Accreditation

Does the Universal Protocol apply everywhere in the hospital?

Accreditation Connection, January 30, 2006

Don't focus on location, says John R. Rosing, MHA, FACHE, practice director of accreditation and regulatory compliance services for The Greeley Company.

"The Universal Protocol is applicable based on whether operative or invasive procedures that expose patients to more than minimal risk are performed," Rosing says.

For more information, Rosing points to the JCAHO's FAQ on the Universal Protocol.

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