{"id":390594,"date":"2024-10-20T03:55:25","date_gmt":"2024-10-20T03:55:25","guid":{"rendered":"https:\/\/pdfstandards.shop\/product\/uncategorized\/jcr-camlab-2022\/"},"modified":"2024-10-26T07:14:26","modified_gmt":"2024-10-26T07:14:26","slug":"jcr-camlab-2022","status":"publish","type":"product","link":"https:\/\/pdfstandards.shop\/product\/publishers\/joint-commission\/jcr-camlab-2022\/","title":{"rendered":"JCR CAMLAB 2022"},"content":{"rendered":"

Continuous compliance starts with staff who know what The Joint Commission requires. The 2022 Comprehensive Accreditation Manual for Laboratory and Point-of-Care Testing (CAMLAB) provides the key information your organization needs to power performance improvement and maintain continuous standards compliance. It features the official Joint Commission standards, National Patient Safety Goals\u00ae, and other accreditation requirements. The portable CAMLAB is spiral bound with color-coded tabs that allow you to find exactly what you need for standards compliance or survey readiness when you need it. Inside you\u2019ll find descriptions of the survey and decision process, questions to prompt discussion in your organization about compliance with the standards, checklists of the elements of performance that require written documentation, and action planning worksheets to address any issues of noncompliance. It’s lean and light, making it a perfect on-the-go reference. Keep it handy in meetings, during orientation and training, and as a practical overview of the Joint Commission\u2019s accreditation requirements for everyone in your organization, from staff to leaders. Then, get ready to power performance improvement and excellence in your laboratory services! Please note: The CAMLAB is delivered annually. For the most up-to-date standards throughout 2022, access your E-dition\u00ae on your Joint Commission Connect\u00ae extranet site or consider purchasing the E-dition\u00ae Laboratory version. Key Topics: “Gold tab” standards requirements including the standards, National Patient Safety Goals, and Accreditation Participation Requirements effective January 1, 2022 “Blue tab” accreditation process information about Joint Commission policies and procedures and practical survey preparation information on the Early Survey Policy, documentation requirements, patient safety systems and more Several appendixes, including one on standards related to Individualized Quality Control Plans (IQCP) and a new one on duplicated standards between the laboratory and hospital accreditation programs Keys to successfully using the manual for survey preparedness Key Features: Survey readiness tools including compliance prompts, documentation checklists, and action planning worksheets in every standards chapter Icons to help navigate documentation requirements as well as risk areas “What’s New” summary of changes made since the previous print edition Color-coded blue and gold tabs allow you to find exactly what you need when you need it Softcover, spiral-bound book Standards: All laboratory standards Setting: Organizations accredited under the Laboratory Accreditation Program, including Laboratories in hospitals, clinics, nursing care facilities, home care organizations, behavioral health care organizations, ambulatory sites and physician offices Reference laboratories Freestanding laboratories, such as assisted reproductive technology laboratories Blood transfusion and donor center laboratories Public health laboratories, including Indian Health Service laboratories Laboratories in federal health care facilities, such as the Department of Veterans Affairs Point-of-care test sites in patient care areas, which may include blood gas laboratories providing services to patients in emergency rooms, surgical suites, and cardiac catheterization laboratories Key Audience: Staff responsible for accreditation, compliance, patient safety,<\/p>\n

PDF Catalog<\/h4>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
PDF Pages<\/th>\nPDF Title<\/th>\n<\/tr>\n
1<\/td>\nWhat\u2019s New 2022 CAMLAB <\/td>\n<\/tr>\n
11<\/td>\nCover <\/td>\n<\/tr>\n
12<\/td>\nCopyright <\/td>\n<\/tr>\n
13<\/td>\nContents <\/td>\n<\/tr>\n
15<\/td>\nIntroduction: How Joint Commission Accreditation Can Help on the Road to High Reliability (INTRO) <\/td>\n<\/tr>\n
16<\/td>\nI. Introduction to Joint Commission Accreditation
The Value of Joint Commission Accreditation <\/td>\n<\/tr>\n
18<\/td>\nThe Joint Commission\u2019s Laboratory Accreditation Program <\/td>\n<\/tr>\n
19<\/td>\nAddressing Complex Issues in Laboratories Accredited by The Joint Commission <\/td>\n<\/tr>\n
20<\/td>\nTable 1. Standards That Address Complex Issues in Laboratories <\/td>\n<\/tr>\n
21<\/td>\nII. About the <\/td>\n<\/tr>\n
22<\/td>\nHow Is This Manual Organized? <\/td>\n<\/tr>\n
23<\/td>\nTable 2. Acronyms Used in This Manual <\/td>\n<\/tr>\n
24<\/td>\nTable 2. <\/td>\n<\/tr>\n
25<\/td>\nAccreditation Requirements <\/td>\n<\/tr>\n
26<\/td>\nAccreditation Process Information <\/td>\n<\/tr>\n
28<\/td>\nIdentifying Applicable Standards <\/td>\n<\/tr>\n
30<\/td>\nUnderstanding the Organization of the Standards Chapters <\/td>\n<\/tr>\n
33<\/td>\nUnderstanding the Icons Used in the Manual <\/td>\n<\/tr>\n
34<\/td>\nIII. Steps to Achieving and Maintaining Compliance
Become Familiar with the Standards
Use the Standards to Improve Quality <\/td>\n<\/tr>\n
35<\/td>\nAssess Compliance with the Standards <\/td>\n<\/tr>\n
36<\/td>\nStimulate Improvement <\/td>\n<\/tr>\n
38<\/td>\nKeep Current with Standards Changes via Perspectives <\/td>\n<\/tr>\n
40<\/td>\nIV. Get Extra Help
Getting Started with Accreditation
Account Executive
Contacting The Joint Commission <\/td>\n<\/tr>\n
41<\/td>\nStandards Questions
Requesting Permission to Share Content from the Manual <\/td>\n<\/tr>\n
43<\/td>\nPatient Safety Systems (PS)
Quality and Safety in Laboratories
Sidebar 1. Key Terms <\/td>\n<\/tr>\n
44<\/td>\nSidebar 1. <\/td>\n<\/tr>\n
45<\/td>\nGoals of This Chapter <\/td>\n<\/tr>\n
46<\/td>\nBecoming a Learning Organization <\/td>\n<\/tr>\n
47<\/td>\nThe Role of Leaders in Patient Safety
Safety Culture <\/td>\n<\/tr>\n
51<\/td>\nSidebar 2. Assessing Staff Accountability <\/td>\n<\/tr>\n
52<\/td>\nSidebar 2.
