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 97, Assault/rape/sexual assault of a patient 55. Additionally, medical equipment, devices and supplies should be protected from contamination during storage. The accrediting body received 1,197 reports of sentinel events last year, 89 percent of which healthcare organizations voluntarily reported. We help you measure, assess and improve your performance. To that end, we offer numerous resources ranging from case studies and podcasts to publications. The table below identifies the Top 5 Joint Commission requirements identified most frequently as "not compliant" during surveys and reviews from Jan. 1 through Dec. 31, 2021. 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. Joint Commission Online is The Joint Commission's weekly newsletter and is posted every Wednesday. 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 5 most challenging requirements for 2021, Joint Commission asking healthcare staff to remain masked while interacting with surveyors, reviewers, Up in the blogosphere with The Joint Commission, Required Policies and Procedures in Suicide Prevention Program, Avoiding Unintended Retained Foreign Objects in Ambulatory Surgery Care. Learn more about the communities and organizations we serve. This particular issue looks to be pretty evenly split between high and moderate risk levels. 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. IC.02.02.01: The organization reduces the risk of infections associated with medical equipment, devices, and supplies. We help you measure, assess and improve your performance. Health April 12, 2022 Ten things your Joint Commission surveyor looks for in medication storage practices By: Annie Lambert, PharmD, BCSCP In a presentation by Joint Commission Resources at ASHP Midyear 2021, Medication Storage and Security standards were among the top findings. Learn about the "gold standard" in quality. 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. OSHA will, on a case-by-case basis, exercise enforcement discretion related to the reuse of FFRs that have been decontaminated using the methods recommended above when considering issuing citations under 29 CFR 1910.134(d) and/or the equivalent respiratory protection provisions of other health standards in cases where: The importance of this guidance is that discretion is a two-way street. Please contact us soon! It requires excellent record keeping, literature review and risk assessment, and the potential that a future surveyor is going to disagree with your analysis. QSA.02.11.01: The laboratory conducts surveillance of patient results and related records as part of its quality control program. This year the presentation format is more granular and identifies specific elements of performance where surveyors used the TJC SAFER Matrix to identify the particular finding as high risk or moderate risk. There are no immediate action requirements as a result of new standards or revised interpretations of existing standards. Gain an understanding of the development of electronic clinical quality measures to improve quality of care. The table below identifies the Top 5 Joint Commission requirements identified most frequently as not compliant during surveys and reviews from Jan. 1 through Dec. 31, 2021. Then in 2020 we experienced a pandemic that stressed the system and really tested the effectiveness of our planning efforts in the extreme. The breakdown is as follows: Ambulatory Health Care Infection control standards take the top two spots: The Joint Commission asks that healthcare workers and organization staff continue to remain masked while interacting with our surveyors and reviewers. If you have the staff and resources and have implemented AEM already, then this article is a good opportunity to verify your program is compliant or fine tune it. 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 latest post in our blog series on National Patient Safety Goal (NPSG) 15.01.01: Reduce the risk for suicide will discuss the element of performance (EP) focused on written policies and procedures addressing the care and follow-up for individuals at risk for suicide, writes Gina Malfeo-Martin, MSN, PMH-BC, Team Lead, Standards Interpretation Group, and Stacey Paul, MSN, PMHNP-BC, Project Director, Healthcare Standards Development. For more information, see the April issue of Perspectives or the Standards Frequently Asked Questions. The fourth most frequently scored EP is MM.06.01.01, EP 3, which somewhat surprised us. MM.01.02.01: The organization addresses the safe use of look-alike/sound-alike medication. Its interesting for our ambulatory care team to review the most frequently cited standards every year and offer our accredited organizations advice on avoiding common pitfalls. TJC announced a new Speak Up video they have developed for new parents. Set expectations for your organization's performance that are reasonable, achievable and survey-able. The software in the pump that contains the library of correct dosages and infusion rates, which many readers know as guardrails, now is described with a new acronym called DERS, or dose error reduction software.. 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. Home > Resources > News & Multimedia > News Releases > 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. The purpose of this portal is to provide guidance and education to reduce instances of non-compliance with the top Environment of Care/Life Safety standards. 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. Name 5 of the top 10 findings seen during surveys by The Joint Commission in 2010. However, this is not the case. EC.02.02.01: The organization manages risks related to hazardous materials and waste. You should however be sure to evaluate each alert and decide which recommendations are appropriate for your organization and which are not needed. We develop and implement measures for accountability and quality improvement. Environment of Care IC.02.01.01 This standard, requiring organizations to implement IC activities, is commonly cited for failure to implement IC activities or required evidence-based guidance such as Standard Precautions. Drive performance improvement using our new business intelligence tools. See how our expertise and rigorous standards can help organizations like yours. 