0000000676 00000 n To improve patient safety and quality outcomes, health care professionals are using multiple methods to reduce patient harm and eliminate medical errors. Be ready for your onsite survey before you apply. 7 The Joint Commission Snapshot Introduction The Accreditation Guide for Hospitals is designed to help you learn about the Joint Commission’s hospital accreditation process. uuid:4987f932-e130-42f9-9c81-4318f6e44b9a /xt2 612 >> JCI Internal Audit Training Programme will be of Three days which will provide a platform to our valued learners – present and prospective to understand the JCI accreditation concepts and to remove apprehensions about ‘JCI Internal Audit’. /Type /Page 0000003612 00000 n /Title () /CreationDate () �툲^�&P��3���:���T�����oF,�6l��#b��]=&,���L��^D�t,n��h�����"9�w������o&�X.Gs? GTAG – Summary for the Chief Audit Executive Summary – 1 1 GTAG 4: Management of IT Auditing, p. 5. endobj if not observed) 3 Compressed Air a. /Type /Pages /AcroForm 2 0 R endobj Category Name of the Template 1 1 Doctors Initial Assessment sheet 2 Progress notes 3 Non drug orders 4 Drug Orders (Medication Administration chart) 5 Cross Referral Form 6 Transfer Summary 7 … 2 GTAG 1: Information Technology Controls, p. 3. IN-PATIENT LIST OF HOSPITAL FORMS by Dr.Mahboob Ali Khan Phd 1. endstream INTRODUCTION Hospital A is a private hospital in Malaysia. /Type /Catalog LABORATORY GENERAL Checklist 9/27/2007 Edition The following questions have been added, revised, or deleted in this edition of the checklist, or in the two editions immediately previous to this one. If the thought of Joint Commission Surveyors showing up at your door sparks anxiety, then these tips are for you. PScript5.dll Version 5.2.2 8 0 obj The PDF file has the same images as the printout of the original document, especially in terms of the location and size of figures, tables, and photographs. The Is the air supply free from oil? /Count 10 Site Audit Checklist. Common hazards on site include working at heights, confined spaces, electricity etc. << A clinical audit cycle checklist aims to help clinical improvement … 2 0 obj Microsoft Word - 2013 HAP Overview 03-07-13.doc /Parent 5 0 R This will be the best platform of learning the process of JCI Internal Audit /Assessments. xref endobj /Encoding 16 0 R 0000006377 00000 n REMARKS Y N N.A N.T J7 MRSA(PCI 6) PASS/FAIL/N.A (Circle one for this section) a Cases of MRSA infection are documented and reported b What precautions do you have for MRSA patient? controls and a sample audit plan. 9 0 obj << stream 0000003389 00000 n Why a Checklist? << 3 GTAG 1: Information Technology Controls, p. 3. endobj %%EOF The standard evaluation checklist of Iran hospitals (based on JCI standards) included 24 heading and 337 subheading was used for this purpose. The number of pages in the PDF file is 6 pages (In the case of the 5-page manuscript, the 6th page is a blank page). /CropBox [0 0 612 792] In his book “The Checklist Manifesto,” Atul Gawande, MD, analyzes the positive impact of H��WKo7����9��p8C(t�#E�PD@ԽT�j�������7���*V�Ca��O��������w���2|X���):�ZI�5���qx�Ư�N���PPO���Ш /Contents [18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R] /Helv 62 0 R /Count 4 /OpenAction 4 0 R 0000002351 00000 n 1 0 obj b. << 0000001430 00000 n endobj Every attempt has been made to focus on process audit techniques and not repeat common system audit practices found in books such as The Quality Audit Handbook. Detailed Steps). uuid:934beddf-65ab-4606-b64f-20e77dfeae5c 18 0 obj startxref Students of Process Auditing Techniques should already know basic auditing techniques such as how to conduct interviews, or develop a checklist. /Kids [47 0 R 48 0 R 49 0 R 50 0 R 51 0 R 52 0 R 53 0 R 54 0 R 55 0 R 56 0 R] /CenterWindow true endobj 5. 