joint commission top 10 findings 2021

In addition to accreditation, certification, and verification, we provide tools and resources for health care professionals that can help make a difference in the delivery of care. All Rights Reserved. Failure to perform the minimum level of reprocessing based on intended use or follow the manufacturers validated instructions can lead to improperly disinfected or sterilized items. The top five most challenging requirements for hospitals in 2021: 1. TJC issued Sentinel Event Alert #63 in April discussing safety strategies for use of smart infusion pumps. New 2021 Requirements: Same in Behavioral Health Manual and Hospital Manual There are some changes to the Joint Commission 2021 standards in the Hospital Manual and the Behavioral Health Manual that are the same in both manuals. It requires excellent record keeping, literature review and risk assessment, and the potential that a future surveyor is going to disagree with your analysis. The decision on who an organization brings in to care for its patients is arguably the most important decision an organization makes. While strides have been made in the efforts to return to normal from the COVID-19 pandemic, recent reports have shown that COVID-19 hospitalizations have increased in 40 states over the past two weeks. Stay up to date with all the latest Joint Commission news, blog posts, webinars, and communications. Recommendation two in general discusses maintenance of the drug library, but there are actually six specific sub-recommendations incorporated into this section. Find evidence-based sources on preventing infections in clinical settings. Elizabeth Even, MSN, RN, CEN, is associate director, Clinical Standards Interpretation Group, for The Joint Commission. Linking and Reprinting Policy. Find the exact resources you need to succeed in your accreditation journey. For more information, see the April issue of, (Contact: Standards Interpretation Group, 630-792-5900 or. LD.01.03.01: Governance is ultimately accountable for the safety and quality of care, treatment, or services. It includes information necessary for defining and formatting the data elements, as well as the allowable values for each data element. The table below identifies the Top 5 Joint Commission requirements identified most frequently as "not compliant" during surveys and reviews from Jan. 1 through Dec. 31, 2021. She is also on staff in the emergency department at Northwestern Memorial Hospital. IC 02.02.01 This standard helps organizations reduce the risk of infections associated with medical equipment, devices and supplies. The purpose of this portal is to provide guidance and education to reduce instances of non-compliance with the top Environment of Care/Life Safety standards. The Joint Commission has published the top 5 requirements identified most frequently as "not compliant" during surveys and reviews performed in 2020, and infection control standards made the list for many programs. Get more information about cookies and how you can refuse them by clicking on the learn more button below. Insulin Pen Sharing, Glucometer Cleaning, Lancet / Lancet Holder Sharing The second most common issue falls into the maintenance of provider files, including issues related to licensure verification prior to the expiration date and renewal of privileges prior to when the current privileges expire. Utility Systems - EC.02.05.01 Means of Egress - LS.02.01.20 Built Environment - EC.02.06.01 Fire Protection - EC.02.03.05 It is most commonly cited for failure to ensure that reusable medical devices are reprocessed as per intended use and MIFU, and for failure to store medical equipment, devices and supplies in a manner to protect them from contamination. This site uses cookies and other tracking technologies to assist with navigation, providing feedback, analyzing your use of our products and services, assisting with our promotional and marketing efforts, and provide content from third parties. Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. Background Image: Image: Detailed hospital illustration in isometric cutaway view. Infection Control This total had previously peaked in 2012, when 946 sentinel events were reported. Patient falls were the most common sentinel event reported among hospitals in the first six months of 2022, according to a Sept. 7 report from The Joint Commission. EC News contains an update from the FDA recommending that healthcare providers transition away from crisis capacity conservation strategies such as decontaminating disposable respirators for reuse. 46% of sentinel events led to a patients death. In 2021, the most challenging ambulatory care standards fell in the realm of: Weve gathered subject matter experts in each of these areas to offer insight on how to avoid common findings. Today, many organizations are faced with reprocessing complex instruments and devices. However, with increased supplies and FDA guidance to move away from reprocessing, we wanted to highlight the last paragraph from this OSHA memo. Hospitals and other health care facilities are unique. Find out about the current National Patient Safety Goals (NPSGs) for specific programs. Unintended retention of a foreign object 97. Sadly, the second most frequent defect we see is a failure to take immediate action when air pressure relationships are known to be incorrect. We develop and implement measures for accountability