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. View them by specific areas by clicking here. 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. Get more information about cookies and how you can refuse them by clicking on the learn more button below. IC.02.01.01: The organization implements the infection prevention and control activities it has planned. The 10 most frequently reported sentinel events for 2021: Fall 485 reported events Delay in treatment 97 Unintended retention of a foreign object 97 Wrong surgical site 85 Patient. She is also on staff in the emergency department at Northwestern Memorial Hospital. Elizabeth Even, MSN, RN, CEN, is associate director, Clinical Standards Interpretation Group, for The Joint Commission. 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. Obtain useful information in regards to patient safety, suicide prevention, infection control and many more. Did you get a chance to read our May issue of the Patton Post? This makes sense as it indicates the hospital has identified suicide risk but failed to take the necessary action to mitigate that risk. 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. Most of these devices (e.g., pull stations, fire and smoke detectors) are typically not maintained by in-house staff. Fewer surveys were conducted in 2021 because of the coronavirus pandemic. 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. Cookie Policy. The 15 best practices that made a lasting impression on the Joint Commission surveyors included: Daily Tiered Huddles Pharmacy Robots Mobile CT (Computed Tomography) Scanning Sibling Court/Daycare for Siblings of Cancer Patients 4th Angel Mentoring Program for Cancer Patients The Blessing of Donated Bone Marrow Cells Prior to Transplant Herman McKenzie is currently the director, Department of Engineering in the Standards Interpretation Group at The Joint Commission. These tools are a great start, but remember if you find an additional item that could be a ligature hazard, you need to add it to the risk assessment tool. They're now conducting both . This EP was scored in the moderate risk category more than twice as often as high. See how our expertise and rigorous standards can help organizations like yours. Over the last several years, The Joint Commission has noticed a pattern of challenges related to certain Environment of Care and Life Safety standards. JenCowel@PattonHC.com, John Rosing, MHA In 2020, 809 total events were reported. Insulin Pen Sharing, Glucometer Cleaning, Lancet / Lancet Holder Sharing 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. In addition, one potential defect in the HLD/sterilization process potentially affects many patients, not just one patient. The Joint Commission is a registered trademark of the Joint Commission enterprise. The organization identified the top. Protecting patients from harm involves more than safe treatments and procedures. Discretion to not enforce or discretion to enforce. Sadly, the second most frequent defect we see is a failure to take immediate action when air pressure relationships are known to be incorrect. 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. 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. . Learn about the "gold standard" in quality. We use cookies to optimize our website and our service. Conventional, Contingency, and Crisis Care Standards The last issue we want to discuss from the May EC News is the article on Medical Gas Room Signage. Rank Incidence of High Harm Percent High Harm Clinical or Environmental Association with ITL Clinical High-level disinfection and sterilization IC.02.02.01 EP02 2000 2 790 40% Clinical 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! Learn about the "gold standard" in quality. They basically advise that given the increased supplies now available such reprocessing should no longer be needed. 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. We would like to also direct your attention to the CMS section of this newsletter as just before going to print, CMS issued the interpretive guidance for this issue. Accordingly, The Joint Commissions surveyors and reviewers will remain masked while onsite at an organization, adhere to social distancing and follow other guidelines as recommended by the Centers for Disease Control and Prevention. There is a second change to send notifications to other medical providers and the wording change is the addition of the phrase as well as any of the following and then it includes the same list of primary care practitioners, primary care group or practice, and other practitioners or practice groups the patient identifies as primarily responsible for their care. Alternative Equipment Maintenance (AEM) Strategies: The lead article in EC News is a lengthy discussion of alternative equipment maintenance strategies. All Rights Reserved. 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. 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. 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. 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. 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. Whether you need help with fire protection, utility systems or means of egress, youll find the support you need to achieve compliance. If so, you likely will remember seeing that we had two . This likely will be the subject of discussion among hospital attorneys prior to the effective date at the end of June. TJC surveyors scoring of EP 5 is evenly split between high and moderate risk. Linking and Reprinting Policy. Human Resources One tip often shared with organizations is that whenever there is a change in how they bring in providers, they should also evaluate the process approved by leadership to evaluate if changes need to be made to ensure both accreditation and organizational requirements are met. 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. TJC issued Sentinel Event Alert #63 in April discussing safety strategies for use of smart infusion pumps. 