about_patient_safety/ By Terri Metules RN BSN, Jeff Bauer RN/AHC Media Home Study Program CE CENTER CE credit is no longer available for this article. (Expired January 2009) Originally posted January 2007 By Terri Metules RN, BSN, and Jeff Bauer TERRI METULES is clinical editor and JEFF BAUER is managing editor at RN. The authors http://www.modernmedicine.com/modern-medicine/content/jcahos-patient-safety-goals-part-2-preventing-med-errors have no financial relationships to disclose. In the second installment of our two-part series we review medication safety and the steps JCAHO requires you and your facility to take to keep patients safe. When it comes to administering drugs, there's a lot that can go wrong: Wrong drug. Wrong dose. Wrong patient. Wrong time. Wrong route of administration. Each year, these types of medication errors harm an estimated 1.5 million patients in the United States, including 400,000 in hospitals and 800,000 in long-term care settings.1 Fortunately, there's no shortage of resources to help you avoid medication errors. Drug manufacturers, the FDA, the U.S. Pharmacopeia (USP), and the Institute for Safe Medicine Practices (ISMP) are all working to combat medication errors, typically by collecting and analyzing data on how and why they occur, and suggesting steps clinicians and organizations can take to prevent them. For its part, JCAHO addresses drug errors with several of its National Patient Safety Goals (NPSGs). All JCAHO-acc

error reduction requires an integrated and coordinated approach." In an effort to improve patient safety, to reduce risks, and to minimize medical errors standards have http://www.apsf.org/newsletters/html/2001/fall/08jcaho.htm been implemented which include: 1. Leaders ensuring implementation of an integrated patient safety program throughout the [healthcare] organization. 2. Designation of one or more qualified individuals or an interdisciplinary group to manage the organization-wide patient safety program. Typically these individuals may include directors of performance improvement, safety officers, risk managers and clinical leaders. 3. Procedures for immediate response to joint commission medical/health errors, including care of the affected patient(s), containment of risk to others, and preservation of factual information for subsequent analysis. 4. Clear systems for internal and external reporting of information relating to medical/health care errors. 5. Defined mechanisms for responding to the various types of occurrences, e.g., root cause analysis in response to a sentinel event, or for conducting joint commission restraint proactive risk reduction activities. 6. Defined mechanisms for support of staff that have been involved in a sentinel event. 7. Definition of the scope of the program activities, that is the types of occurrences to be addressed, ranging from "no harm" frequently occurring "slips" to sentinel events with serious adverse outcomes. 8. At least annually, a report to the governing body on the occurrence of medical/health care errors and actions taken to improve patient safety, both in response to actual occurrences and proactively. The new language also requires proactive programs for identifying risks and reducing medical errors. This is geared toward the obvious advantage of preventing adverse occurrences, rather than reacting to them after they have occurred. These standards also require that the organization perform at least one high-risk process proactive assessment. Identification of "failure modes" (steps in a process where there may be undesirable variation) is emphasized. The effect of such "failure mode" on patient care and outcome must also be analyzed. Finally, redesign and implementation needs to occur, with subsequent testing. JCAHO also recog