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ARTICLES IN Inside Accreditation & Quality - VOLUME 6 ISSUE 4 - PRINT FULL ISSUE

Inside Accreditation & Quality

- Volume

Issue

Use updated ICRA tool now to assess infection control on construction projects

June 28, 2022

Environment and Facilities, Physical environment, Infection Control

The updated infection control risk assessment (ICRA) tool for construction, renovation, and operations might be longer, but it is more user-friendly and eliminates some of the guesswork from the old v...

Inside Accreditation & Quality

- Volume

Issue

Using AI can empower more comprehensive maternal care

June 21, 2022

Patient Safety

Artificial intelligence (AI) could be poised to change how healthcare makes use of ultrasound early in a pregnancy. ...

Inside Accreditation & Quality

- Volume

Issue

TJC seeing progress meeting maternal health standards, but work remains

June 14, 2022

Accreditation & Survey Preparation, Patient Safety

Even if your facility does not regularly handle labor and delivery, be sure to include the emergency department (ED) in planning and education to address problems such as maternal hemorrhage and sever...

Inside Accreditation & Quality

- Volume

Issue

AOs continue to update COVID-19 survey protocols as pandemic lingers

June 07, 2022

Accreditation & Survey Preparation

Noting a rise in COVID-19 cases in four out of five states in late April and early May, The Joint Commission (TJC) sent out a reminder to stay masked during survey. ...

Inside Accreditation & Quality

- Volume

Issue

Tackling credentialing and privileging challenges for low-volume APPs

May 31, 2022

Accreditation & Survey Preparation, Policies and Procedures, Quality & Errors

Various accreditors require you to measure the competency of an advanced practice practitioner (APP), such as a nurse practitioner or physician assistant, based on the work they’ve done recently at yo...

Inside Accreditation & Quality

- Volume

Issue

Tips on how to master physician performance reviews

May 24, 2022

Accreditation & Survey Preparation, Policies and Procedures

Short of terminating a physician’s employment, appraising a physician’s performance is often the responsibility that administrative and medical staff leaders hate most. ...

Inside Accreditation & Quality

- Volume

Issue

Master physician performance reviews

March 22, 2022

Accreditation & Survey Preparation, Quality & Errors

Short of terminating a physician’s employment, appraising a physician’s performance is often the responsibility that administrative and medical staff leaders hate most. For many physicians, the phrase...

Inside Accreditation & Quality

- Volume

Issue

Review endoscope cleaning policies now that AAMI has updated its standard

April 05, 2022

Accreditation & Survey Preparation, Infection Control

You may need to update your policies, processes, and procedures for the cleaning and storage of endoscopes now that the Association for the Advancement of Medical Instrumentation (AAMI) has an updated...

Inside Accreditation & Quality

- Volume

Issue

Guest columnist: Asking the wrong safety questions

December 17, 2025

Many years ago, I was hired to perform a safety audit for a laboratory. As I walked through one department, an employee asked what I was doing. When I remarked that I was looking for safety issues to ...

Inside Accreditation & Quality

- Volume

Issue

Ask the expert: What medical records will be reviewed during hospital survey?

April 12, 2022

Accreditation & Survey Preparation

What charts or other medical information, including closed records, can you could expect a Joint Commission surveyor to ask for during survey? ...

Use updated ICRA tool now to assess infection control on construction projects

Using AI can empower more comprehensive maternal care

TJC seeing progress meeting maternal health standards, but work remains

AOs continue to update COVID-19 survey protocols as pandemic lingers

Tackling credentialing and privileging challenges for low-volume APPs

Tips on how to master physician performance reviews

Master physician performance reviews

Review endoscope cleaning policies now that AAMI has updated its standard

Guest columnist: Asking the wrong safety questions

Ask the expert: What medical records will be reviewed during hospital survey?

Resource/w tools selected

STET CMS & tools

OSHA Dental Facilities Update - November 2023

OSHA Medical Facilities Update - November 2023

Tab 2, Medical Facilities OSHA Manual- August 2023

Tab 2, Dental Facility OSHA Manual- August 2023

Chapter 2: Chapter Format and Tracer Planning