0000003352 00000 n 0000002808 00000 n 3691 “Internal Audit Checklist” to provide updated guidance for helping internal auditors to stay at the cutting edge of best practices. /Type /Pages OQR014(2) 20080806 v1 Healthcare Audit Criteria and Guidance 6 Audit Committee The Audit Committee is a Board sub-committee that provides the Board with assurances in relation to financial risk management and internal control, internal and external audit processes and promotion and auditing of value for money management << 0000004413 00000 n /Resources 26 0 R ��+�*��ֿ���RR���M4�� ��sN7��io���/�,_n��} >�3��4�2�0�I���7�iC���'��LB[T7#��_)̷ ��6��U�.�)x˟�I�%0\�A�;���/�z�w��o�S�@ ��K�?�'7C��QB�?~ģ�|�/�X?�=���w*?�g���A�)�_C�? /TrimBox [0 0 612 792] Regular audit activity helps to create a culture of quality improvement in the clinical setting. trailer /yb1 0 While not all-inclusive, this self-assessment . << Notice: The parts of checklist which are not used during audit should be deleted by lines appropriate according to the audit scope. Checklist for Hospitals. /D [10 0 R /XYZ -32768 -32768 1] >> >> /Count 5 0000004091 00000 n Items to be asked during interview Chk Code Remarks . 125 0 obj <>stream x�b```f``����������xX�����"*�[���wP�$�O2�=�;u� mi~�%�q��Y���$�r�Ҟ��o�&eL�a`�I�p��$Z��n�8�G�\Wl�y��$]�)�䳊Sů�i\�8\Xqɝ�Jl���K�H0 tool addresses many of the sources of risk noted in our new claim report. /ZaDb 63 0 R 10 0 obj /Kids [57 0 R 58 0 R 59 0 R 60 0 R] 'JCI Internal Audit Checklist By Dr Mahboob Khan Phd May 1st, 2018 - A Very Meticulous JCI Internal Audit Checklist Based On Latest JCI Edition''audit of a hospital outsourcing consulting services april 29th, 2018 - following special points must be considered while doing the audit of %PDF-1.6 /PDFDocEncoding 61 0 R �tt�x�JP���������4 vi Co m p e t e n C y As s e s s m e n t, th i r d ed i t i o n Ab o u T T h E A u T h o r s Brenda G. Summers Brenda G. Summers, MBA/MHA, MSN, RN, CNAA-BC, is a senior consultant with The Greeley Company of Marblehead, MA, focusing on the areas of accreditation and regulatory compliance. << >> /xb1 0 JCI Accreditation Standards for Hospitals, 6th Edition May 2018 2 of 13 Standards Subject Interpretation Question Response Information in the literature provides several examples of naming patterns for newborns and all recommend that simply using the sex of the baby and the surname along with the birth date is not adequate. /yb2 792 APPENDIX C: CHECKLIST FOR REVIEW OF FINANCIAL AUDITS PERFORMED BY THE OFFICE OF INSPECTOR GENERAL Appendix C Page 3 of 31 Yes No N/A Remarks and Findings 1.2 Professional Judgment (GAS, 3.31-.39) • Did the audit team exercise appropriate << /Length 9 0 R /Producer () /Type /Pages Clinical audit offers a way to assess and improve patient care, to uphold professional standards and ‘do the right thing’. 0000001846 00000 n 107 19 << JCI Internal Audit Checklist (For Inpatient Only) N.A-Not Applicable N.T- Not Tested Assessed (Tick as appropriate) SN STANDARDS/MEASURABLE ELEMENTS MET? Acrobat Distiller 10.0.0 (Windows) 12 0 obj %PDF-1.4 %���� /Kids [10 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R] /Parent 5 0 R /Parent 5 0 R Every internal audit is different within each organization. /Parent 5 0 R ��Ш�BLJ����nĩ�A���?