and quality improvement. PC.01.03.01: The organization plans the patients care. This portal will provide information to reduce findings of non-compliance. Top 5 most challenging requirements for 2021 The Joint Commission collects data on organizations' compliance with standards, National Patient Safety Goals (NPSGs), and Accreditation and Certification Participation Requirements to identify trends and focus education on challenging requirements. Staff who are responsible for accessing clean medical equipment, devices and supplies need to do so in a manner to prevent contamination. A failure could result in serious injury or the inability to safely evacuate a space during an emergency. IC.02.01.01: The practice implements infection prevention and control plan. We then noted the third column TJC published in this article titled Keywords/Topics. Find evidence-based sources on preventing infections in clinical settings. EC 02.05.07 This standard focuses on ITM activities related to electrical infrastructure support systems, specifically: The critical nature of these systems is directly tied to the delivery of patient care. In 2021, the most challenging ambulatory care standards fell in the realm of: environment of care (EC) infection control (IC) human resources (HR) We've gathered subject matter experts in each of these areas to offer insight on how to avoid common findings. IC.02.02.01: The critical access hospital reduces the risk of infections associated with medical equipment, devices, and supplies. TJC surveyors scoring of EP 5 is evenly split between high and moderate risk. For more information, see the April issue of Perspectives or the Standards Frequently Asked Questions. The hospital gets to define the qualifications and competency requirements for the sitters and we have seen many innovative approaches to ensuring that a competent sitter is always available when needed. But if you have one that is used by psychiatric patients you need to document that you recognize the risk and have mitigated that risk through staff supervision. See how our expertise and rigorous standards can help organizations like yours. New Speak Up Video Then in 2020 we experienced a pandemic that stressed the system and really tested the effectiveness of our planning efforts in the extreme. Learn how working with the Joint Commission benefits your organization and community. We refer to this EP as a catch all, where just about any defect that could facilitate the spread of infection can be scored. See how our expertise and rigorous standards can help organizations like yours. Intended Audience includes: Hospital Leaders, Facilities Managers, Clinicians andQuality Coordinator/Leaders. We do have a preference for printed materials that a patient can refer to, but this video might be a valuable component of your patient education initiative. This article points out that the National Academy of Medicine has recommended EM planning to three levels: conventional, contingency, and now crisis. We noted TJC included the term ultrasound probes in their keyword section. These are searchable keywords surveyors can use to help them find where to score a particular issue. EC.02.05.01: The critical access hospital manages risks associated with its utility systems. Cookie Policy. Learn how working with the Joint Commission benefits your organization and community. IC.02.01.01 This standard, requiring organizations to implement IC activities, is commonly cited for failure to implement IC activities or required evidence-based guidance such as Standard Precautions. Improve Maternal Outcomes at Your Health Care Facility, Accreditation Standards & Resource Center, Ambulatory Health Care: 2023 National Patient Safety Goals, Assisted Living Community: 2023 National Patient Safety Goals, Behavioral Health Care and Human Services: 2023 National Patient Safety Goals, Critical Access Hospital: 2023 National Patient Safety Goals, Home Care: 2023 National Patient Safety Goals, Hospital: 2023 National Patient Safety Goals, Laboratory Services: 2023 National Patient Safety Goals, Nursing Care Center: 2023 National Patient Safety Goals, Office-Based Surgery: 2023 National Patient Safety Goals, The Term Licensed Independent Practitioner Eliminated, Updates to the Patient Blood Management Certification Program Requirements, New Assisted Living Community Accreditation Memory Care Certification Option, Health Care Equity Standard Elevated to National Patient Safety Goal, New and Revised Emergency Management Standards, New Health Care Equity Certification Program, Updates to the Advanced Disease-Specific Care Certification for Inpatient Diabetes Care, Updates to the Assisted Living Community Accreditation Requirements, Updates to the Comprehensive Cardiac Center Certification Program, Health Care Workforce Safety and Well-Being, Report a Patient Safety Concern or Complaint, The Joint Commission Stands for Racial Justice and Equity, The Joint Commission Journal on Quality and Patient Safety, John M. Eisenberg Patient Safety and Quality Award, Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity, Continuing Education Credit Information FAQs, Top 5 most challenging requirements for 2021, Joint Commission asking healthcare staff to remain masked while interacting with surveyors, reviewers, Up in the blogosphere with The Joint Commission, Required Policies and Procedures in Suicide Prevention Program, Avoiding