Data Use and Reporting Systems <\/td>\n<\/tr>\n
53<\/td>\nEffective Use of Data <\/td>\n<\/tr>\n
54<\/td>\nTable 1. Defining and Comparing Analytical Tools <\/td>\n<\/tr>\n
55<\/td>\nA Proactive Approach to Preventing Harm <\/td>\n<\/tr>\n
58<\/td>\nSidebar 3. Strategies for an Effective Risk Assessment
Encouraging Patient Activation <\/td>\n<\/tr>\n
59<\/td>\nBeyond Accreditation: The Joint Commission Is Your Patient Safety Partner <\/td>\n<\/tr>\n
61<\/td>\nReferences <\/td>\n<\/tr>\n
65<\/td>\nAccreditation Participation Requirements (APR)
Overview <\/td>\n<\/tr>\n
66<\/td>\nChapter Outline <\/td>\n<\/tr>\n
67<\/td>\nRequirements, Rationales, and Elements of Performance
APR.01.01.01
Elements of Performance for APR.01.01.01
APR.01.02.01
Rationale for APR.01.02.01 <\/td>\n<\/tr>\n
68<\/td>\nElements of Performance for APR.01.02.01
APR.01.03.01
Elements of Performance for APR.01.03.01
APR.02.01.01 <\/td>\n<\/tr>\n
69<\/td>\nElements of Performance for APR.02.01.01
APR.05.01.01
Rationale for APR.05.01.01
Elements of Performance for APR.05.01.01
APR.06.01.01
Elements of Performance for APR.06.01.01
APR.07.01.01
Elements of Performance for APR.07.01.01 <\/td>\n<\/tr>\n
70<\/td>\nAPR.08.01.01
Elements of Performance for APR.08.01.01
APR.09.01.01
Elements of Performance for APR.09.01.01
APR.09.02.01 <\/td>\n<\/tr>\n
71<\/td>\nRationale for APR.09.02.01
Elements of Performance for APR.09.02.01
APR.09.03.01
Elements of Performance for APR.09.03.01
APR.09.04.01
Elements of Performance for APR.09.04.01 <\/td>\n<\/tr>\n
72<\/td>\nAPR.10.03.01
Elements of Performance for APR.10.03.01 <\/td>\n<\/tr>\n
76<\/td>\nWritten Documentation Checklist
Accreditation Participation Requirements (APR) <\/td>\n<\/tr>\n
79<\/td>\nDocument and Process Control (DC)
Overview
About This Chapter <\/td>\n<\/tr>\n
80<\/td>\nChapter Outline <\/td>\n<\/tr>\n
81<\/td>\nStandards, Rationales, and Elements of Performance
Standard DC.01.01.01
Rationale for DC.01.01.01
Elements of Performance for DC.01.01.01 <\/td>\n<\/tr>\n
82<\/td>\nStandard DC.01.02.01
Elements of Performance for DC.01.02.01 <\/td>\n<\/tr>\n
83<\/td>\nStandard DC.01.02.03
Elements of Performance for DC.01.02.03
Standard DC.01.03.01
Elements of Performance for DC.01.03.01 <\/td>\n<\/tr>\n
84<\/td>\nStandard DC.02.01.01
Rationale for DC.02.01.01
Elements of Performance for DC.02.01.01 <\/td>\n<\/tr>\n
85<\/td>\nStandard DC.02.01.03
Elements of Performance for DC.02.01.03
Standard DC.02.01.05 <\/td>\n<\/tr>\n
86<\/td>\nElements of Performance for DC.02.01.05
Standard DC.02.01.07
Elements of Performance for DC.02.01.07 <\/td>\n<\/tr>\n
87<\/td>\nStandard DC.02.02.01
Elements of Performance for DC.02.02.01
Standard DC.02.03.01
Elements of Performance for DC.02.03.01 <\/td>\n<\/tr>\n
88<\/td>\nStandard DC.02.03.03 <\/td>\n<\/tr>\n
89<\/td>\nElements of Performance for DC.02.03.03
Standard DC.02.04.01
Elements of Performance for DC.02.04.01 <\/td>\n<\/tr>\n
91<\/td>\nStandard DC.03.01.01
Elements of Performance for DC.03.01.01 <\/td>\n<\/tr>\n
96<\/td>\nWritten Documentation Checklist
Document and Process Control (DC) <\/td>\n<\/tr>\n
103<\/td>\nEnvironment of Care (EC)
Overview
About This Chapter <\/td>\n<\/tr>\n
104<\/td>\nOther Issues for Consideration <\/td>\n<\/tr>\n
106<\/td>\nChapter Outline <\/td>\n<\/tr>\n
107<\/td>\nStandards, Rationales, and Elements of Performance
Standard EC.01.01.01
Rationale for EC.01.01.01
Elements of Performance for EC.01.01.01 <\/td>\n<\/tr>\n
108<\/td>\nStandard EC.02.01.01
Rationale for EC.02.01.01
Elements of Performance for EC.02.01.01 <\/td>\n<\/tr>\n
109<\/td>\nStandard EC.02.01.03
Elements of Performance for EC.02.01.03
Standard EC.02.02.01
Rationale for EC.02.02.01 <\/td>\n<\/tr>\n
110<\/td>\nElements of Performance for EC.02.02.01 <\/td>\n<\/tr>\n
111<\/td>\nStandard EC.02.03.01
Rationale for EC.02.03.01
Elements of Performance for EC.02.03.01 <\/td>\n<\/tr>\n
112<\/td>\nStandard EC.02.03.03
Elements of Performance for EC.02.03.03
Standard EC.02.03.05 <\/td>\n<\/tr>\n
113<\/td>\nElements of Performance for EC.02.03.05
Standard EC.02.04.01 <\/td>\n<\/tr>\n
114<\/td>\nElements of Performance for EC.02.04.01
Standard EC.02.04.03
Elements of Performance for EC.02.04.03 <\/td>\n<\/tr>\n
116<\/td>\nStandard EC.02.04.05
Elements of Performance for EC.02.04.05
Standard EC.02.05.01 <\/td>\n<\/tr>\n
117<\/td>\nElements of Performance for EC.02.05.01 <\/td>\n<\/tr>\n
118<\/td>\nStandard EC.02.05.03
Elements of Performance for EC.02.05.03 <\/td>\n<\/tr>\n
119<\/td>\nStandard EC.02.05.05
Elements of Performance for EC.02.05.05
Standard EC.02.05.07
Rationale for EC.02.05.07 <\/td>\n<\/tr>\n
120<\/td>\nElements of Performance for EC.02.05.07 <\/td>\n<\/tr>\n
122<\/td>\nIntroduction to Standard EC.02.06.01
Standard EC.02.06.01
Elements of Performance for EC.02.06.01 <\/td>\n<\/tr>\n
123<\/td>\nStandard EC.02.06.05
Rationale for EC.02.06.05 <\/td>\n<\/tr>\n
124<\/td>\nElements of Performance for EC.02.06.05
Standard EC.03.01.01
Rationale for EC.03.01.01
Elements of Performance for EC.03.01.01
Introduction to Standard EC.04.01.01 <\/td>\n<\/tr>\n
125<\/td>\nStandard EC.04.01.01
Elements of Performance for EC.04.01.01 <\/td>\n<\/tr>\n
126<\/td>\nStandard EC.04.01.03
Elements of Performance for EC.04.01.03
