Safety

Mac’s Safety Space: Mac?s Brief on the September TJC Executive Briefings, Part 2

Hospital Safety Insider, October 13, 2011

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As promised, I continue going the standards The Joint Commission (TJC) unveiled as the top 10 most frequently cited standards for the first six months of survey year 2011 at the annual Executive Briefings meeting. Five (count ‘em) of those standards were in the environment of care (EC)/life safety (LS) world. Here are the last three:

TJC cited 47% of hospitals for LS.02.01.30 (whew, finally under 50%). This is where things went slightly awry for yours truly as it was apparently indicated that the findings (generally under EP #2, which refers to the fire protection features of hazardous areas) have to do with signage. At EB, an example was given of proper labeling of a vent stack from sterile processing that might have hazardous materials (isn’t that why we have EC.02.02.01?) Also mentioned was the concept of the risk assessment (did you really think that was ever going to go away?) to determine what soiled utility rooms should be locked or otherwise secured. Again, my thought was that this was covered under EC.02.02.01 or maybe EC.02.01.01, but in the Life Safety chapter? I didn’t see that one coming!

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