Perform an Internet search to identify and research a situation where a health care organization or individual provider in your field of allied health was sanctioned by The Joint Commission or other regulatory body for a violation of one or more of The Joint Commission workplace safety, risk management, and quality care requirements.
Taking the role of the Chief Safety or Risk Management Officer in the organization or a provider’s office who now must deliver an accounting of the incident to the board of directors, develop a slide presentation, containing a title slide, 12-15 slides of content, and a references slide, focusing on the chosen incident. Your presentation must incorporate the following:
1. A brief summary of the incident, including a description as well as the outcome.
2. A summary of the applicable Joint Commission and other (e.g., local, state) regulatory standards that apply to the incident.
3. A discussion of the mistakes and/or oversights made by the healthcare organization or individual provider that did or may have led to the incident that occurred, and an accounting of the preventive steps that could have or should have been taken to avoid them.
4. A proposal outlining specific education or training the organization or provider will employ to ensure this type of incident does not occur in the future. Include concepts related to continuous quality improvement in your recommendations.
Speaker’s notes must be included for each individual slide in the Power Point presentation.
A minimum of three qualified resources is required and they must not be older than 5 years.
Expert Solution Preview
Introduction: As a Chief Safety or Risk Management Officer, it is essential to be aware of incidents where healthcare organizations or individual providers are sanctioned for violating workplace safety, risk management, and quality care requirements set by The Joint Commission and other regulatory bodies. In this assignment, we will analyze a specific incident and present preventive measures to avoid similar incidents in the future.
1. The incident involved a healthcare organization that failed to follow hand hygiene procedures, resulting in the spread of infectious diseases among patients. The organization was sanctioned by The Joint Commission and fined $25,000. The outcome was a decline in the organization’s reputation, loss of trust by patients, and financial losses.
2. The Joint Commission and other regulatory standards that apply to this incident include The Centers for Disease Control and Prevention (CDC) hand hygiene guidelines and OSHA’s bloodborne pathogens standard.
3. The healthcare organization failed to provide sufficient training to staff regarding hand hygiene protocols. Their monitoring and auditing procedures were also weak, which led to the violation of regulatory standards. To prevent such incidents in the future, the organization should implement regular training programs for staff and create a robust monitoring and auditing system. Implementing reminders and improving accessibility to hand hygiene supplies can also assist in adhering to hand hygiene protocols.
4. The organization should implement continuous quality improvement processes to prevent similar incidents in the future. The healthcare organization should focus on creating a patient safety culture that emphasizes patient safety and risk management. The organization should evaluate its current safety measures and implement new processes, such as regular auditing, feedback, and mandatory training, to ensure compliance with regulatory standards.
References:
1. The Joint Commission. (2019). Hand Hygiene. Retrieved from https://www.jointcommission.org/standards/standard-faqs/hot-topics-hand-hygiene/
2. Centers for Disease Control and Prevention. (2021). Hand Hygiene in Healthcare Settings. Retrieved from https://www.cdc.gov/handhygiene/index.html
3. Occupational Safety and Health Administration. (2021). Bloodborne Pathogens and Needlestick Prevention. Retrieved from https://www.osha.gov/SLTC/bloodbornepathogens/