Standard EC.04.01.05
Elements of Performance for EC.04.01.05 <\/td>\n<\/tr>\n
129<\/td>\nWritten Documentation Checklist
Environment of Care (EC) <\/td>\n<\/tr>\n
139<\/td>\nEmergency Management (EM)
Overview <\/td>\n<\/tr>\n
140<\/td>\nAbout This Chapter <\/td>\n<\/tr>\n
142<\/td>\nChapter Outline <\/td>\n<\/tr>\n
143<\/td>\nStandards, Rationales, and Elements of Performance
Standard EM.01.01.01
Rationale for EM.01.01.01
Elements of Performance for EM.01.01.01 <\/td>\n<\/tr>\n
144<\/td>\nStandard EM.02.01.01 <\/td>\n<\/tr>\n
145<\/td>\nRationale for EM.02.01.01
Elements of Performance for EM.02.01.01 <\/td>\n<\/tr>\n
146<\/td>\nStandard EM.02.02.01
Rationale for EM.02.02.01
Elements of Performance for EM.02.02.01 <\/td>\n<\/tr>\n
147<\/td>\nStandard EM.02.02.03
Rationale for EM.02.02.03
Elements of Performance for EM.02.02.03 <\/td>\n<\/tr>\n
148<\/td>\nIntroduction to Standard EM.02.02.05
Standard EM.02.02.05
Elements of Performance for EM.02.02.05
Standard EM.02.02.07 <\/td>\n<\/tr>\n
149<\/td>\nRationale for EM.02.02.07
Elements of Performance for EM.02.02.07
Standard EM.02.02.09
Rationale for EM.02.02.09 <\/td>\n<\/tr>\n
150<\/td>\nElements of Performance for EM.02.02.09
Standard EM.02.02.11
Rationale for EM.02.02.11
Elements of Performance for EM.02.02.11 <\/td>\n<\/tr>\n
151<\/td>\nIntroduction to Standard EM.02.02.15 <\/td>\n<\/tr>\n
152<\/td>\nStandard EM.02.02.15
Elements of Performance for EM.02.02.15 <\/td>\n<\/tr>\n
154<\/td>\nStandard EM.03.01.03
Rationale for EM.03.01.03
Elements of Performance for EM.03.01.03 <\/td>\n<\/tr>\n
159<\/td>\nWritten Documentation Checklist
Emergency Management (EM) <\/td>\n<\/tr>\n
165<\/td>\nHuman Resources (HR)
Overview
About This Chapter <\/td>\n<\/tr>\n
166<\/td>\nChapter Outline <\/td>\n<\/tr>\n
167<\/td>\nStandards, Rationales, and Elements of Performance
Standard HR.01.01.01
Elements of Performance for HR.01.01.01 <\/td>\n<\/tr>\n
168<\/td>\nStandard HR.01.02.03
Elements of Performance for HR.01.02.03 <\/td>\n<\/tr>\n
170<\/td>\nIntroduction to Standard HR.01.02.05
Standard HR.01.02.05
Elements of Performance for HR.01.02.05
Standard HR.01.02.07 <\/td>\n<\/tr>\n
171<\/td>\nElements of Performance for HR.01.02.07
Standard HR.01.03.01
Elements of Performance for HR.01.03.01
Standard HR.01.04.01
Elements of Performance for HR.01.04.01 <\/td>\n<\/tr>\n
173<\/td>\nStandard HR.01.05.03
Elements of Performance for HR.01.05.03
Introduction to Standard HR.01.06.01
Standard HR.01.06.01
Elements of Performance for HR.01.06.01 <\/td>\n<\/tr>\n
175<\/td>\nStandard HR.01.07.01
Elements of Performance for HR.01.07.01 <\/td>\n<\/tr>\n
182<\/td>\nWritten Documentation Checklist
Human Resources (HR) <\/td>\n<\/tr>\n
189<\/td>\nInfection Prevention and Control (IC)
Overview <\/td>\n<\/tr>\n
190<\/td>\nAbout This Chapter <\/td>\n<\/tr>\n
191<\/td>\nChapter Outline <\/td>\n<\/tr>\n
192<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Standards IC.01.01.01 Through IC.01.06.01 \u2013 Planning
Standard IC.01.01.01 <\/td>\n<\/tr>\n
193<\/td>\nRationale for IC.01.01.01
Elements of Performance for IC.01.01.01
Standard IC.01.02.01
Elements of Performance for IC.01.02.01
Standard IC.01.03.01
Elements of Performance for IC.01.03.01 <\/td>\n<\/tr>\n
194<\/td>\nStandard IC.01.04.01
Elements of Performance for IC.01.04.01
Standard IC.01.05.01
Elements of Performance for IC.01.05.01 <\/td>\n<\/tr>\n
195<\/td>\nStandard IC.01.06.01
Rationale for IC.01.06.01
Elements of Performance for IC.01.06.01
Introduction to Standards IC.02.01.01 Through IC.02.03.01 \u2013 Implementation <\/td>\n<\/tr>\n
196<\/td>\nStandard IC.02.01.01
Elements of Performance for IC.02.01.01 <\/td>\n<\/tr>\n
197<\/td>\nStandard IC.02.02.01
Rationale for IC.02.02.01
Elements of Performance for IC.02.02.01 <\/td>\n<\/tr>\n
198<\/td>\nStandard IC.02.03.01
Elements of Performance for IC.02.03.01 <\/td>\n<\/tr>\n
199<\/td>\nIntroduction to Standard IC.02.04.01
Standard IC.02.04.01 <\/td>\n<\/tr>\n
200<\/td>\nElements of Performance for IC.02.04.01 <\/td>\n<\/tr>\n
201<\/td>\nIntroduction to Standard IC.03.01.01 \u2013 Evaluation and Improvement
Standard IC.03.01.01
Elements of Performance for IC.03.01.01 <\/td>\n<\/tr>\n
205<\/td>\nWritten Documentation Checklist
Infection Control and Prevention (IC) <\/td>\n<\/tr>\n
209<\/td>\nInformation Management (IM)
Overview
About This Chapter <\/td>\n<\/tr>\n
210<\/td>\nChapter Outline <\/td>\n<\/tr>\n
211<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Standard IM.01.01.01
Standard IM.01.01.01
Elements of Performance for IM.01.01.01 <\/td>\n<\/tr>\n
212<\/td>\nIntroduction to Standard IM.01.01.03
Standard IM.01.01.03
Elements of Performance for IM.01.01.03 <\/td>\n<\/tr>\n
213<\/td>\nIntroduction to Standard IM.02.01.01
Standard IM.02.01.01
Elements of Performance for IM.02.01.01 <\/td>\n<\/tr>\n
214<\/td>\nIntroduction to Standard IM.02.01.03
Standard IM.02.01.03
Elements of Performance for IM.02.01.03 <\/td>\n<\/tr>\n
215<\/td>\nStandard IM.02.02.01
Rationale for IM.02.02.01
Elements of Performance for IM.02.02.01 <\/td>\n<\/tr>\n
216<\/td>\nIntroduction to Standard IM.02.02.03
Standard IM.02.02.03
Rationale for IM.02.02.03 <\/td>\n<\/tr>\n
217<\/td>\nElements of Performance for IM.02.02.03
