Accreditation

Required life safety survey

Briefings on The Joint Commission, September 1, 2010

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The Joint Commission took a giant step forward in 2009 when it began to include the D icon next to the elements of performance (EP) that require documentation. This ended the long debate over whether a particular EP was required to have documentation support. However, the new icon fails to explain what level of documentation is required for each EP. There have been as many different requirements for life safety documentation as there are surveyors. For example, some surveyors only look to see whether the hospital conducted a fire alarm test, whereas others drill down deeper to ensure that all the devices were properly tested. 

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