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RTN1408_B2_LD.04.04.05 Proactive Risk Assessment (FMEA)
*TS: Strategies for Conducting a Proactive Risk Assessment[®] [REF: Phrm/P&T, PI] The Source, August 2014, Vol 8, #1, Pg 1 JCs1408_B2 LD.04.04.05, EP10 requires hospitals to perform a proactive risk assessment at least every 18 months. However, TJC would actually encourage a greater frequency, particularly whenever a high-risk process is newly begun or modified. The…
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RTN1408_B3_MM.01.02.01LASA Medications
*TS: 5 Sure-Fire Methods: Safely Manage Look-Alike/Sound-Alike Medications[®] [REF: MD, P&T, PtEd, RN] The Source, August 2014, Vol 8, #8, Pg 2 JCs1408_B3 MM.01.02.01 is the standard that requires a listing and safe use of look-alike/ sound-alike (LASA) medications [Pearl] A key point is that the basis for your list should go beyond look-alike medication…
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RTN1408_B4_Tracer – Waived Testing
*TS: Tracer Methodology 101: Waived Testing in a Critical Access Hospital[®] [REF: IC, P&T, RN] The Source, August 2014, Vol 8, #1, Pg 2 JCs1408_B4 This tracer scenario occurs in a Critical Access Hospital, but is relevant to the WT Chapter and other standards (e.g., IC.02.02.01, EP1, LD.04.01.01) for psychiatric hospitals as well. In addition to…