Standard IM.02.02.05
Elements of Performance for IM.02.02.05
Standard IM.03.01.01 <\/td>\n<\/tr>\n
218<\/td>\nElements of Performance for IM.03.01.01
Standard IM.04.01.01
Rationale for IM.04.01.01
Elements of Performance for IM.04.01.01
Standard IM.05.01.01
Elements of Performance for IM.05.01.01 <\/td>\n<\/tr>\n
221<\/td>\nWritten Documentation Checklist
Information Management (IM) <\/td>\n<\/tr>\n
225<\/td>\nLeadership (LD)
Overview <\/td>\n<\/tr>\n
226<\/td>\nProactive Risk Assessment <\/td>\n<\/tr>\n
227<\/td>\nAbout This Chapter <\/td>\n<\/tr>\n
228<\/td>\nChapter Outline <\/td>\n<\/tr>\n
229<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Leadership Structure, Standards LD.01.01.01 Through LD.01.03.01
Standard LD.01.01.01 <\/td>\n<\/tr>\n
230<\/td>\nRationale for LD.01.01.01
Elements of Performance for LD.01.01.01
Standard LD.01.03.01
Rationale for LD.01.03.01 <\/td>\n<\/tr>\n
231<\/td>\nElements of Performance for LD.01.03.01
Introduction to Leadership Relationships, Standard LD.02.01.01 <\/td>\n<\/tr>\n
232<\/td>\nStandard LD.02.01.01
Rationale for LD.02.01.01
Elements of Performance for LD.02.01.01
Introduction to Organization Culture and System Performance Expectations, Standards LD.03.01.01 Through LD.03.06.01 <\/td>\n<\/tr>\n
234<\/td>\nStandard LD.03.01.01
Rationale for LD.03.01.01 <\/td>\n<\/tr>\n
235<\/td>\nElements of Performance for LD.03.01.01
Standard LD.03.02.01
Rationale for LD.03.02.01
Elements of Performance for LD.03.02.01
Standard LD.03.03.01 <\/td>\n<\/tr>\n
236<\/td>\nRationale for LD.03.03.01
Elements of Performance for LD.03.03.01
Standard LD.03.04.01
Rationale for LD.03.04.01
Elements of Performance for LD.03.04.01 <\/td>\n<\/tr>\n
237<\/td>\nStandard LD.03.05.01
Rationale for LD.03.05.01
Elements of Performance for LD.03.05.01
Standard LD.03.06.01
Rationale for LD.03.06.01
Elements of Performance for LD.03.06.01 <\/td>\n<\/tr>\n
238<\/td>\nIntroduction to Operations, Standards LD.03.07.01 Through LD.04.05.13 <\/td>\n<\/tr>\n
239<\/td>\nStandard LD.03.07.01
Elements of Performance for LD.03.07.01
Standard LD.03.08.01
Elements of Performance for LD.03.08.01 <\/td>\n<\/tr>\n
240<\/td>\nIntroduction to Standard LD.03.09.01
Standard LD.03.09.01
Elements of Performance for LD.03.09.01
Standard LD.04.01.01
Elements of Performance for LD.04.01.01 <\/td>\n<\/tr>\n
241<\/td>\nStandard LD.04.01.03
Elements of Performance for LD.04.01.03 <\/td>\n<\/tr>\n
242<\/td>\nStandard LD.04.01.05
Elements of Performance for LD.04.01.05
Standard LD.04.01.11
Rationale for LD.04.01.11
Elements of Performance for LD.04.01.11
Standard LD.04.02.01
Elements of Performance for LD.04.02.01 <\/td>\n<\/tr>\n
243<\/td>\nStandard LD.04.02.03
Elements of Performance for LD.04.02.03
Standard LD.04.03.01
Elements of Performance for LD.04.03.01
Introduction to Oversight of Laboratory Services Provided Through Contractual Agreement, Standard LD.04.03.09 <\/td>\n<\/tr>\n
244<\/td>\nMonitoring Contracted Services <\/td>\n<\/tr>\n
245<\/td>\nStandard LD.04.03.09
Elements of Performance for LD.04.03.09 <\/td>\n<\/tr>\n
246<\/td>\nStandard LD.04.05.01
Rationale for LD.04.05.01
Elements of Performance for LD.04.05.01 <\/td>\n<\/tr>\n
247<\/td>\nStandard LD.04.05.03 <\/td>\n<\/tr>\n
248<\/td>\nElements of Performance for LD.04.05.03
Standard LD.04.05.05
Elements of Performance for LD.04.05.05
Standard LD.04.05.07 <\/td>\n<\/tr>\n
249<\/td>\nElements of Performance for LD.04.05.07
Standard LD.04.05.09
Elements of Performance for LD.04.05.09 <\/td>\n<\/tr>\n
251<\/td>\nStandard LD.04.05.11
Elements of Performance for LD.04.05.11
Standard LD.04.05.13
Elements of Performance for LD.04.05.13 <\/td>\n<\/tr>\n
256<\/td>\nWritten Documentation Checklist
Leadership (LD) <\/td>\n<\/tr>\n
261<\/td>\nNational Patient Safety Goals (NPSG)
Chapter Outline
National Patient Safety Goals\u00ae <\/td>\n<\/tr>\n
262<\/td>\nRequirements, Rationales, and Elements of Performance
Goal 1
NPSG.01.01.01
Rationale for NPSG.01.01.01
Elements of Performance for NPSG.01.01.01
Goal 2
NPSG.02.03.01
Rationale for NPSG.02.03.01 <\/td>\n<\/tr>\n
263<\/td>\nElements of Performance for NPSG.02.03.01
Goal 7
NPSG.07.01.01
Rationale for NPSG.07.01.01 <\/td>\n<\/tr>\n
264<\/td>\nElements of Performance for NPSG.07.01.01 <\/td>\n<\/tr>\n
266<\/td>\nWritten Documentation Checklist
National Patient Safety Goal (NPSG) <\/td>\n<\/tr>\n
269<\/td>\nPerformance Improvement (PI)
Overview
About This Chapter <\/td>\n<\/tr>\n
271<\/td>\nChapter Outline <\/td>\n<\/tr>\n
272<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Standard PI.01.01.01
Standard PI.01.01.01
Elements of Performance for PI.01.01.01 <\/td>\n<\/tr>\n
273<\/td>\nStandard PI.02.01.01
Rationale for PI.02.01.01 <\/td>\n<\/tr>\n
274<\/td>\nElements of Performance for PI.02.01.01
Introduction to Standard PI.03.01.01 <\/td>\n<\/tr>\n
275<\/td>\nStandard PI.03.01.01
Elements of Performance for PI.03.01.01
Standard PI.04.01.01
Rationale for PI.04.01.01
Elements of Performance for PI.04.01.01 <\/td>\n<\/tr>\n
278<\/td>\nWritten Documentation Checklist
Performance Improvement (PI) <\/td>\n<\/tr>\n
283<\/td>\nQuality System Assessment for Nonwaived Testing (QSA)
Overview
About This Chapter <\/td>\n<\/tr>\n
284<\/td>\nChapter Outline <\/td>\n<\/tr>\n
