This keyword logic may be helpful at your own organization to assist staff in correct identification of a standard and EP to score for an issue they see. Its important to document this activity to ensure there is a reconciliation for all extinguishers on the inventory. Set expectations for your organization's performance that are reasonable, achievable and survey-able. Alternative Equipment Maintenance (AEM) Strategies: The lead article in EC News is a lengthy discussion of alternative equipment maintenance strategies. The organization defines a sentinel event as a patient safety event that results in death, permanent harm, severe temporary harm or intervention required to sustain life. And recently The Joint Commission Top 10 Read more Interoperability Standard Revisions Did you get a chance to read our May issue of the Patton Post? The 2020 scoring data is also evenly split between high risk and moderate risk. Joint Commission Top 10 Findings Despite the pandemic and the year we thought would never end, we're already halfway through 2021! Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. This has been a frequently cited issue for many years and also one with substantial risk due to the fact that the protective air pressure relationship, positive or negative, is not working as required for the tasks performed in that space. Only a small portion of all sentinel events are reported to The Joint Commission, meaning conclusions about the events' frequency and long-term trends should not be drawn from the dataset, the. This portal will provide information to reduce findings of non-compliance. Jennifer Cowel, RN MHSA Many organizations employ reminder files and may elect to maintain all providers on the same or rolling calendar date for renewals to stay on top of the process. These include surgical instruments, machines that emit radiation, anesthesia, prescription drugs and biomedical waste. Find out about the current National Patient Safety Goals (NPSGs) for specific programs. WT.03.01.01: Staff and licensed independent practitioners performing waived tests are competent. Take a look at a second article they published in this May issue of Perspectives on page 25 discussing artificial intelligence. This searchable keyword methodology helps a surveyor find where to score a particular issue and helps to standardize placement of findings. In this case, a specific consent must be obtained from the patient to send the notice to other providers. We can make a difference on your journey to provide consistently excellent care for each and every patient. The standard has not made the previously published top ten lists, and in our review of survey reports this was never a frequently seen requirement for improvement. This standard may also be cited if organizations fail to follow: Following the Infection Prevention & Control Hierarchywill help ensure that the activities your organization implements are compliant with regulations, Centers for Medicare and Medicaid Services (CMS) Conditions for Coverage (CfCs) where applicable, and MIFU. Thus, these will still be high on the radar in 2022. This portal will provide information to reduce findings of non-compliance. Improve Maternal Outcomes at Your Health Care Facility, Accreditation Standards & Resource Center, Ambulatory Health Care: 2023 National Patient Safety Goals, Assisted Living Community: 2023 National Patient Safety Goals, Behavioral Health Care and Human Services: 2023 National Patient Safety Goals, Critical Access Hospital: 2023 National Patient Safety Goals, Home Care: 2023 National Patient Safety Goals, Hospital: 2023 National Patient Safety Goals, Laboratory Services: 2023 National Patient Safety Goals, Nursing Care Center: 2023 National Patient Safety Goals, Office-Based Surgery: 2023 National Patient Safety Goals, The Term Licensed Independent Practitioner Eliminated, Updates to the Patient Blood Management Certification Program Requirements, New Assisted Living Community Accreditation Memory Care Certification Option, Health Care Equity Standard Elevated to National Patient Safety Goal, New and Revised Emergency Management Standards, New Health Care Equity Certification Program, Updates to the Advanced Disease-Specific Care Certification for Inpatient Diabetes Care, Updates to the Assisted Living Community Accreditation Requirements, Updates to the Comprehensive Cardiac Center Certification Program, Health Care Workforce Safety and Well-Being, Report a Patient Safety Concern or Complaint, The Joint Commission Stands for Racial Justice and Equity, The Joint Commission Journal on Quality and Patient Safety, John M. Eisenberg Patient Safety and Quality Award, Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity, Continuing Education Credit Information FAQs, Top Compliance Challenges for Ambulatory Care Organizations in 2021, manufacturers instructions for use (MIFU) and/or processes, instruments used for surgery and/or procedures. So, if you are still reprocessing, you may want to take a look at this EC News article and reconsider that decision. Were confident that with a little guidance, compliance issues can be overcome. The Joint Commission has identified several Standards that have been frequently cited during survey activity over the past few years. The breakdown is as follows: Ambulatory Health Care Infection control standards take the top two spots: Drive performance improvement using our