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2017-2018 Joint Commission Regulatory Readiness Resource …

2017-2018 . Joint Commission Regulatory Readiness Resource Guide Joint Commission National Patient Safety Goals Identify patients correctly Always use 2 patient identifiers Two person verification for blood product administration Improve staff communication Report critical results on a timely basis Use medications safely Label all medications and solutions Utilize and teach safe practices for anticoagulation therapy Maintain and share accurate patient medication information Use alarms safely Respond promptly to every clinical alarm Individualize parameter limits for the patient Prevent Infections Use hand hygiene Adhere to Infection Control guidelines Educate patients and families Identify safety risks Identify patients at risk for suicide or self-harm Universal Protocol Conduct a pre-procedure check, mark the site, and perform a Time Out/Pause to verify 2. Quality Assurance Performance Improvement (QAPI). Quality: Know your unit-specific Quality Data and Improvement Plans Prevent Falls, Pressure Injury and Hospital Acquired Infections Utilize IPASS for handovers Speak Up for Safety: Share errors and near misses through narratives and filing of safety reports Keep suicidal patients in sight at all times.

8 . oProvides accommodations and other services to patients with disabilities to ensure equitable care oServes as hospital civil rights officer o(P) 617 726-3370

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