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Home E-Weekly April 5, 2016

Credentialing Tops List of Joint Commission Dings

Published: April 4, 2016

Which Joint Commission requirements were most likely to trip up surgery centers in 2015? Those related to credentialing, infection control, fire safety, and medication storage and management, says the accreditation agency.

Nearly half (48%) of the ASCs surveyed by the Joint Commission were cited for compliance issues related to granting "initial, renewed or revised clinical privileges to individuals who are permitted by law and the organization to practice independently."

Almost as many (46%) were cited for failing to "reduce the risk of infections associated with medical equipment, devices and supplies. Meanwhile, more than a third (36%) had issues with maintaining fire safety equipment and building features.

Rounding out the top 5 areas of non-compliance were failures to safely store medications (31%) and to safely manage high-alert and hazardous medications (28%). The Joint Commission's numbers did not include data from for-cause surveys.

Jim Burger

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