Spotlight

Opportunities & Survey Tips

Understanding the National Practitioner Data Bank

During Medical Staff audits, it is not unusual to have National Practitioner Data Bank queries missing in the ...
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Staff Identification Badges: Is Your Organization Secure?

How effectively and consistently is your organization using staff badges? Staff badges are used for a variety of ...
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Risks of Mobile Carts:  Maintaining Guidelines and References

The use of specialized carts in healthcare provides readily accessible supplies and equipment for addressing specific patient conditions ...
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Patient Information Security

Protecting patient health information from unauthorized access can be a challenge with the wide variety of forms that ...
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OPPE Evaluation – Key Factors for Improvement

It's time to look at OPPE again.  While performing mock surveys, we frequently see issues with OPPE documentation.  ...
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A Methodical Approach to Addressing Healthcare Disparities

Is your organization fully equipped to address healthcare disparity standards?   Health disparities are a top focus with ...
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AORN Surgical Attire Guidelines

While surveying organizations, I have noticed that many Operating Rooms and Ambulatory Surgery Centers' Infection Control Plans state ...
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Validated Tools for Suicidal Ideation

Evaluating suicidal risk is a critical aspect of care in healthcare organizations. The use of a validated screening ...
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Checking Patient’s Equipment from Home for Safety

The use of a patient's own medical equipment and devices in the inpatient setting may be necessary when ...
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Safety Briefings for Survey Teams

Ensuring you have a safe work environment is paramount; this includes during an actual regulatory survey.  In January ...
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Key Factors by TJC for Functional and Organizational Integration

As organizations continue to expand their footprints to address patient and community needs, we are often asked about ...
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Managing CPAP Machines Safely in Behavioral Health Facilities

Continuous positive airway pressure (CPAP) therapy is used to effectively treat sleep apnea, a serious disorder linked to ...
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