289<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Standards QSA.01.01.01 Through QSA.01.03.01
Standard QSA.01.01.01
Rationale for QSA.01.01.01 <\/td>\n<\/tr>\n
290<\/td>\nElements of Performance for QSA.01.01.01 <\/td>\n<\/tr>\n
292<\/td>\nStandard QSA.01.02.01
Rationale for QSA.01.02.01
Elements of Performance for QSA.01.02.01 <\/td>\n<\/tr>\n
294<\/td>\nStandard QSA.01.03.01
Elements of Performance for QSA.01.03.01
Standard QSA.01.04.01 <\/td>\n<\/tr>\n
295<\/td>\nElements of Performance for QSA.01.04.01
Standard QSA.01.05.01
Elements of Performance for QSA.01.05.01 <\/td>\n<\/tr>\n
296<\/td>\nStandard QSA.02.01.01
Elements of Performance for QSA.02.01.01 <\/td>\n<\/tr>\n
298<\/td>\nStandard QSA.02.02.01
Rationale for QSA.02.02.01
Elements of Performance for QSA.02.02.01 <\/td>\n<\/tr>\n
299<\/td>\nStandard QSA.02.03.01
Elements of Performance for QSA.02.03.01 <\/td>\n<\/tr>\n
300<\/td>\nIntroduction to Standard QSA.02.04.01 <\/td>\n<\/tr>\n
301<\/td>\nStandard QSA.02.04.01
Elements of Performance for QSA.02.04.01 <\/td>\n<\/tr>\n
302<\/td>\nStandard QSA.02.06.01
Elements of Performance for QSA.02.06.01 <\/td>\n<\/tr>\n
303<\/td>\nStandard QSA.02.07.01
Elements of Performance for QSA.02.07.01 <\/td>\n<\/tr>\n
304<\/td>\nStandard QSA.02.08.01
Elements of Performance for QSA.02.08.01 <\/td>\n<\/tr>\n
305<\/td>\nStandard QSA.02.09.01
Elements of Performance for QSA.02.09.01
Standard QSA.02.10.01 <\/td>\n<\/tr>\n
306<\/td>\nElements of Performance for QSA.02.10.01 <\/td>\n<\/tr>\n
307<\/td>\nStandard QSA.02.10.03 <\/td>\n<\/tr>\n
308<\/td>\nElements of Performance for QSA.02.10.03 <\/td>\n<\/tr>\n
309<\/td>\nStandard QSA.02.11.01
Elements of Performance for QSA.02.11.01 <\/td>\n<\/tr>\n
310<\/td>\nStandard QSA.02.12.01
Elements of Performance for QSA.02.12.01 <\/td>\n<\/tr>\n
312<\/td>\nStandard QSA.02.13.01
Elements of Performance for QSA.02.13.01 <\/td>\n<\/tr>\n
313<\/td>\nStandard QSA.02.14.01
Elements of Performance for QSA.02.14.01 <\/td>\n<\/tr>\n
314<\/td>\nStandard QSA.03.01.01
Elements of Performance for QSA.03.01.01
Standard QSA.03.02.01
Rationale for QSA.03.02.01
Elements of Performance for QSA.03.02.01
Standard QSA.03.03.01
Elements of Performance for QSA.03.03.01 <\/td>\n<\/tr>\n
315<\/td>\nStandard QSA.04.01.01
Elements of Performance for QSA.04.01.01 <\/td>\n<\/tr>\n
316<\/td>\nStandard QSA.04.02.01
Elements of Performance for QSA.04.02.01 <\/td>\n<\/tr>\n
317<\/td>\nStandard QSA.04.03.01
Elements of Performance for QSA.04.03.01 <\/td>\n<\/tr>\n
318<\/td>\nStandard QSA.04.04.01
Elements of Performance for QSA.04.04.01 <\/td>\n<\/tr>\n
319<\/td>\nStandard QSA.04.05.01
Elements of Performance for QSA.04.05.01
Standard QSA.04.06.01
Elements of Performance for QSA.04.06.01 <\/td>\n<\/tr>\n
320<\/td>\nStandard QSA.04.07.01
Rationale for QSA.04.07.01
Elements of Performance for QSA.04.07.01
Standard QSA.05.01.01
Elements of Performance for QSA.05.01.01 <\/td>\n<\/tr>\n
321<\/td>\nStandard QSA.05.02.01
Elements of Performance for QSA.05.02.01 <\/td>\n<\/tr>\n
322<\/td>\nStandard QSA.05.02.03
Elements of Performance for QSA.05.02.03 <\/td>\n<\/tr>\n
323<\/td>\nStandard QSA.05.02.05
Elements of Performance for QSA.05.02.05
Standard QSA.05.03.01
Elements of Performance for QSA.05.03.01
Standard QSA.05.03.03
Elements of Performance for QSA.05.03.03 <\/td>\n<\/tr>\n
324<\/td>\nStandard QSA.05.04.01
Elements of Performance for QSA.05.04.01 <\/td>\n<\/tr>\n
325<\/td>\nStandard QSA.05.04.03
Elements of Performance for QSA.05.04.03
Standard QSA.05.05.01
Elements of Performance for QSA.05.05.01 <\/td>\n<\/tr>\n
326<\/td>\nStandard QSA.05.06.01
Elements of Performance for QSA.05.06.01
Standard QSA.05.07.01 <\/td>\n<\/tr>\n
327<\/td>\nElements of Performance for QSA.05.07.01
Standard QSA.05.08.01
Elements of Performance for QSA.05.08.01 <\/td>\n<\/tr>\n
328<\/td>\nStandard QSA.05.09.01
Elements of Performance for QSA.05.09.01 <\/td>\n<\/tr>\n
329<\/td>\nStandard QSA.05.09.03 <\/td>\n<\/tr>\n
330<\/td>\nElements of Performance for QSA.05.09.03
Standard QSA.05.10.01
Elements of Performance for QSA.05.10.01 <\/td>\n<\/tr>\n
331<\/td>\nStandard QSA.05.11.01
Elements of Performance for QSA.05.11.01
Standard QSA.05.12.01 <\/td>\n<\/tr>\n
332<\/td>\nRationale for QSA.05.12.01
Elements of Performance for QSA.05.12.01
Standard QSA.05.13.01
Elements of Performance for QSA.05.13.01
Standard QSA.05.14.01
Elements of Performance for QSA.05.14.01 <\/td>\n<\/tr>\n
334<\/td>\nStandard QSA.05.14.03
Elements of Performance for QSA.05.14.03
Standard QSA.05.14.05
Elements of Performance for QSA.05.14.05 <\/td>\n<\/tr>\n
335<\/td>\nStandard QSA.05.14.07
Elements of Performance for QSA.05.14.07
Standard QSA.05.16.01
Elements of Performance for QSA.05.16.01 <\/td>\n<\/tr>\n
336<\/td>\nStandard QSA.05.17.01
Elements of Performance for QSA.05.17.01
Standard QSA.05.18.01
Elements of Performance for QSA.05.18.01 <\/td>\n<\/tr>\n
337<\/td>\nStandard QSA.05.19.01
Elements of Performance for QSA.05.19.01 <\/td>\n<\/tr>\n
338<\/td>\nStandard QSA.05.19.03
Elements of Performance for QSA.05.19.03 <\/td>\n<\/tr>\n
339<\/td>\nStandard QSA.05.19.05
Elements of Performance for QSA.05.19.05
Standard QSA.05.20.01
Elements of Performance for QSA.05.20.01 <\/td>\n<\/tr>\n