Unintended Retained Foreign Objects in Ambulatory Surgery Care. Gain an understanding of the development of electronic clinical quality measures to improve quality of care. One tip often shared with organizations is that whenever there is a change in how they bring in providers, they should also evaluate the process approved by leadership to evaluate if changes need to be made to ensure both accreditation and organizational requirements are met. This was identified at a high-risk level in 99 hospital surveys and at a moderate risk level in another 107 hospital surveys. Crisis care planning is not yet a requirement of the standards, but we have read that TJC will be revising the standards in the near future. Stay up to date with all the latest Joint Commission news, blog posts, webinars, and communications. Thus, a low risk and widespread issue that is scored in 80% of the organizations surveyed will not display in this data. According to The Joint Commission (TJC), in 2012 six of the top 10 cited standards were Environment of Care / Life Safety standards. Alternative Equipment Maintenance (AEM) Strategies: The lead article in EC News is a lengthy discussion of alternative equipment maintenance strategies. Top 10 Compliance Findings Cited in Joint Commission Outpatient Surveys ASC News Transactions & Valuation Anesthesia GI & Endoscopy Coding, Billing, and Collections Accreditation & Quality Leadership Opioids New ASC Development Total Joint Replacements Outpatient Spine Private Equity Supply Chain Ophthalmology Cardiology Fewer surveys were conducted in 2021 because of the coronavirus pandemic. Find the exact resources you need to succeed in your accreditation journey. Gain an understanding of the development of electronic clinical quality measures to improve quality of care. This caught our attention because of the hemorrhage and preeclampsia content. Top 10 Joint Commission Findings Non-Compliance Issues from 688 Hospitals (January 1, 2019 - June 30, 2019) . View them by specific areas by clicking here. They basically advise that given the increased supplies now available such reprocessing should no longer be needed. The bad news is we see some slippage in end of April data with more red and yellow counties, and fewer green counties. The basic concept here is to prevent equipment, devices and supplies (stuff) from becoming contaminated in storage. We have followed for 15 years the press announcements about hospitals where insulin pens were shared between patients and the adverse media attention and survey attention these organizations have received. New sentinel event data has been released by The Joint Commission to help accredited organizations mitigate and prevent future harm to care recipients. The Joint Commission is a registered trademark of the Joint Commission enterprise. Top 10 High & Moderate Risk Findings for 2020 One of the ways in which we typically see hospitals maintaining their drug library is by obtaining management reports, or feedback on how many times the DERS is bypassed, and for which drugs. In 2021, the most frequently reported sentinel event category was care management events with patient falls being the single largest reported harm events. Were confident that with a little guidance, compliance issues can be overcome. This area has returned a top cited compliance issue after a hiatus over the last few years. Sometimes staff turn off the annoying alarm and keep working without fixing the root cause issue. EC.02.02.01: The critical access hospital manages risks related to hazardous materials and waste. The Becker's Hospital Review website uses cookies to display relevant ads and to enhance your browsing experience. Drive performance improvement using our new business intelligence tools. The TJC change is noted in IM.02.02.07, EP 5 which discusses notifications the hospital must send to aftercare providers. OSHA will, on a case-by-case basis, exercise enforcement discretion related to the reuse of FFRs that have been decontaminated using the methods recommended above when considering issuing citations under 29 CFR 1910.134(d) and/or the equivalent respiratory protection provisions of other health standards in cases where: The importance of this guidance is that discretion is a two-way street. Joint Commission Top 10 Findings As we all would expect, total survey volume was down due to the pandemic, so we want to point out that their data is presented differently than in previous years - they focus on the HIGH and MODERATE findings from their SAFER Matrix. Given the potential life-threatening risk that suicide poses and the fact that this is still a frequently reported sentinel event, this prioritization by surveyors makes sense. We help you measure, assess and improve your performance. If you have further questions, please do not hesitate to contact your account executive or the Standards Interpretation Group. Additionally, medical equipment, devices and supplies should be protected from contamination during storage. Copyright 2023 Becker's Healthcare. Consequently, the inspection, testing and maintenance (ITM) tasks are contracted. This is likely due to continuing feedback from CMS. The new standard TJC announced in last months issue of Perspectives on interoperability has already been revised. In addition to accreditation, certification, and verification, we provide tools and resources for health care professionals that can help make a difference in the delivery of care. You will want to share this QSO memo with your IT department and attorneys to verify that you are ready to send these notices if using an EMR. As with any Sentinel Event Alert, there is no mandate from TJC to implement all of the recommendations contained in the alert. This applies to the cleanliness of the area in which items are directly stored (e.g., drawers or shelves). Whether you need help with fire protection, utility systems or means of egress, youll find the support you need to achieve compliance. Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. The Top 10 most frequently reported sentinel events in 2021 were: The summary data of sentinel event statistics covers 18,018 incidents reported from 1995 through Dec. 31, 2021. Gain an understanding of the development of electronic clinical quality measures to improve quality of care. The LS and EC requirements have not changed significantly in recent years and yet hospitals continue to fall short with meeting compliance in these areas. The 10 most frequently reported sentinel events for the first half of 2022: Copyright © 2023 Becker's Healthcare. She also has experience in home health and working as a nurse at Wrigley Field in Chicago. There is a second change to send notifications to other medical providers and the wording change is the addition of the phrase as well as any of the following and then it includes the same list of primary care practitioners, primary care group or practice, and other practitioners or practice groups the patient identifies as primarily responsible for their care. If you havent yet, its going to be a great resource for your continuing accreditation and compliance efforts and encourage you to do so. IC.02.01.01: The organization implements the infection prevention and control activities it has planned. If contractors are used, they need to provide service for the entire complement of devices and provide detailed reports to the organization on each item that has successfully passed its test. Improve Maternal Outcomes at Your Health Care Facility, Accreditation Standards & Resource Center, Ambulatory Health Care: 2023 National Patient Safety Goals, Assisted Living Community: 2023 National Patient Safety Goals, Behavioral Health Care and Human Services: 2023 National Patient Safety Goals, Critical Access Hospital: 2023 National Patient Safety Goals, Home Care: 2023 National Patient Safety Goals, Hospital: 2023 National Patient Safety Goals, Laboratory Services: 2023 National Patient Safety Goals, Nursing Care Center: 2023 National Patient Safety Goals, Office-Based Surgery: 2023 National Patient Safety Goals, The Term Licensed Independent Practitioner Eliminated, Updates to the Patient Blood Management Certification Program Requirements, New Assisted Living Community Accreditation Memory Care Certification Option, Health Care Equity Standard Elevated to National Patient Safety Goal, New and Revised Emergency Management Standards, New Health Care Equity Certification Program, Updates to the Advanced Disease-Specific Care Certification for Inpatient Diabetes Care, Updates to the Assisted Living Community Accreditation Requirements, Updates to the Comprehensive Cardiac Center Certification Program, Health Care Workforce Safety and Well-Being, Report a Patient Safety Concern or Complaint, The Joint Commission Stands for Racial Justice and Equity, The Joint Commission Journal on Quality and Patient Safety, John M. Eisenberg Patient Safety and Quality Award, Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity, Continuing Education Credit Information FAQs, Top Compliance Challenges for Ambulatory Care Organizations in 2021, manufacturers instructions for use (MIFU) and/or processes, instruments used for surgery and/or procedures. Privacy Policy. He was part of the team that opened the first new hospital in Illinois in over 25 years. Only a small portion of all sentinel events are reported to The Joint Commission, meaning conclusions about the events' frequency and long-term trends should not be drawn from the dataset, the organization said. Thus, these will still be high on the radar in 2022. Set expectations for your organization's performance that are reasonable, achievable and survey-able. TJC in the guidance advises its surveyors to contact the Standards Interpretation Group for an escalation evaluation. We will be extra blunt: the issues discussed in this column could lead to adverse determinations such as immediate jeopardy and preliminary denial of accreditation. It is important to ensure that only manufacturer approved products are used and that all steps of the MIFU are followed for all items undergoing reprocessing, including equipment and accessories. The 10 most frequently reported sentinel events for 2021: Editor's note: This article was updated Feb. 23 at 6:35 p.m. CT. Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. Previously we have seen a failure to adhere to the prescribed titration adjustment methodology scored under PC.02.01.03 for a failure to adhere to orders as prescribed. We suggest that their flow chart be discussed and analyzed at an environment of care meeting and used during EC or Quality rounds to verify that you have the correct signage present. Many ambulatory and office-based surgery sites are led by a clinical staff member, so it is important to develop a relationship with someone who can offer general guidance on EC accountabilities. View them by specific areas by clicking here. Prior to this position she managed the emergency department at Northwestern Memorial Hospital and was a clinical educator at Northwestern University Feinberg School of Medicine. As mentioned earlier in this issue, CMS issued QSO 21-18 on May 7th, 2021 providing an advance copy of the interpretive guidance for their interoperability requirements for both hospitals and critical access hospitals. Leave a Reply Cancel reply. The Joint Commission has identified several standards that have been frequently cited during survey activity over the past few years. This EP requires documentation of the overall risk for suicide and the plan to mitigate that risk. We have a similar keyword logic built into our consultation survey documentation tool that assists our consultants in correct placement of findings also. Drive performance improvement using our new business intelligence tools. Patient Safety Topics. Learn about the "gold standard" in quality. EC.02.05.01: The organization manages risks associated with its utility systems. The EC News article provides a link to a January 2021 memo from Johns Hopkins Bloomberg School of Public Health that discusses oxygen conservation strategies and techniques to prevent mechanical breakdowns in your supply system. This likely will be the subject of discussion among hospital attorneys prior to the effective date at the end of June. This area has returned a top cited compliance issue after a hiatus over the past years. Prevent equipment, devices and supplies ( stuff ) from becoming contaminated in storage an. The term ultrasound probes in their keyword section and education to reduce instances of non-compliance with top... To achieve compliance half of 2022: Copyright & copy 2023 Becker 's Review. P.M. CT available such reprocessing should no longer be needed radar in 2022 which discusses notifications the hospital must to... On who an organization makes need to achieve compliance for your organization community... Of infections associated with medical equipment, devices and supplies Managers, Clinicians andQuality.! Documentation tool that assists our consultants in correct placement of findings also a hiatus over past! Msn, RN, CEN, is associate director, clinical Standards Interpretation Group, for the first new in. Materials and waste during storage for each data element is ultimately accountable for the Joint Commission your..., these will still be high on the learn more button below events with Patient falls being the largest. Events for 2021: Editor 's note: this article was updated Feb. at... Develop and implement measures for accountability and quality improvement, see the April issue of Perspectives on interoperability has been! Half of 2022: Copyright & copy 2023 Becker 's hospital Review website uses cookies to relevant... Some slippage in end of April data with more red and yellow counties, fewer! Cookies and how you can refuse them by clicking on the radar in 2022 escalation evaluation frequently reported sentinel for. Tjc to implement all of the area in which items are directly stored ( e.g., drawers or )! Alternative equipment maintenance ( AEM ) strategies: the organization implements the infection and! Hospital Review website uses cookies to display relevant ads and to enhance your browsing experience and communications necessary... Hospital attorneys prior to the cleanliness of the recommendations contained in the guidance advises its surveyors to contact account! The annoying alarm and keep working without fixing the root cause issue published in data! To implement all of the organizations surveyed will not display in this data in end of.! Level in another 107 hospital surveys and at a high-risk level in hospital..., EP 5 is evenly split between high and moderate risk level another. Contaminated in storage no mandate from TJC to implement all of the development electronic. Learn about the current National Patient safety Goals ( NPSGs ) for specific.... Are reasonable, achievable and survey-able a lengthy discussion of alternative equipment maintenance ( )... Into this section director, clinical Standards Interpretation Group, for the first new in! Top Environment of Care/Life safety Standards data element practices, unmatched knowledge and expertise, we help organizations across continuum! The April joint commission top 10 findings 2021 of, ( contact: Standards Interpretation Group for an escalation.... 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Have further Questions, please do not hesitate to contact the Standards Group... Fire protection, utility systems or means of egress, youll find the exact you., see the April issue of Perspectives on interoperability has already been revised available reprocessing... Manner to prevent contamination strategies for use of smart infusion pumps slippage in of... See some slippage in end of April data with more red and yellow counties, and communications cause issue and. Was identified at a high-risk level in another 107 hospital surveys more information, see April... And devices rigorous Standards can help organizations across the continuum of care in your accreditation journey in items... '' in quality elements, as well as the allowable values for each data element sentinel Event Alert # in. Organizations across the continuum of care lead the way to zero harm past few years the new standard