Product Details

 

This program will cover The Joint Commission Sentinel Event (SE) policy and Patient Safety Systems chapter, which are designed to be used together to help hospitals ensure compliance and improve patient safety. The Patient Safety Systems chapter educates hospitals on structuring an integrated patient safety system by providing a framework for the accreditation standards and patient safety. It is vital for hospitals to incorporate the Patient Safety Systems chapter and the amended TJC SE alerts in their practice.

Our expert will also discuss the CMS Root Cause Analysis (RCA) tracer, which lists questions that a surveyor will ask during a validation or certification survey. Knowing TJC standards on creating a thorough and credible root cause analysis (systematic analysis) will help hospitals address a surveyor’s questions.

Are you prepared for a survey?

Call us at 800.688.2421 or add this event to your cart above.

 

After this webinar participants will be able to:

1. Describe The Joint Commission Sentinel Event policy.
2. Describe The Joint Commission Patient Safety System with its goal to help improve quality of care.
3. Describe CMS Final QAPI Worksheet, which includes a section on patient safety, adverse events, and medical errors. 

Target Audience:

Anyone who works with patients, including but not limited to: CEOs, COOs, CMOs, CNOs, CMS Regulatory Staff, Compliance Officers, Consumer Advocates, In-house Legal Counsels, Nurses (all levels), Nurse Educators, Patient Safety Officers, Policy and Procedure Committee Members, Quality Improvement Directors, Regulatory Officers, Risk Managers, TJC Accreditation Officers, TJC Liaisons, and anyone responsible ensuring quality and safety of patients.

 

Agenda topics:

CMS QAPI Worksheet on Patient Safety, Adverse Events & Medication Errors

- Policies & procedures on non-punitive environment	- What constitutes a medical error?
- Section on patient safety, AE, & medical errors	- Staff role in promoting patient safety
- CMS-finalized worksheets	- RCA performed on all preventable AEs

 

TJC Sentinel Event Policy & Procedure

- Amended Sentinel Event alerts	- Goals of SE policy
- Systematic analysis approach	- Patient safety event, close calls, etc.
- Reporting a SE & 4 options	- Action plan & follow up
- RCA requirements	- Required review of events & process

 

TJC Patient Safety Systems

- Key patient safety requirements	- Proactive approach to preventing harm
- Becoming a learning institution	- LD.04.04.05 Hospital Safety Program requirements
- Process to improve quality and patient safety	- Role of hospital leaders in patient safety
- Fair & just culture	- Data use & reporting systems

 

Your order includes:  

• Recording of the presentation.
• Access to the specially created presentation handouts.

Your Speaker: Sue Dill Calloway, RN, MSN, JD

Sue is a nurse attorney, medico-legal consultant and long-time educator for nurses, physicians, and other healthcare providers. She is a frequent speaker and is well known across the country in the areas of healthcare law, risk management, and patient safety. She has authored over 100 books and hundreds of articles. For AHC Media, she authored Cracking the Code: Understanding the CMS Hospital CoP Standards on Anesthesia.

Ms. Calloway received her Bachelor of Arts, Bachelor of Science in Nursing, Master of Science in Nursing, and Doctor of Jurisprudence from Capital University in Columbus, Ohio. Additionally, she is certified in healthcare risk management by the American Society for Healthcare Risk Management and is the first in the country to be certified in CMS regulatory compliance.