340<\/td>\nStandard QSA.05.21.01
Elements of Performance for QSA.05.21.01 <\/td>\n<\/tr>\n
341<\/td>\nStandard QSA.05.22.01
Elements of Performance for QSA.05.22.01
Standard QSA.05.23.01
Elements of Performance for QSA.05.23.01 <\/td>\n<\/tr>\n
342<\/td>\nStandard QSA.05.24.01
Elements of Performance for QSA.05.24.01 <\/td>\n<\/tr>\n
343<\/td>\nStandard QSA.05.24.03
Elements of Performance for QSA.05.24.03
Standard QSA.05.25.01 <\/td>\n<\/tr>\n
344<\/td>\nElements of Performance for QSA.05.25.01 <\/td>\n<\/tr>\n
345<\/td>\nStandard QSA.06.01.01
Elements of Performance for QSA.06.01.01
Standard QSA.06.02.01
Elements of Performance for QSA.06.02.01
Standard QSA.06.03.01 <\/td>\n<\/tr>\n
346<\/td>\nElements of Performance for QSA.06.03.01
Standard QSA.06.03.03
Elements of Performance for QSA.06.03.03 <\/td>\n<\/tr>\n
347<\/td>\nStandard QSA.06.04.01
Elements of Performance for QSA.06.04.01
Standard QSA.06.04.03
Elements of Performance for QSA.06.04.03 <\/td>\n<\/tr>\n
348<\/td>\nStandard QSA.06.04.05
Elements of Performance for QSA.06.04.05 <\/td>\n<\/tr>\n
349<\/td>\nStandard QSA.07.01.01
Rationale for QSA.07.01.01
Elements of Performance for QSA.07.01.01
Standard QSA.07.02.01
Elements of Performance for QSA.07.02.01
Standard QSA.08.01.01 <\/td>\n<\/tr>\n
350<\/td>\nElements of Performance for QSA.08.01.01
Standard QSA.08.02.01
Elements of Performance for QSA.08.02.01 <\/td>\n<\/tr>\n
351<\/td>\nStandard QSA.08.03.01
Elements of Performance for QSA.08.03.01 <\/td>\n<\/tr>\n
353<\/td>\nStandard QSA.08.04.01
Elements of Performance for QSA.08.04.01 <\/td>\n<\/tr>\n
356<\/td>\nStandard QSA.08.05.01
Elements of Performance for QSA.08.05.01
Standard QSA.08.06.01
Elements of Performance for QSA.08.06.01 <\/td>\n<\/tr>\n
357<\/td>\nStandard QSA.08.06.03
Elements of Performance for QSA.08.06.03
Standard QSA.08.07.01 <\/td>\n<\/tr>\n
358<\/td>\nElements of Performance for QSA.08.07.01
Standard QSA.08.08.01
Elements of Performance for QSA.08.08.01 <\/td>\n<\/tr>\n
359<\/td>\nStandard QSA.08.09.01
Elements of Performance for QSA.08.09.01 <\/td>\n<\/tr>\n
360<\/td>\nStandard QSA.09.01.01
Elements of Performance for QSA.09.01.01
Standard QSA.09.02.01
Elements of Performance for QSA.09.02.01 <\/td>\n<\/tr>\n
361<\/td>\nStandard QSA.09.03.01
Elements of Performance for QSA.09.03.01 <\/td>\n<\/tr>\n
362<\/td>\nStandard QSA.09.03.03
Elements of Performance for QSA.09.03.03
Standard QSA.09.03.05 <\/td>\n<\/tr>\n
363<\/td>\nElements of Performance for QSA.09.03.05
Standard QSA.09.03.07
Elements of Performance for QSA.09.03.07 <\/td>\n<\/tr>\n
364<\/td>\nStandard QSA.09.04.01
Elements of Performance for QSA.09.04.01
Standard QSA.09.05.01
Elements of Performance for QSA.09.05.01 <\/td>\n<\/tr>\n
365<\/td>\nStandard QSA.09.06.01
Elements of Performance for QSA.09.06.01
Standard QSA.09.07.01
Elements of Performance for QSA.09.07.01 <\/td>\n<\/tr>\n
366<\/td>\nStandard QSA.09.07.03
Elements of Performance for QSA.09.07.03
Standard QSA.10.01.01
Elements of Performance for QSA.10.01.01 <\/td>\n<\/tr>\n
368<\/td>\nStandard QSA.10.02.01
Elements of Performance for QSA.10.02.01 <\/td>\n<\/tr>\n
369<\/td>\nStandard QSA.10.03.01
Rationale for QSA.10.03.01
Elements of Performance for QSA.10.03.01 <\/td>\n<\/tr>\n
370<\/td>\nStandard QSA.10.04.01
Elements of Performance for QSA.10.04.01 <\/td>\n<\/tr>\n
371<\/td>\nStandard QSA.10.05.01
Rationale for QSA.10.05.01
Elements of Performance for QSA.10.05.01 <\/td>\n<\/tr>\n
372<\/td>\nStandard QSA.10.06.01
Elements of Performance for QSA.10.06.01 <\/td>\n<\/tr>\n
373<\/td>\nStandard QSA.10.07.01
Elements of Performance for QSA.10.07.01 <\/td>\n<\/tr>\n
374<\/td>\nStandard QSA.11.01.01
Elements of Performance for QSA.11.01.01
Standard QSA.11.02.01
Elements of Performance for QSA.11.02.01 <\/td>\n<\/tr>\n
376<\/td>\nStandard QSA.12.01.01
Elements of Performance for QSA.12.01.01 <\/td>\n<\/tr>\n
378<\/td>\nStandard QSA.12.02.01
Elements of Performance for QSA.12.02.01 <\/td>\n<\/tr>\n
379<\/td>\nStandard QSA.12.03.01
Elements of Performance for QSA.12.03.01
Standard QSA.12.04.01 <\/td>\n<\/tr>\n
380<\/td>\nElements of Performance for QSA.12.04.01
Standard QSA.12.05.01
Elements of Performance for QSA.12.05.01
Standard QSA.12.06.01
Elements of Performance for QSA.12.06.01 <\/td>\n<\/tr>\n
381<\/td>\nStandard QSA.12.07.01
Elements of Performance for QSA.12.07.01
Standard QSA.13.01.01
Elements of Performance for QSA.13.01.01 <\/td>\n<\/tr>\n
382<\/td>\nStandard QSA.13.02.01
Elements of Performance for QSA.13.02.01
Standard QSA.13.03.01
Elements of Performance for QSA.13.03.01 <\/td>\n<\/tr>\n
383<\/td>\nStandard QSA.13.03.03
Elements of Performance for QSA.13.03.03
Standard QSA.13.04.01
Elements of Performance for QSA.13.04.01 <\/td>\n<\/tr>\n
384<\/td>\nStandard QSA.13.05.01
Elements of Performance for QSA.13.05.01
Standard QSA.13.06.01
Elements of Performance for QSA.13.06.01 <\/td>\n<\/tr>\n
385<\/td>\nStandard QSA.13.07.01
Elements of Performance for QSA.13.07.01 <\/td>\n<\/tr>\n
386<\/td>\nStandard QSA.13.08.01
Elements of Performance for QSA.13.08.01 <\/td>\n<\/tr>\n
387<\/td>\nStandard QSA.14.01.01
Elements of Performance for QSA.14.01.01
Standard QSA.14.02.01
Elements of Performance for QSA.14.02.01 <\/td>\n<\/tr>\n
