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2001 JCAHO Patient Safety Standards/Medication Error Program and the CMS Guidelines for Determining Immediate Jeopardy

 

Presenter:

Overview: The new JCAHO Patient Safety Standards will be effective July 1 2001. The program will help your organization prepare to implement the new patient safety standards. The program will inform your organization on how to build effective medical error prevention programs and procedures that will allow your organization to meet the new standards. The standards have 16 new leadership standards and effect the standards in organizational performance, management of information, patient rights and the education standard sections. This program will provide information and examples to understand these new standards and suggestions for how to meet these standards.

Who should attend: This program should be viewed by CEOs, risk managers, compliance officers, chief nursing executives, quality and process improvement managers, pharmacists, physicians, safety officers, governing bodies, health information management, nurse educators, staff nurses, medical staff leaders and department directors.

Learning Objectives:

  1. Explain the importance of a non-punitive environment.

  2. Describe what is meant by a system analysis approach.

This program will cover the following:

  • 16 new leadership standards,

  • Implementing an integrated patient safety program,

  • Explain how to prevent medical error,

  • Introduce how to train staff,

  • Incorporate new patient safety programs,

  • Managing sentinel events.

Specific areas that will be covered:

  • Introduction,

  • IOM Report,

  • JCAHO Standard changes,

  • System to recognize risk,

  • System to reduce risk,

  • Internal reporting of errors,

  • System analysis approach,

  • Non-punitive environment,

  • Supportive environment,

  • Resources that must be allocated.

  • Implementing an integrated safety program,

  • Defining the scope of activities,

  • Immediate response to medical errors,

  • Annual reports to the board,

  • System analysis,

  • Revision of the sentinel event policy,

  • JCAHO definition of sentinel event,

  • Reviewable SE by JCAHO,

  • Root cause analysis,

  • Proactive risk management program,

  • Safety issues a priority,

  • Using information to design a safety program,

  • Planning process for setting PI priorities,

  • Collaboration in decision making,

  • Communication among departments,

  • Staff time allocation to do PI activities,

  • Resource allocation required,

  • Measurement of objectives,

  • Improving organizational performance,

  • Common sentinel events,

  • Designing new or modified processes,

  • Management of information requirements,

  • AMA Code of Ethics on notifying patients of unanticipated outcomes,

  • Educational requirements,

  • Volunteer requirements.

  • CMS COPs for Immediate Jeopardy,

  • Failure to protect from abuse

  • Failure to protect from neglect,

  • Adverse medication errors,

  • Nosocomial infections,

  • Failure to correctly identify patients,

  • EMTALA violations.

 

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