�����d�U�/����n�I���H.��*�|�ú�Z��o0�2����U�_��ߡ�*X�����-�U�WE�����_����{U�7�]��2$d)z�C[��� ��k(�T0�u�b��ѓ�B����HNs�RJr��p�a��1��Gw�a�_Fȇ��?%�ORi�Y�Vb��5v��'� �gA�3��U�8�X�SP��2U_���pZ9S�����^����PG'c D���!f 5WjV�c.Q"AM9$i���t$w����X�3[���d.�e�N4���yN���Ƞ P���ip_5�1� /Kids [32 0 R 33 0 R 34 0 R 35 0 R 36 0 R] This checklist is designed to help hospital leadership and management evaluate liability exposures, enhance patient safety and minimize potential loss. >> 16 0 obj /DA (/Helv 0 Tf 0 g ) /Metadata 3 0 R �GOC$`����� �B*d�4 �a`��@,Qe�a��xE��7�.��4+ endobj It is the responsibility of the quality manager to plan and organize audits as required by the schedule and requested by management. ���+��-�I����s. /xb2 612 JCI Internal Audit Checklist N.A-Not Applicable N.T- Not Tested Assessed (Tick as appropriate) SN STANDARDS/MEASURABLE ELEMENTS MET? Below listed Formats and Checklist for Self Inspection (Internal Audit) are being attached.. 2425 S. Linden Road, Suite D126, Flint, MI 48532 Disclaimer: This Basic HR Audit Checklist is a sample and (877) 356-6175www.experthumanresources.com info@experthumanresources.com meant merely as a guideline,for informational purposes only,and should … << /yt1 0 /Type /Pages /Subtype /XML << /Length 64 0 R /Count 6 Use this site audit checklist to identify which construction activities are at risk. hެX�r�}�W�S 0000006788 00000 n %���� 11 0 obj JCI Internal Audit Checklist By Dr Mahboob Khan Phd from internal control checklist template , image source: www.slideshare.net. 2013-03-07T15:44:18-06:00 these are the minimum requirement for the compliance. /Count 35 0000007045 00000 n /Kids [11 0 R 12 0 R 13 0 R 14 0 R 15 0 R] 17 0 obj GMP AUDIT CHECKLIST (AS PER WHO GUIDELINES) Page 9 of 32 INSPECTION OF: Date: 2.0 B: Support Systems continued # Audit Item Yes No NA Observations (indicate N.O. This guide provides important information about /DR 8 0 R The internal audit program shall address all elements of the management system, including the testing and/or calibration activities. endobj Keywords: international patient safety goals, Joint Commission International, monitoring compliance, Mean 1. /Type /Pages /Rotate 0 �xO%���o8�5���s+�4�qc�dP��@� 3��� /BleedBox [0 0 612 792] hentgesn endobj 6 0 obj Don’t forget – it is a Medicare requirement that all onsite surveys are unannounced and unscheduled! 107 0 obj <> endobj 0000000016 00000 n 14 0 obj endobj Download more risk assessment templates here. /Parent 5 0 R "����A�j���1@���F{��pQ��g_��^��T�.�g�&_j7�O���nؼ ���0��t�$�b��B��E�-p� A��@[*��~�2�? application/pdf /MediaBox [0 0 612 792] << endobj >> endobj Through clinical audit, healthcare staff may identify and measure areas of risk within their service. 4 0 obj Internal Audit Checklist for ISO 9001:2015 based Implementation Gap Analysis. <]>> /Author () /Pages 5 0 R >> This hospital was accredited by Joint Commission International in 2013 and part of the requirement is to implement International Patient Safety Goals. ISO 9001:2015 Quality Management System Audit Checklist Page 2 of 49 Pro QC International ISO 9001:2015 Gap Analysis Audit Tool • Disclaimer § This audit is intended for use within one organization. >> >> endstream endobj 108 0 obj <> endobj 109 0 obj <> endobj 110 0 obj <>/Font<>/ProcSet[/PDF/Text]/ExtGState<>>> endobj 111 0 obj <> endobj 112 0 obj <> endobj 113 0 obj <> endobj 114 0 obj <> endobj 115 0 obj [/ICCBased 124 0 R] endobj 116 0 obj <> endobj 117 0 obj <> endobj 118 0 obj <> endobj 119 0 obj <> endobj 120 0 obj <> endobj 121 0 obj <>stream SELF-CHK-Company-e (2017.1) Page - 2 (3) Interview with Top Management President/- Chief Executive Officer. /Font 17 0 R /Filter /FlateDecode This publication is quite comprehensive, providing a step by step guidance on every aspect of internal audit. Nov 28, 2018 - A very meticulous JCI internal audit checklist based on latest JCI edition. << 0000001048 00000 n /Creator () 0000003841 00000 n endobj 0000001132 00000 n 7 0 obj Clinical Audit Cycle Checklist. 