From the AHAP Blog: Book Excerpt: Tracking required staffing effectiveness standards
AHAP Accreditation Connection, February 7, 2012
Want to receive articles like this one in your inbox? Subscribe to AHAP Accreditation Connection!
The requirements of standard LD.04.04.05 EPs 1, 7, and 13 mandate that governance receives an annual report encompassing not only system and process failures, but also sentinel event information, degree of family involvement, and actions taken to improve safety as well as the adequacy of staffing. Although the former indicators are available to track, such as patient/family complaints and a number of falls, it is not necessary to track them specifically. However, incorporating staffing effectiveness information and analysis data already being collected in the organization makes a lot more sense than the previous requirements. For example, when you are assessing patient flow issues or evaluating a patient fall, you can determine whether staffing issues such as volume, workload, complement of staff members on duty, and competencies play a role in the analysis.
In conjunction, staffing effectiveness EPs were added to PI.02.02.01. EPs 12 through 14 address patient safety leadership notification of issues related to the analysis of undesirable patterns or trends as well as the inclusion of this information in an annual report.
Click here to read more of this post and others on the AHAP blog.
Want to receive articles like this one in your inbox? Subscribe to AHAP Accreditation Connection!
Related Products
-
Hospital Safety Center
Improve compliance with hospital safety standards from The Joint Commission, OSHA, and other regulators with this...
-
Healthcare Life Safety Compliance
Learn Life Safety Code tips and interpretations for healthcare facilities with this in-depth monthly resource.
-
Root Cause Analysis Basics
Our experts have put their years of RCA experience to work for you. This valuable guide will explain how to conduct an RCA...
-
The Compliance Guide to the Joint Commission Medical Staff Standards
Now in its sixth edition, this book features completely updated information, tools, and insights that will help guide you in...
-
Briefings on The Joint Commission
Briefings on The Joint Commission will help you with all of your accreditation and survey preparation needs. Every month...
Most Popular
- Articles
-
- HIPAA Q&A: TPO disclosures to a business associate
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Q&A: Acute respiratory failure diagnosis does not require intubation
- Q/A: Coding infusions to correct low potassium levels
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- Capturing all necessary codes for IUD insertion and removal can be challenging
- The debate continues: Nurses who reported physician to the Texas Medical Board file federal appeal
- News and briefs: Oklahoma Osteopathic Association against residency bill change
- HIPAA Q&A: Level of encryption needed for email
- E-mailed
-
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Q&A: Acute respiratory failure diagnosis does not require intubation
- Q/A: Coding infusions to correct low potassium levels
- HIPAA Q&A: Level of encryption needed for email
- Know criteria for coverage when podiatrists use Dermagraft® tissue substitute
- Q/A: New code for image-guided minimally invasive lumbar decompression
- Cut through the confusion related to different kinds of wound debridements
- Consider the big picture before querying physicians
- Conference Update: 2012 CDI Professional of the Year nominations, poster session submission period open; additional discount hotel rooms acquired
- Cohesive History and Physical Requirements
- Searched