388<\/td>\nIntroduction to Standards QSA.15.01.01 Through QSA.16.02.01
Standard QSA.15.01.01
Elements of Performance for QSA.15.01.01 <\/td>\n<\/tr>\n
389<\/td>\nStandard QSA.15.02.01
Elements of Performance for QSA.15.02.01
Standard QSA.15.03.01
Elements of Performance for QSA.15.03.01 <\/td>\n<\/tr>\n
390<\/td>\nStandard QSA.15.03.03
Elements of Performance for QSA.15.03.03
Standard QSA.15.04.01
Elements of Performance for QSA.15.04.01 <\/td>\n<\/tr>\n
391<\/td>\nStandard QSA.15.05.01
Elements of Performance for QSA.15.05.01 <\/td>\n<\/tr>\n
392<\/td>\nStandard QSA.16.01.01
Elements of Performance for QSA.16.01.01
Standard QSA.16.02.01 <\/td>\n<\/tr>\n
393<\/td>\nElements of Performance for QSA.16.02.01
Standard QSA.17.01.01
Elements of Performance for QSA.17.01.01
Standard QSA.17.01.03 <\/td>\n<\/tr>\n
394<\/td>\nElements of Performance for QSA.17.01.03
Standard QSA.17.02.01
Elements of Performance for QSA.17.02.01
Standard QSA.18.01.01
Elements of Performance for QSA.18.01.01
Standard QSA.19.01.01
Elements of Performance for QSA.19.01.01 <\/td>\n<\/tr>\n
395<\/td>\nStandard QSA.19.02.01
Elements of Performance for QSA.19.02.01 <\/td>\n<\/tr>\n
396<\/td>\nStandard QSA.20.01.01
Elements of Performance for QSA.20.01.01 <\/td>\n<\/tr>\n
397<\/td>\nStandard QSA.21.01.01
Elements of Performance for QSA.21.01.01
Standard QSA.21.02.01
Elements of Performance for QSA.21.02.01 <\/td>\n<\/tr>\n
398<\/td>\nStandard QSA.21.03.01
Elements of Performance for QSA.21.03.01
Standard QSA.21.04.01
Elements of Performance for QSA.21.04.01 <\/td>\n<\/tr>\n
434<\/td>\nWritten Documentation Checklist
Quality System Assessment (QSA) <\/td>\n<\/tr>\n
479<\/td>\nTransplant Safety (TS)
Overview
About This Chapter <\/td>\n<\/tr>\n
480<\/td>\nChapter Outline <\/td>\n<\/tr>\n
481<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Standards TS.03.01.01, TS.03.02.01, and TS.03.03.01
Examples of Tissue and Cell Products <\/td>\n<\/tr>\n
483<\/td>\nStandard TS.03.01.01
Elements of Performance for TS.03.01.01 <\/td>\n<\/tr>\n
485<\/td>\nStandard TS.03.02.01
Elements of Performance for TS.03.02.01 <\/td>\n<\/tr>\n
486<\/td>\nStandard TS.03.03.01
Elements of Performance for TS.03.03.01 <\/td>\n<\/tr>\n
490<\/td>\nWritten Documentation Checklist
Transplant Safety (TS) <\/td>\n<\/tr>\n
495<\/td>\nWaived Testing (WT)
Overview <\/td>\n<\/tr>\n
496<\/td>\nAbout This Chapter <\/td>\n<\/tr>\n
498<\/td>\nChapter Outline <\/td>\n<\/tr>\n
499<\/td>\nStandards, Rationales, and Elements of Performance
Standard WT.01.01.01
Elements of Performance for WT.01.01.01 <\/td>\n<\/tr>\n
500<\/td>\nStandard WT.02.01.01 <\/td>\n<\/tr>\n
501<\/td>\nElements of Performance for WT.02.01.01
Standard WT.03.01.01
Elements of Performance for WT.03.01.01 <\/td>\n<\/tr>\n
502<\/td>\nStandard WT.04.01.01
Elements of Performance for WT.04.01.01 <\/td>\n<\/tr>\n
503<\/td>\nStandard WT.05.01.01
Elements of Performance for WT.05.01.01 <\/td>\n<\/tr>\n
508<\/td>\nWritten Documentation Checklist
Waived Testing (WT) <\/td>\n<\/tr>\n
513<\/td>\nThe Accreditation Process (ACC)
Notices
ACC Chapter Contents <\/td>\n<\/tr>\n
515<\/td>\nOverview
General Eligibility Requirements <\/td>\n<\/tr>\n
516<\/td>\nScope of Accreditation Surveys
Accreditation Policies
Tailored Survey Policy <\/td>\n<\/tr>\n
518<\/td>\nOrganizational and Functional Integration <\/td>\n<\/tr>\n
521<\/td>\nMultiorganization Option
Concurrent Survey Option <\/td>\n<\/tr>\n
522<\/td>\nContracted Services
Proficiency Testing Monitoring <\/td>\n<\/tr>\n
523<\/td>\nInitial Surveys <\/td>\n<\/tr>\n
524<\/td>\nInformation Accuracy and Truthfulness Policy <\/td>\n<\/tr>\n
526<\/td>\nGood Faith Participation in Accreditation\/ Certification <\/td>\n<\/tr>\n
527<\/td>\nPublic Information Policy
Process for Responding to a Complaint <\/td>\n<\/tr>\n
528<\/td>\nEarly Survey Policy <\/td>\n<\/tr>\n
529<\/td>\nSidebar 1. Early Survey Policy <\/td>\n<\/tr>\n
531<\/td>\nBefore the Survey <\/td>\n<\/tr>\n
532<\/td>\nAn Organization\u2019s Secure Joint Commission Connect Extranet Site <\/td>\n<\/tr>\n
533<\/td>\nRole of the Account Executive
Electronic Application for Accreditation (E-App) <\/td>\n<\/tr>\n
535<\/td>\nAccreditation\/Certification Contract and Business Associate Agreement
Annual and Survey Fees <\/td>\n<\/tr>\n
536<\/td>\nDuring the Survey <\/td>\n<\/tr>\n
537<\/td>\nSurvey Notification
Table 1. Exceptions to Unannounced Surveys# <\/td>\n<\/tr>\n
538<\/td>\nTable 1. <\/td>\n<\/tr>\n
540<\/td>\nInitial and Full Survey Team Composition
Survey Agenda <\/td>\n<\/tr>\n
543<\/td>\nTracer Methodology <\/td>\n<\/tr>\n
545<\/td>\nImmediate Threat to Health or Safety <\/td>\n<\/tr>\n
549<\/td>\nSummary of the Accreditation Reports <\/td>\n<\/tr>\n
550<\/td>\nAfter the Survey
The Scoring Process <\/td>\n<\/tr>\n
555<\/td>\nEvidence of Standards Compliance (ESC) Process <\/td>\n<\/tr>\n
559<\/td>\nAccreditation Award Display and Use <\/td>\n<\/tr>\n
560<\/td>\nBetween Accreditation Surveys <\/td>\n<\/tr>\n
561<\/td>\nDuration of Accreditation Award
Continuous Compliance
Intracycle Monitoring (ICM) <\/td>\n<\/tr>\n
562<\/td>\nFocused Standards Assessment (FSA) <\/td>\n<\/tr>\n
563<\/td>\nSidebar 2. Focused Standards Assessment (FSA) Options <\/td>\n<\/tr>\n
564<\/td>\nSidebar 2.
