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Accreditation Audit Course Essay
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Accreditation Audit Course Essay
Accreditation Audit (AFT2) Task 1
Executive Summary: Information Management
As Nightingale Community Hospital prepares for an accreditation audit, it is important that the senior leadership team assess their current compliance status. To assess their compliance status, it is important that the team have a solid understanding of the Joint Commission standard to ensure that they are meeting their accrediting agency’s guidelines. This analysis will focus on Nightingale’s Information Management. The assessment will include Nightingale’s Information Management’s compliance status, a corrective action plan for areas not complaint with the Joint Commission standards, and an overview of the importance in Information Management.
A: Compliance Status
Joint Commission Standard IM.02.02.01- Number 2: The Joint Commission standards include a section on the use of abbreviations and requires that hospitals prevent the use of unacceptable abbreviations, symbols, dose designations, or acronyms. Nightingale meets this standard and this is shown in their Patient Care Policy: Prohibited Abbreviations document. Nightingale’s document includes all of the prohibited abbreviations listed on the Joint Commission’s Element of Performance. However, Nightingale’s document does not include the detailed specifications regarding the utilization of the trailing zero in the use of medication-related documentation. The hospital’s document also omits designation of when the prohibited list applies.
Additionally, the Nightingale hospital could maximize their compliance with the Joint Commission standard by specifying standardized terminology and definitions. While the hospital succeeds in addressing the proper use of abbreviations and dose designation, it lacks information on standard medical terminology.
Accreditation Audit Course Essay
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