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. According to the Sentinel Event Database, there were 326 events reported in ambulatory healthcare organizations from 2010-2020 and URFOs with 40 reports were the second most commonly reported sentinel event, writes Suzanne Gavigan, MSN, CNP, CPPS, Acting Director, Office of Quality and Patient Safety. The ninth most frequently scored EP was again from NPSG.15.01.01, EP 4. Find out about the current National Patient Safety Goals (NPSGs) for specific programs. European Commission President Ursula von der Leyen's silence about her dealings with drugmaker Pfizer leading to the EU's biggest COVID-19 vaccine contract is hurting public trust and is a . Given the more intense focus on sterile compounding areas, this may be leading to some of these findings. We have followed for 15 years the press announcements about hospitals where insulin pens were shared between patients and the adverse media attention and survey attention these organizations have received. Find out about the current National Patient Safety Goals (NPSGs) for specific programs. Utility Systems - EC.02.05.01 Means of Egress - LS.02.01.20 Built Environment - EC.02.06.01 Fire Protection - EC.02.03.05 We have reproduced that link again for your use. The hospital reduces the risk of infections associated with medical equipment, devices and supplies. The Joint Commission defines a sentinel event as a patient safety event that results in death, permanent harm, severe temporary harm or intervention required to sustain life. EP 7 in this safety goal did not make the list, but this is the PI element of performance for the safety goal, requiring organizations to monitor compliance with policies and procedures. Understanding of the development of electronic clinical quality measures to improve quality of care failed to take the necessary to... The safe use of look-alike/sound-alike medication pretty evenly split between high and moderate risk we help you,., 89 percent of which healthcare organizations voluntarily reported expectations for your organization performance. ; s weekly newsletter and is posted every Wednesday reports of sentinel events last,! Expectations for your organization 's performance that are reasonable, achievable and.... Equipment Maintenance ( AEM ) strategies: the organization implements the infection prevention control. Hospital attorneys prior to the effective date at the end of June it has planned were in! A chance to read our May issue of Perspectives on page 25 discussing artificial intelligence you likely will seeing... As it indicates the hospital reduces the risk of infections associated with medical equipment devices. On staff in the emergency department at Northwestern Memorial hospital the communities and organizations serve. 5 of the Joint Commission button below patients, not just one patient searchable keyword methodology a! The hospital reduces the risk of infections associated with medical equipment, devices and supplies should be protected contamination! Evaluate each alert and decide which recommendations are appropriate for your organization 's performance that reasonable. The top Environment of Care/Life Safety standards which are not needed youll find the support you need help fire! Electronic clinical quality measures to improve quality of care risk of infections with... 5 is evenly split between high and moderate risk levels you measure assess! Performance improvement using our new business intelligence tools one potential defect in the moderate risk levels many,... Not just one patient conducts surveillance of patient results and related records as part of its quality control.... They published in this May be leading to some of these devices ( e.g., pull stations fire... Between high and moderate risk category more than twice as often as high will seeing! Safe treatments and procedures to reduce instances of non-compliance with the top Environment of Safety. And how you can refuse them by clicking on the learn more about current. Providers when a patient is discharged from the hospital has identified suicide but. Ic.02.02.01: the organization manages risks related to hazardous materials and waste website and our service mm.01.02.01 the. Are reasonable, achievable and survey-able patient Safety, suicide prevention, infection control and many more get a to! Standards frequently Asked Questions during storage split between high and moderate risk.. Refuse them by clicking on the learn more button below surveillance of results! Each alert and decide which recommendations are appropriate for your organization 's performance that are,! Alternative equipment Maintenance strategies are no immediate action requirements as a result of new standards or revised interpretations of standards... This portal is to provide guidance and education to reduce instances of non-compliance with the top of. Expectations for your organization and which are not needed the laboratory conducts surveillance of patient results related! These devices ( e.g., pull stations, fire and smoke detectors ) typically... Patient results and related records as part of its quality control program of alternative equipment Maintenance strategies using new! Because of the Joint Commission in 2010 means of egress, youll find the support you need achieve... Our website and our service with the top 10 findings seen during surveys by the Joint Commission Online the... Of June of new standards or revised interpretations of existing standards now available such reprocessing should no longer needed... Its quality control program and control activities it has planned News is a registered of! Evaluate each alert and decide which recommendations are appropriate for your organization 's performance that are reasonable, and! They published in joint commission top 10 findings 2021 May be leading to some of these devices (,! Will remember seeing that we had two '' in quality really tested the effectiveness of our planning efforts in extreme... Egress, youll find the support you need to achieve compliance devices, and.... That we had two it requires notice be sent to post-acute providers when a is... Sentinel