Sentinel Event Follow-up <\/td>\n<\/tr>\n
565<\/td>\nNotifying The Joint Commission About Organization Changes <\/td>\n<\/tr>\n
567<\/td>\nAccreditation Status of Organizations That Cease Services After a Disaster|||||||||||| <\/td>\n<\/tr>\n
568<\/td>\nAccreditation Status of Organizations That Cease Services or Do Not Have Patients for a Period of Time <\/td>\n<\/tr>\n
569<\/td>\nReentering the Accreditation Process
Additional Surveys <\/td>\n<\/tr>\n
572<\/td>\nDecision Rules for Organizations Seeking Initial Accreditation
Accredited
Limited, Temporary Accreditation <\/td>\n<\/tr>\n
573<\/td>\nEvidence of Standards Compliance (ESC)
One-Month Survey
Retrospective Cytology Survey
Proficiency Testing Monitoring Survey <\/td>\n<\/tr>\n
574<\/td>\nDenial of Accreditation <\/td>\n<\/tr>\n
575<\/td>\nDecision Rules for Organizations Seeking Reaccreditation
Accredited
Evidence of Standards Compliance (ESC) <\/td>\n<\/tr>\n
576<\/td>\nOne-Month Survey
Retrospective Cytology Survey
Proficiency Testing Monitoring Survey
Accreditation with Follow-up Survey <\/td>\n<\/tr>\n
577<\/td>\nPreliminary Denial of Accreditation <\/td>\n<\/tr>\n
579<\/td>\nDenial of Accreditation
Process for Organizations That Meet Decision Rule PDA02 for Patients Placed at Risk for Serious Adverse Outcomes Due to Signific <\/td>\n<\/tr>\n
581<\/td>\nProcess for Organizations That Meet Decision Rule PDA04 <\/td>\n<\/tr>\n
582<\/td>\nReview and Appeal Procedures
I. Evaluation by Joint Commission Staff <\/td>\n<\/tr>\n
584<\/td>\nII. Accreditation with Follow-up Survey
III. Review Hearings <\/td>\n<\/tr>\n
586<\/td>\nIV. Following a Review Hearing
V. Final Review &Appeal Request <\/td>\n<\/tr>\n
589<\/td>\nStandards Applicability Grid (SAG) <\/td>\n<\/tr>\n
651<\/td>\nSentinel Event Policy (SE) <\/td>\n<\/tr>\n
652<\/td>\nGoals of the Sentinel Event Policy <\/td>\n<\/tr>\n
653<\/td>\nIdentifying Sentinel Events <\/td>\n<\/tr>\n
655<\/td>\nSidebar 1. Key Terms <\/td>\n<\/tr>\n
656<\/td>\nSidebar 1. <\/td>\n<\/tr>\n
657<\/td>\nDetermining That a Sentinel Event Is Subject to Review <\/td>\n<\/tr>\n
658<\/td>\nRelationship to the Survey Process <\/td>\n<\/tr>\n
659<\/td>\nRequired Organization Response to a Sentinel Event <\/td>\n<\/tr>\n
660<\/td>\nReporting a Sentinel Event to The Joint Commission <\/td>\n<\/tr>\n
662<\/td>\nConducting a Comprehensive Systematic Analysis <\/td>\n<\/tr>\n
663<\/td>\nDeveloping a Corrective Action Plan <\/td>\n<\/tr>\n
664<\/td>\nSubmitting the Comprehensive Systematic Analysis and Corrective Action Plan <\/td>\n<\/tr>\n
665<\/td>\nTable 1. Options for a Joint Commission Review of an Organization\u2019s Response to a Sentinel Event <\/td>\n<\/tr>\n
666<\/td>\nTable 1. <\/td>\n<\/tr>\n
667<\/td>\nThe Joint Commission\u2019s Response
Review of Comprehensive Systematic Analyses and Corrective Action Plans <\/td>\n<\/tr>\n
668<\/td>\nFollow-up Activities <\/td>\n<\/tr>\n
670<\/td>\nDisclosable Information
Handling Sentinel Event\u2013Related Documents
The Sentinel Event Database <\/td>\n<\/tr>\n
671<\/td>\nOverseeing the Sentinel Event Policy <\/td>\n<\/tr>\n
673<\/td>\nThe Joint Commission Quality Report (QR)
Introduction
What Is The Joint Commission Quality Report? <\/td>\n<\/tr>\n
674<\/td>\nWhat Will My Quality Report Contain?
What Is Quality Check? <\/td>\n<\/tr>\n
675<\/td>\nIs a Quality Report Available for My Accredited Laboratory?
Can My Laboratory Comment on Its Quality Report? <\/td>\n<\/tr>\n
676<\/td>\nHow Does My Laboratory Submit a Commentary?
Are There Any Criteria That Must Be Met in a Commentary?
What Are the Marketing and Communication Guidelines for Publicizing Your Accreditation and Commitment to Quality? <\/td>\n<\/tr>\n
677<\/td>\nGuidelines for Publicizing Compliance with the National Patient Safety Goals <\/td>\n<\/tr>\n
679<\/td>\nRequired Written Documentation (RWD) <\/td>\n<\/tr>\n
680<\/td>\nList of EPs Requiring Written Documentation for Laboratories and Pointof Care Testing
Accreditation Participation Requirements (APR)
Document and Process Control (DC)
Environment of Care (EC)
Emergency Management (EM)
Human Resources (HR) <\/td>\n<\/tr>\n
681<\/td>\nInfection Prevention and Control (IC)
Information Management (IM)
Leadership (LD)
National Patient Safety Goals (NPSG)
Performance Improvement (PI) <\/td>\n<\/tr>\n
682<\/td>\nQuality System Assessment for Nonwaived Testing (QSA) <\/td>\n<\/tr>\n
683<\/td>\nTransplant Safety (TS)
Waived Testing (WT) <\/td>\n<\/tr>\n
685<\/td>\nEarly Survey Policy (ESP)
Accreditation Participation Requirements (APR)
Document and Process Control (DC) <\/td>\n<\/tr>\n
686<\/td>\nEnvironment of Care (EC)
Emergency Management (EM)
Human Resources (HR)
Infection Prevention and Control (IC) <\/td>\n<\/tr>\n
687<\/td>\nInformation Management (IM)
Leadership (LD)
National Patient Safety Goals (NPSG)
Performance Improvement (PI) <\/td>\n<\/tr>\n
688<\/td>\nQuality System Assessment for Nonwaived Testing (QSA) <\/td>\n<\/tr>\n
689<\/td>\nTransplant Safety (TS)
Waived Testing (WT) <\/td>\n<\/tr>\n
691<\/td>\nAppendix A: Retention Times for Records, Reports, and Specimens (AXA)
Retention Times for Records, Reports, and Specimens <\/td>\n<\/tr>\n
695<\/td>\nAppendix B: Laboratory Developed Tests (AXB)
Laboratory Developed Tests <\/td>\n<\/tr>\n
697<\/td>\nAppendix C: Individualized Quality Control Plan\u2013Eligible Requirements (AXC)
Quality System Assessment for Nonwaived Testing (QSA) <\/td>\n<\/tr>\n
699<\/td>\nAppendix D: Duplicate Laboratory and Hospital\/ Critical Access Hospital Requirements (AXD)
Environment of Care (EC) <\/td>\n<\/tr>\n
700<\/td>\nInfection Prevention and Control (IC)
Transplant Safety (TS) <\/td>\n<\/tr>\n
701<\/td>\nGlossary (GL) <\/td>\n<\/tr>\n
725<\/td>\nIndex (IX) <\/td>\n<\/tr>\n<\/table>\n","protected":false},"excerpt":{"rendered":"

Comprehensive Accreditation Manual for Laboratory and Point-of-Care Testing (CAMLAB)<\/b><\/p>\n\n\n\n\n
Published By<\/td>\nPublication Date<\/td>\nNumber of Pages<\/td>\n<\/tr>\n
Joint Commission<\/b><\/a><\/td>\n2022<\/td>\n784<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"featured_media":390604,"template":"","meta":{"rank_math_lock_modified_date":false,"ep_exclude_from_search":false},"product_cat":[2851],"product_tag":[],"class_list":{"0":"post-390594","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-joint-commission","8":"first","9":"instock","10":"sold-individually","11":"shipping-taxable","12":"purchasable","13":"product-type-simple"},"_links":{"self":[{"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/product\/390594","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/types\/product"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/media\/390604"}],"wp:attachment":[{"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/media?parent=390594"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/product_cat?post=390594"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/product_tag?post=390594"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}