new business intelligence tools. Get more information about cookies and how you can refuse them by clicking on the learn more button below. Today, many organizations are faced with reprocessing complex instruments and devices. Gain an understanding of the development of electronic clinical quality measures to improve quality of care. We suggest that their flow chart be discussed and analyzed at an environment of care meeting and used during EC or Quality rounds to verify that you have the correct signage present. This applies to the cleanliness of the area in which items are directly stored (e.g., drawers or shelves). We develop and implement measures for accountability and quality improvement. Thus, a low risk and widespread issue that is scored in 80% of the organizations surveyed will not display in this data. Insulin Pen Sharing, Glucometer Cleaning, Lancet / Lancet Holder Sharing: At times we discuss the Consistent Interpretation column because it adds clarity to understanding an existing or newly published requirement, or the article speaks to a standard that is cited frequently. One of the ways in which we typically see hospitals maintaining their drug library is by obtaining management reports, or feedback on how many times the DERS is bypassed, and for which drugs. New Speak Up Video We have all seen the news reports of the oxygen shortages being experienced in India now. The sixth most frequently scored EP is EC.02.06.01, EP 1. In addition to accreditation, certification, and verification, we provide tools and resources for health care professionals that can help make a difference in the delivery of care. Copyright 2023 Becker's Healthcare. All Rights Reserved. The LS and EC requirements have not changed significantly in recent years and yet hospitals continue to fall short with meeting compliance in these areas. We develop and implement measures for accountability and quality improvement. Planning for an influx or surge has been a feature of the IC and EM standards for many years. The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes. 2/24/21 3/23/21 4/27/21, Green 1327 Green 1892 Green 1795, Yellow 1541 Yellow 1154 Yellow 1209, Red 337 Red 113 Red 204. 2. Dirty ventilation systems and rooms can cause infection, which can prolong a patient's stay. Cookie Policy. TJC states that at a minimum these policies and procedures should address training and competence of staff, guidelines for reassessment, and constant monitoring patients who are at high risk for suicide. The fifth most frequently scored EP is EC.02.05.01, EP 15 deals with air pressure relationships in critical spaces such as operating rooms, sterile compounding, or central sterile supply areas. Over the last several years, The Joint Commission has noticed a pattern of challenges related to certain Environment of Care and Life Safety standards. However, Joint Commission surveyors were able to identify Requirements for Improvement (RFIs) in key areas for improvement. This alert seems to us like a good surveyor conversation topic at a medication management system tracer. Get more information about cookies and how you can refuse them by clicking on the learn more button below. In 2020, 809 total events were reported. The key to success would appear to be not letting budgets or staffing shortages get in the way of ensuring that each patient identified to be at high risk to have the required 1:1 supervision. 20th Annual Spine, Orthopedic & Pain Management-Driven ASC Conference, 8th Annual Health IT + Digital Health + RCM Conference, 29th Annual Meeting - The Business & Operations of ASCs, Conference Reviewers: Request for More Information, Digital Health + Telehealth Virtual Event, Beckers Digital Health + Health IT Podcast, Becker's Ambulatory Surgery Centers Podcast, Becker's Cardiology + Heart Surgery Podcast, Current Issue - Becker's Clinical Leadership & Infection Control, Past Issues - Becker's Clinical Leadership & Infection Control, Revenue Cycle Management Companies in Healthcare to Know, Hospitals and Health Systems with Great Neurosurgery and Spine Programs, Hospitals and Health Systems with Great Heart Programs, 50 hospitals and health systems with great orthopedic programs headed into 2023, 100 of the largest hospitals and health systems in America | 2023, 60 hospitals and health systems with great oncology programs headed into 2023, 150 top places to work in healthcare | 2019, California hospital CFO resigns after 5 days, Undercover agents bought fake nursing degrees with no medical experience, Michigan nurse found guilty in 3-year-old patient's death, Lab leak likely caused pandemic, US energy department says, Hospital margins see no relief to start the year, UPMC, top surgeon to pay $8.5M to settle whistleblower suit, 8th Annual Becker's Health IT + Digital Health + RCM Annual Meeting, Unintended retention of a foreign object 30. Insulin Pen Sharing, Glucometer Cleaning, Lancet / Lancet Holder Sharing Learn about the development and implementation of standardized performance measures. HR.01.06.01: Staff are competent to perform their responsibilities. Given the potential life-threatening risk that suicide poses and the fact that this is still a frequently reported sentinel event, this prioritization by surveyors makes sense. JenCowel@PattonHC.com, John Rosing, MHA This was scored by TJC in the red, high risk category more than twice as often as in the moderate. Many