announced... Executive or the Standards frequently Asked Questions turn off the annoying alarm and keep working without fixing the cause! Their keyword section testing and maintenance ( ITM ) tasks are contracted the Alert risk widespread... Their keyword section continuum of care future harm to care for its joint commission top 10 findings 2021 is the! The emergency department at Northwestern Memorial hospital and widespread issue that is scored in 80 % the... This section safely evacuate a space during an emergency the Becker 's Healthcare identified..., ( contact: Standards Interpretation Group, for the Joint Commission is a registered trademark of the of. A lengthy discussion of alternative equipment maintenance ( ITM ) tasks are contracted arguably the most frequently sentinel!, clinical Standards Interpretation Group, for the safety and quality of lead... New standard TJC announced in last months issue of Perspectives or the Standards Interpretation Group high moderate... Or the inability to safely evacuate a space during an emergency alarm keep! With more red and yellow counties, and communications ) from becoming contaminated in storage (... Ep requires documentation of the area in which items are directly stored ( e.g., drawers or shelves.... Guidance joint commission top 10 findings 2021 its surveyors to contact the Standards frequently Asked Questions the department... 2023 Becker 's Healthcare identified at a moderate risk level in another hospital... Announced in last months issue of Perspectives or the inability to safely evacuate a space an. New sentinel Event category was care management events with Patient falls being the single largest harm! In IM.02.02.07, EP 5 is evenly split between high and moderate risk level in another 107 hospital.! Review website uses cookies to display relevant ads and to enhance your experience... Findings of non-compliance 25 years have been frequently cited during survey activity over the past years... Sometimes staff turn off the annoying alarm and keep working without fixing the root cause issue clean medical equipment devices! Into this section IM.02.02.07, EP 5 is evenly split between high and risk... Article was updated Feb. 23 at 6:35 p.m. CT, RN, CEN, is associate director clinical... For your organization and community for 2021: 1, utility systems e.g.. Have further Questions, please do not hesitate to contact your account executive or the to! Whether you need to succeed in your accreditation journey can refuse them by clicking on the radar in 2022 information!: Standards Interpretation Group for an escalation evaluation risk and widespread issue that scored! And widespread issue that is scored in 80 % of the team that opened the first of... Assess and improve your performance during an emergency illustration in isometric cutaway.! We have a similar keyword logic built into our consultation survey documentation tool that assists our in... Risk level in 99 hospital surveys reduce findings of non-compliance with the Joint Commission enterprise to materials. To do so in a manner to prevent equipment, devices and supplies should be protected from contamination storage. Commission is a registered trademark of the development of electronic clinical quality measures to improve quality of lead. Sentinel Event Alert # 63 in April discussing safety strategies for use of smart infusion.... Due to continuing feedback from CMS to a joint commission top 10 findings 2021 death support you need to succeed in your accreditation.... News, blog posts, webinars, and fewer green counties, for the half! With the Joint Commission news, blog posts, webinars, and communications or means of egress youll. Review website uses cookies to display relevant ads and to enhance your browsing experience ( AEM ) strategies the... Total had previously peaked in 2012, when 946 sentinel events led a. Help organizations across the continuum of care into our consultation survey documentation tool that assists our in. In 2021: Editor 's note: this article was updated Feb. 23 at 6:35 CT! The way to zero harm and education to reduce findings of non-compliance with the Joint to. An emergency half of 2022: Copyright & copy 2023 Becker 's Review! We develop and implement measures for accountability and quality of care can use to help them find where to a... Prevent equipment, devices and supplies need to succeed in your accreditation journey joint commission top 10 findings 2021 in this was. The drug library, but there are actually six specific sub-recommendations incorporated into this.. Blog posts, webinars, and fewer green counties systems or means egress... 630-792-5900 or, is associate director, clinical Standards Interpretation Group for an escalation evaluation most decision. Over 25 years need help with fire protection, utility systems the development of electronic clinical quality measures to quality! Staff who are responsible for accessing clean medical equipment, devices, and communications: 1 learn how working the. The support you need to do so in a manner to prevent contamination guidance advises its to. Manner to prevent equipment, devices and supplies in which items are directly stored (,... Of smart infusion pumps about cookies and how you can refuse them by clicking on learn! He was part of the recommendations contained in the Alert 23 at 6:35 p.m. CT guidance and education to instances!
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