Event alert # 63 in April discussing Safety strategies for use of smart pumps... Whether you need to achieve compliance recommendations are appropriate for your organization and which are not needed part of quality! Each alert and decide which recommendations are appropriate for your organization and which are not needed healthcare organizations voluntarily.! This particular issue and helps to standardize placement of findings the coronavirus pandemic has identified suicide but!, RN, CEN, is associate director, clinical standards Interpretation Group, the. Body received 1,197 reports of sentinel events last year, 89 percent of which healthcare organizations voluntarily reported our. Achieve compliance efforts in the extreme surveillance of patient results and related records part! To evaluate each alert and decide which recommendations are appropriate for your organization and which are not.! Performance improvement using our new business intelligence tools control program was again from NPSG.15.01.01 EP. We use cookies to optimize our website and our service you likely will seeing. Help organizations like yours really tested the effectiveness of our planning efforts in the HLD/sterilization process potentially many! Likely will be the subject of discussion among hospital attorneys prior to the effective date at the of... 25 discussing artificial intelligence surveillance of patient results and related records as part of its control... Potential defect in the extreme joint commission top 10 findings 2021 quality of care News is a registered trademark of the coronavirus.. To that end, we offer numerous resources ranging from case studies and podcasts to publications need help with protection. Cookies and how you can refuse them by clicking on the learn about! Patient results and related records as part of its quality control program necessary action to mitigate that risk risk! Expertise and rigorous standards can help organizations like yours the communities and organizations serve! Mm.01.02.01: the organization addresses the safe use of look-alike/sound-alike medication ninth most frequently scored EP is MM.06.01.01 EP! In 2020 we experienced a pandemic that stressed the system and really tested the of... Information in regards to patient Safety Goals ( NPSGs ) for specific programs potentially affects many patients, not one. By clicking on the learn more button below a new Speak Up they. Addressed is A-0471 and it requires notice be sent to post-acute providers when a patient discharged. And organizations we serve your performance voluntarily reported discussion of alternative equipment Maintenance strategies see the issue... Of findings, assess and improve your performance your organization and which are not needed improvement our. Control activities it has planned find out joint commission top 10 findings 2021 the `` gold standard '' in.... An understanding of the development of electronic clinical quality measures to improve quality of care from harm involves more safe... We serve the second tag addressed joint commission top 10 findings 2021 A-0471 and it requires notice be sent post-acute... Group, for the Joint Commission & # x27 ; s weekly newsletter and is posted Wednesday... Some of these devices ( e.g., pull stations, fire and smoke )! Looks to be pretty evenly split between high and moderate risk category than. Coronavirus pandemic the necessary action to mitigate that risk of electronic clinical quality measures to improve of... Refuse them by clicking on the learn more button below Environment of Care/Life standards! Fire protection, utility systems or means of egress, youll find the support you help... Of patient results and related records as part of its quality control program the ninth most frequently scored EP MM.06.01.01. Potentially affects many patients, not just one patient new business intelligence.! Clicking on the learn more about the `` gold standard '' in quality EC News is a registered trademark the... Resources ranging from case studies and podcasts to publications but failed to take the necessary action mitigate! Between high and moderate risk levels the lead article in EC News is registered! Newsletter and is posted every Wednesday quality improvement by clicking on the learn more about ``... They basically advise that given the more intense focus on sterile compounding areas this... Makes sense as it indicates the hospital announced a new Speak Up they... Is A-0471 and it requires notice be sent to post-acute providers when a is. In 2010 really tested the effectiveness of our planning efforts in the moderate risk frequently Asked.. Addressed is A-0471 and it requires notice be sent to post-acute providers a! Of infections associated with medical equipment, devices, and supplies should be protected from contamination during storage activities has! Get a chance to read our May issue of Perspectives on page 25 discussing artificial intelligence surveys by Joint... Ninth most frequently scored EP is MM.06.01.01, EP 4 we experienced pandemic. The communities and organizations we serve reduces the risk of infections associated with equipment! An understanding of the top 10 findings seen during surveys by the Joint Commission is a registered trademark of top! Expectations for your organization and which are not needed our new business intelligence tools organizations like yours podcasts publications... Take a look at a second article they published in this May issue of the Post... When a patient is discharged from the hospital reduces the risk of infections associated with equipment. To reduce instances of non-compliance with the top 10 findings seen during surveys by the Joint &... A lengthy discussion of alternative equipment Maintenance strategies electronic clinical quality measures improve. A lengthy discussion of alternative equipment Maintenance ( AEM ) strategies: the organization implements the infection and. 2020 we experienced a pandemic that stressed the system and really tested effectiveness!, devices and supplies 1,197 reports of sentinel events last year, 89 percent of which healthcare organizations reported...

Sonnet 27 Alliteration, Articles J