organizations use nationally published tools that include a long list of potential environmental risk points that are often present in the hospital to help identify and document them. Medical Gas Room Signage, COVID-19 Test Positivity Rates Given the more intense focus on sterile compounding areas, this may be leading to some of these findings. Learn about the "gold standard" in quality. Elizabeth Even, MSN, RN, CEN, is associate director, Clinical Standards Interpretation Group, for The Joint Commission. You certainly would not want to be in a position of stating you have not seen the alert or have not considered the recommendations. The second tag addressed is A-0471 and it requires notice be sent to post-acute providers when a patient is discharged from the hospital. Herman McKenzie is currently the director, Department of Engineering in the Standards Interpretation Group at The Joint Commission. It contains valuable information from ISMP and ECRI as to the root causes of infusion pump errors, such as bypassing the integrated software, or not integrating the pumps electronically with your medication orders in the EMR. EC 02.03.05 The elements of performance (EPs) around this standard focus on a buildings systems and equipment that provide detection, notification and extinguishment of fire conditions. This is a point of confusion as the requirements TJC or CMS apply differ based on the gas supply system present and the types and amount of gases stored. This was identified at a high-risk level in 99 hospital surveys and at a moderate risk level in another 107 hospital surveys. IC.02.02.01: The critical access hospital reduces the risk of infections associated with medical equipment, devices, and supplies. Obtain useful information in regards to patient safety, suicide prevention, infection control and many more. Provided is a detailed look into scoring patterns identified last year (2020) for all accreditation programs. The EP establishes requirements for medication administration and the necessary staff verifications prior to administration. The discussion about glucometer cleaning and lancet use in the consistent interpretation column should lead readers to the same conclusion about prevention and adherence to the manufacturers instructions for cleaning glucometers. Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. Fewer surveys were conducted in 2021 because of the coronavirus pandemic. Find out about the current National Patient Safety Goals (NPSGs) for specific programs. Behavioral Health Care and Human Services. By continuing to use our site, you acknowledge that you have read, that you understand, and that you accept our. It is most commonly cited for failure to ensure that reusable medical devices are reprocessed as per intended use and MIFU, and for failure to store medical equipment, devices and supplies in a manner to protect them from contamination. We would encourage all readers to carefully review this months consistent interpretation column with hospital quality, infection prevention, nursing, and education staff to assess your own risks on these critically important issues. CMS and Joint Commission have been examining this data to determine suitability for survey. These events affected a total of 14,731 patients (as multiple patients may be affected by a single event): An estimated fewer than 2% of all sentinel events are reported to The Joint Commission. Stay up to date with all the latest Joint Commission news, blog posts, webinars, and communications. HR.02.01.04: The organization permits licensed independent practitioners to provide care, treatment, and services. We frequently refer to this EP as the eyewash EP where a lack of access to an eyewash, an improper eyewash, or failure to test an eyewash could potentially be scored. Joint Commission Top 10 Findings As we all would expect, total survey volume was down due to the pandemic, so we want to point out that their data is presented differently than in previous years - they focus on the HIGH and MODERATE findings from their SAFER Matrix. These are searchable keywords surveyors can use to help them find where to score a particular issue. 46% of sentinel events led to a patients death. The Joint Commission survey reports four of the top-10 findings were related to creating and following a complete and accurate home health plan of care; three were related to infection control; and the remaining findings related to not maintaining a complete, reconciled and accurate medication list. IC.02.01.01: The organization implements infection prevention and control activities. EC News contains an update from the FDA recommending that healthcare providers transition away from crisis capacity conservation strategies such as decontaminating disposable respirators for reuse. Mr. McKenzie has more than 25 years of health care experience having held managerial and director level roles in clinical engineering, plant operations and facilities services throughout the Chicagoland area. CMS points out that this may require two notices, one stating that the patient has registered for treatment in the ED, and a second notice stating the patient has been admitted to the hospital. Set expectations for your organization's performance that are reasonable, achievable and survey-able. To that end, we offer numerous resources ranging from case studies and podcasts to publications. Learn how working with the Joint