Accreditation

Standard of the month-EC.1.10

Briefings on Accreditation and Quality, April 1, 2007

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Editor's note: This feature explores problematic Joint Commission standards with expert advice from BOJ advisors Jodi Eisenberg, CPMSM, CPHQ, program manager of accreditation and clinical compliance at Northwestern Memorial Hospital in Chicago, and Elizabeth Di Giacomo-Geffers, RN, MPH, CNAA, BC, a healthcare consultant in Trabuco Canyon, CA.

Hospitals have struggled thus far with managing their own safety risks, the crux of EC.1.10. Most facilities find weak spots in this standard at EP 4, which requires hospitals to conduct a proactive risk assessment on the entire facility and evaluate the risks it may pose to patient health, and also at EP 5, which states that a hospital must take those risks into consideration and do its best to lower the impact of those risks.

"I think many organizations focus too much on doing the assessment and then don't do an adequate job with correcting the issues," Eisenberg says.

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