2013-05-18T19:38:03-05:00 15 0 obj endobj /Fields [] << 3 0 obj /Type /Pages Utilizing this checklist and reviewing the Accreditation Standards will help you determine if you are ready to submit your application. 2013-05-18T19:38:03-05:00 haelthcare /Parent 11 0 R /Count 10 This site uses cookies and other tracking technologies to assist with navigation, providing feedback, analyzing your use of our products and services, assisting with our promotional and marketing efforts, and provide content from third parties. �-�c���aL8��!gѪ6���^en����EY���s��X}g�m�Bn�CAD�W(�bwX�6/�1+���`6̲�\�v�@�D"hw.�-2�z�Q��-��n� ���9�D�Ȗ65r���(pk�r��ƫ�]o��"��*���K/���;�_����Pǭj��o�$���]Bxm��P.�O�i. /ViewerPreferences 6 0 R >> << How To Write. One method being implemented more and more is the checklist. /yt2 792 1 IN-PATIENT LIST OF HOSPITAL FORMS by Dr.Mahboob Khan Phd IN-PATIENT CASE SHEET TEMPLATES S.No. >> endobj endobj >> stream >> /xt1 0 >> endobj [̴�[_+RT��kt_Ac���s�+�1��Eo�3�:~��R��_ϫ��9\�+ϱ��w�d��v6ۢg{���8�� k�MU�z>$F�wE��b�Yc�+��zM�� ���0�m=���ݧ�?Ǐ�_����n�n�M!��8cA�f2���g����b��_�V_��C eG &�;.P�/��= ʶ�h 9���U�0/V�t0�p0��q��0C�C�\����c^(tdqg�(�)�!�O��h��v�5� �3j�dH��`Z��@cQ�K���� �5�P�Y�@���l���vr��N�5�FJ%$�R=�,jxST��vGVp, Microsoft Word - 2013 HAP Overview 03-07-13.doc. /Kids [37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R 45 0 R 46 0 R] Mukesh Singh Kushwah, Loyola University Health System Mission Statement Loyola University Health System is committed to excellence in patient care and the education of health professionals. >> JCI policies have an expiration date within the expiration month—you do not have the entire month indicated on the front of the sticker [small blue square sticker on windshield] After purchasing the JI policy, proceed to the Joint Service Vehicle Registration Office (JSVRO) on amp Foster [ ldg 5638] 0000001266 00000 n << /ModDate () >> << 0 Download Template; Preview Web Report ; Preview PDF … /S /GoTo At this juncture, I wish to compliment CA. Cheryl Hoerr, MBA, RRT, FAARC, of Phelps County Regional Medical Center, Keith Roberts, MBA, RRT, CPFT, of Rush University Medical Center, and Julie Jackson, BAS, RRT-ACCS, RCP, of UnityPoint Health-Des Moines, share their recommendations on getting prepared and … Download the Internal Audit Checklist Template that has been created to assist in performing and internal audit. /Type /Metadata >> 5 0 obj It would be the agenda of Internal Audit (Self Inspection) checklist. 0000004335 00000 n /u2pMat [1 0 0 -1 0 792] Section Standard COMPLIANCE Action Timeframe 2 CLEANING AND HANDLING OF USED ITEMS 0 1 N/A WATER QUALITY FOR CLEANING • Clean water supply of good quality • Care taken with selection of detergents and drying agents ☺ Weekly testing on water hardness and records are kept 2.1 2 INITIAL TREATMENT OF USED ITEMS • Gross soil is removed as close to the point of use as possible, as … Below Internal Audit (Self Inspection) checklist being used for the assessment of respective departments . 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