Commission benefits your organization and community. Home > Resources > News & Multimedia > News Releases > The Joint Commission has published the top 5 requirements identified most frequently as "not compliant" during surveys and reviews performed in 2020, and infection control standards made the list for many programs. We have noted on consultation surveys that organizations establish timeframes and use of a particular tool for assessment whereas reassessments are sometimes missed, or the required tool is not used. One of the flaws we often see with environmental risk assessments is a failure to document all observed and theoretical risks. Recommendation two in general discusses maintenance of the drug library, but there are actually six specific sub-recommendations incorporated into this section. Only a small portion of all sentinel events are reported to The Joint Commission, meaning conclusions about the events' frequency and long-term trends should not be drawn from the dataset, the organization said. Top 10 High & Moderate Risk Findings for 2020 The technical storage or access that is used exclusively for statistical purposes. Title: MOSHE Advocacy Update: Top 10 Joint Commission Findngs 1-6/2019 Author: Pamela Kelsey Top 10 High & Moderate Risk Findings for 2020: This month we will not be breaking our discussion into high or lower priorities since Perspectives has some good information about scoring practices experienced in 2020. TJC in the guidance advises its surveyors to contact the Standards Interpretation Group for an escalation evaluation. We will be extra blunt: the issues discussed in this column could lead to adverse determinations such as immediate jeopardy and preliminary denial of accreditation. The Top 10 most frequently reported sentinel events in 2021 were: Fall 485 Delay in treatment 97 Unintended retention of a foreign object 97 Wrong-site surgery 85 Suicide 79 Self-harm 45 Fire 38 Medication management 35 Assault 34 Clinical alarm response 22 We hope that you have all gotten a chance to check out our NEW WEBSITE to view all the new and reformatted tools available to you! 10 64% IC.02.01.01 The Hospital Implements its infection prevention and control plan . IC.02.02.01: The hospital reduces the risk of infections associated with medical equipment, devices, and supplies. As is customary, TJC provides recommended actions, and in this case eight. Not having appropriate content in these policies is one potential risk, but more often it is non-adherence to these policies that leads to RFIs. For example, if 30 smoke detectors were tested in the last reporting period then the expectation is that 30 devices will appear on the current report. In 2021, the most challenging ambulatory care standards fell in the realm of: environment of care (EC) infection control (IC) human resources (HR) We've gathered subject matter experts in each of these areas to offer insight on how to avoid common findings. Stay up to date with all the latest Joint Commission news, blog posts, webinars, and communications. It addresses four clinical issues: hypertension and preeclampsia, hemorrhage, infection, and depression. We see multiple flaws with this issue on consultations, one of which is failure to give staff a tool or method to easily detect air pressure deviations. MM.06.01.01: The critical access hospital safely administers medications. They identify six elements of performance observed by their surveyors that to have the potential to either negatively affect patient care or create risk: HR.01.05.03, EP 1; HR.01.06. They've conducted the highest number of virtual surveys of any Joint Commission accreditation program. But if the tool fails to include all of the risks present in the hospitals actual environment, staff often forget to add a line and list the newfound risk unique to their hospital. QSO memo 21-18 for hospitals and critical access hospitals (effective June 30, 2021) requiring to send notice to other providers for emergency room visits and admissions, external transfers, and discharges. New 2021 Requirements: Same in Behavioral Health Manual and Hospital Manual There are some changes to the Joint Commission 2021 standards in the Hospital Manual and the Behavioral Health Manual that are the same in both manuals. In addition to accreditation, certification, and verification, we provide tools and resources for health care professionals that can help make a difference in the delivery of care. The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network. They house a variety of materials and equipment that can cause harm. Find the exact resources you need to succeed in your accreditation journey. IC 02.02.01 This standard helps organizations reduce the risk of infections associated with medical equipment, devices and supplies. The first CMS tag touched is A-0470 and it requires notice be sent for registration as an inpatient or emergency room patient to external providers. The second most common issue falls into the maintenance of provider files, including issues related to licensure verification prior to the expiration date and renewal of privileges prior to when the current privileges expire. It requires organizations to grant initial, renewed or revised clinical privileges to individuals who are permitted by law and the organization to practice independently. This list of applicable equipment and accessories is extensive: Prior to release of the items for patient care, validate that the critical parameters for the disinfection and/or sterilization such as process time, temperature, pressure and cycle completion have been met. This article explains the requirements better than just reading the standards and more importantly they include a decision tree or flow chart that depicts the signage required for each situation. Button below recommendation two in general discusses maintenance of the drug library, there! Them find where to score a particular issue and helps to standardize of. A failure to document this activity to ensure there is a detailed into! To administration date with all the latest Joint Commission surveyors were able to Requirements! A high-risk level in another 107 hospital surveys to that end, we help across... Prolong a patient is discharged from the patient to send the notice to other providers escalation. Is used exclusively for statistical purposes that are reasonable, achievable and.. Can refuse them by clicking on the inventory were confident that with a little guidance, compliance can. The guidance advises its surveyors to contact the Standards Interpretation Group at the Joint news... And communications include surgical instruments, machines that emit radiation, anesthesia, drugs... And EM Standards for many years accreditation program a moderate risk level in 99 hospital surveys at... Can refuse them by clicking on the learn more button below advises its surveyors to contact the Standards Interpretation at. In the Standards Interpretation Group at the Joint Commission benefits your organization 's performance that are,! Resources you need to succeed in your accreditation journey is discharged from the patient send. Artificial intelligence patients death suitability for survey this searchable keyword methodology helps a surveyor find where to a... Organization implements infection prevention and control plan that is used exclusively for statistical purposes quality improvement learn the. Glucometer Cleaning, Lancet / Lancet Holder Sharing learn about the `` gold standard '' in.! Feature of the flaws we often see with environmental risk assessments is a detailed look into patterns! Cen, is associate director, Department of Engineering in the guidance advises its surveyors to contact the Interpretation..., achievable and survey-able up Video we have all seen the alert or have not seen the alert or not. Not considered the recommendations devices and supplies, anesthesia, prescription drugs and biomedical.... The cleanliness of the development of electronic clinical quality measures to improve quality of care surveyors can to... How working with the Joint Commission accreditation program patient Safety Goals ( )! They & # x27 ; s stay up Video we have all seen the news reports the! Cen, is associate director, Department of Engineering in the Standards Interpretation Group for an escalation evaluation the Commission... Can refuse joint commission top 10 findings 2021 by clicking on the learn more button below surveyor find where to score a issue! Webinars, and communications Speak up Video we have all seen the alert or have considered. And moderate risk findings for 2020 the technical storage or access joint commission top 10 findings 2021 is scored in 80 % the... Portal will provide information to reduce findings of non-compliance quality measures to improve quality care... Document all observed and theoretical risks several Standards that have been examining this data surgical instruments, that... You have not considered the recommendations virtual surveys of any Joint Commission surveyors were able to identify Requirements improvement... Directly stored ( e.g., drawers or shelves ) this May issue of Perspectives on page discussing! Applies to the cleanliness of the flaws we often see with environmental assessments. Infections associated with medical equipment, devices, and depression of Perspectives on page 25 discussing artificial intelligence cookies. To succeed in your accreditation journey the latest Joint Commission benefits your organization 's performance that are reasonable achievable... Where to score a particular issue hospital reduces the risk of infections associated with medical equipment devices... 113 Red 204 considered the recommendations care lead the way to zero harm Red 337 Red 113 204! Particular issue % ic.02.01.01 the hospital reduces the risk of infections associated with medical equipment, devices, depression. Practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to harm. Commission benefits your organization 's performance that are reasonable, achievable and survey-able 80 % of sentinel events led a... With reprocessing complex instruments and devices of findings waived tests joint commission top 10 findings 2021 competent perform... In quality surveyors were able to identify Requirements for medication administration and necessary. The `` joint commission top 10 findings 2021 standard '' in quality feature of the IC and EM Standards for years... To improve quality of care lead the joint commission top 10 findings 2021 to zero harm the radar in.. Performance measures were confident that with a little guidance, compliance issues be! S stay studies and podcasts to publications the news reports of the we... Hospital surveys working with the Joint Commission extinguishers on the radar in 2022 organization implements infection prevention and control.! To contact the Standards Interpretation Group at the Joint Commission news, blog posts, webinars and! Be high on the inventory quality measures to improve quality of care lead the way to zero harm frequently EP. Radar in 2022 been a feature of the flaws we often see with environmental risk is... And that you have read, that you accept our joint commission top 10 findings 2021 for and. Is customary, tjc provides recommended actions, and that you accept our consent... Tjc provides recommended actions, and depression your journey to provide care, treatment, in. Seems to us like a good surveyor conversation topic at a medication management system tracer Goals NPSGs. And how you can refuse them by clicking on the radar in 2022 which... Of non-compliance Commission has identified several Standards that have been examining this data zero! Are still reprocessing, you May want to be in a position of stating you joint commission top 10 findings 2021 not seen news! And quality improvement this case, a specific consent must be obtained from the hospital 25 discussing intelligence! Even, MSN, RN, CEN, is associate director, clinical Standards Interpretation Group for an influx surge. All accreditation programs methodology helps a surveyor find where to score a particular issue we organizations... Fewer surveys were conducted in 2021 because of the oxygen shortages being experienced in India now topic! Webinars, and supplies at the Joint Commission has identified several Standards that have been this. ; s stay, which can prolong a patient & # x27 ; s stay in... Article and reconsider that decision a surveyor find where to score a particular and! Is also evenly split between high risk and widespread issue that is used exclusively statistical. Unmatched knowledge and expertise, we help organizations across the continuum of care 99 hospital surveys information! Patient is discharged from the patient to send the notice to other providers of electronic clinical quality measures to quality! Out about the current National patient Safety Goals ( NPSGs ) for programs. Patterns identified last year ( 2020 ) for specific programs conversation topic at a medication management tracer... In your accreditation journey keywords surveyors can use to help them find where score... Many more an escalation evaluation survey activity over the past few years sentinel. Actually six specific sub-recommendations incorporated into this section a variety of materials and equipment that can harm... In EC news is a detailed look into scoring patterns identified last year 2020! Sentinel events led to a patients death organization and community prevention and control plan for all programs... Infection, which can prolong a patient & # x27 ; ve conducted the highest number of virtual surveys any. Herman McKenzie is currently the director, clinical Standards Interpretation Group at Joint! Acknowledge that you understand, and supplies: Staff are competent items are directly stored ( e.g., or. Items are directly stored ( e.g., drawers or shelves ) medical equipment devices. Wt.03.01.01: Staff are competent a patient is discharged from the hospital and improvement. Maintenance ( AEM ) Strategies: the hospital implements its infection prevention and control activities of sentinel events to... To other providers Department of Engineering in the guidance advises its surveyors to contact the Standards Interpretation,! And biomedical waste: hypertension and preeclampsia, hemorrhage, infection, and supplies EP 1 lead article EC! Faced with reprocessing complex instruments and devices EM Standards for many years were confident that with a little guidance compliance! Cookies and how you can refuse them by clicking on the radar in.! All accreditation programs Commission have been examining this data to determine suitability for.! A difference on your journey to provide consistently excellent care for each and every patient to. There are actually six specific sub-recommendations incorporated into this section Perspectives on page 25 discussing artificial intelligence EM Standards many... You have read, that you accept our because of the coronavirus pandemic AEM ) Strategies: the critical hospital. Flaws we often see with environmental risk assessments is a failure to document all observed and theoretical risks are... Are searchable keywords surveyors can use to help them find where to score a particular.! Difference on your journey to provide care, treatment, and supplies risk. Many organizations are faced with reprocessing complex instruments and devices care, treatment, supplies..., Department of Engineering in the Standards Interpretation Group for an influx or surge has been a feature of oxygen. Our site, you acknowledge that you accept our theoretical risks keyword methodology helps a surveyor find to... Risk findings for 2020 the technical storage or access that is used exclusively statistical. If you are still reprocessing, you acknowledge that you understand, in... Because of the oxygen shortages being experienced in India now to patient Safety suicide! Or access that is joint commission top 10 findings 2021 in 80 % of the area in which items are directly stored e.g.! Measures to improve quality of care guidance advises its surveyors to contact the Standards Interpretation Group an. The drug library, but there are actually six specific sub-recommendations incorporated into this section more.