The document discusses Joint Commission International (JCI) accreditation. It provides information on what accreditation is, the benefits of accreditation, and an introduction to JCI. Some key points include:
- Accreditation is a voluntary process where an independent entity assesses a healthcare organization against set standards to improve safety and quality.
- Benefits of accreditation include improving public trust, establishing a safe work environment, and creating a culture of continuous learning.
- JCI is a US-based nonprofit that sets international standards for healthcare providers. Over 820 hospitals in 47 countries are JCI-accredited.
- The JCI accreditation process involves surveys to evaluate
An introductory overview of the basic concepts of Healthcare Quality, a starter for beginners.
Prepared in 2014 for the new staff of the Quality Management Department in King Saud University Medical City in Riyadh as a part of their capacity building plan.
Acknowledgments:
*Dr. Magdy Gamal Yousef, MBBCh, MS, CPHQ - for his contribution in the scientific content
**Ms. Maram Baksh, MS, CPHQ - for the design of the full HCQ capacity building plan in KSUMC
Total Quality Management in HealthcareGunjan Patel
Now days, Healthcare systems are of fundamental interests to all level of Hospitals in our societies. Eventually, increasing importance and reliance are placed on total quality management in healthcare systems. Due to this rising importance that is also reflected in the increasing percentage of national and international resources for both private and public sector to allocated in hospital management systems. Hospitals and other healthcare organization across the globe have been progressively implementing TQM to reduce costs, improve efficiency and provide high quality patient care.
An introductory overview of the basic concepts of Healthcare Quality, a starter for beginners.
Prepared in 2014 for the new staff of the Quality Management Department in King Saud University Medical City in Riyadh as a part of their capacity building plan.
Acknowledgments:
*Dr. Magdy Gamal Yousef, MBBCh, MS, CPHQ - for his contribution in the scientific content
**Ms. Maram Baksh, MS, CPHQ - for the design of the full HCQ capacity building plan in KSUMC
Total Quality Management in HealthcareGunjan Patel
Now days, Healthcare systems are of fundamental interests to all level of Hospitals in our societies. Eventually, increasing importance and reliance are placed on total quality management in healthcare systems. Due to this rising importance that is also reflected in the increasing percentage of national and international resources for both private and public sector to allocated in hospital management systems. Hospitals and other healthcare organization across the globe have been progressively implementing TQM to reduce costs, improve efficiency and provide high quality patient care.
JCI is the world’s leader in health care accreditation and the author and evaluator of the most rigorous international standards in quality and patient safety.
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With its newly published 5th edition of JCI’s Accreditation Standards for Hospitals, JCI addresses the unique concerns of hospitals and academic medical centers, as well as the challenges of preserving quality care as patients move from inpatient to outpatient and other care providers.
Our unique tracer methodology provides the cornerstone of the JCI on-site survey, serving as a tool for surveyors and health care organizations to evaluate patients and systems in unprecedented depth. JCI separates itself from its competitors with innovations network accreditation, where similar organizations within a single system or larger entity can achieve accreditation efficiently through a single network application.
JCI is committed to keeping pace with the dynamics of global health care while remaining the standard bearer for its universally recognized Gold Seal of Approval®.
Rigorous process for developing international standards
Due to the expertise and scope of its international team, JCI is uniquely positioned to adapt leading global practices to the delivery of local care. Standards are developed and organized around important functions common to all health care organizations. In fact, the functional organization of standards is now the most widely used around the world and has been validated by scientific study, testing, and application.
Standards Advisory Panel
To maintain best practices, JCI turns to its Standards Advisory Panel, comprised of experienced physicians, nurses, administrators, and public-policy experts. The panel guides the development and revision process of the JCI accreditation standards. Panel members are from five major world regions: Latin America and the Caribbean, Asia and the Pacific Rim, the Middle East, Europe, and the United States. The panel’s recommendations are refined based on an international field review of the standards and input from experts and others with unique content knowledge.
Hospitals in India have a high burden of infection in their Intensive Care Unit and general wards,many of which are resistant to antibiotic treatment.In antibiotic resistant infections are difficult and sometimes impossible to treat.They lead to longer hospital stays,increased treatment cost and in some cases death.
quality assurance slides include components, models, approaches, cycle of quality assurance is included in the slides.
the slide gives a brief ides regarding all the points and gives a comprehensive picture of the topic.
Д.Маркс "Практическая ценность стандартов Jci в области качества оказания мед...Клиника "Медицина"
Москва, 20 ноября 2015г, - в ОАО «Медицина» прошла Первая международная конференция «Организация здравоохранения. Системы менеджмента качества в здравоохранении». Конференция предназначена для главных врачей медицинских организаций Российской Федерации и стран СНГ, представителей страховых компаний, руководителей здравоохранения всех уровней. В конференции приняли участие более 150 человек. Организационным партнером клиники ОАО «Медицина» в проведении конференции выступило Российское общество организаторов здравоохранения.
Приветствуя участников, президент клиники «Медицина», академик РАН, заслуженный врач РФ, д.м.н., профессор Григорий Ройтберг сказал: «Сегодняшний уровень развития медицины, ее возможностей обязательно должен предполагать критерии оценки качества. Кто и на основании чего будет решать: качественно оказана медицинская помощь или нет? Сам пациент оценить не сможет, это должны делать эксперты. Встает вопрос, какими стандартами руководствоваться? Надеюсь, сегодняшняя конференция даст на него ответ».
Ключевые темы, которые были обсуждены на конференции:
• Здравоохранение России: проблемы и решения
• Международная аккредитация как инструмент повышения качества медицинской помощи
• Перспективы развития управления качеством.
В своем докладе «Контроль качества медицинской помощи, как основа эффективного и современного управления клиникой» Григорий Ройтберг остановился на значении международной аккредитации в практическом здравоохранении. Рассказал о том, что дала международная аккредитация клинике ОАО «Медицина», чем руководствовалась медицинская служба клиники при выборе аккредитации по стандартам JCI, какой путь прошла клиника ОАО «Медицина» чтобы получить эту аккредитацию. «Joint Commission International – это система аккредитации, которой доверяют во всем мире: общественность, пациенты, страховые компании. Она содержит требования к организации оказания медицинской помощи с акцентом на качество и безопасность пациентов, требует от организации установления целевых показателей на основе примеров «лучшей практики», - отметил Григорий Ройтберг. - Кроме того, эта система уделяет большое внимание управлению рисками медицинс
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
2. ACCREDITATION
• Accreditation is a process in which an entity, separate & distinct from
the health care organization ,usually non governmental
• assesses the healthcare organization to determine if it meets a set of
requirements (standards) designed to improve the safety and quality
of care .
• Accreditation is usually voluntary.
• It has gained world wide attention as an effective quality evaluation
and management tool.
3. BENEFITS OF ACCREDITATION
• Improve public trust
• Provide a safe and efficient work environment
• Negotiate with sources of payment
• Listen to patients & their families ,respect their rights & involve them in the care process as
partners
• Create a culture that is open to learning
• Establish collaborative leadership & continuous leadership
4. Introduction to JCI
• Joint Commission International (JCI) was founded in
the late 1990s to survey hospitals outside of the
United States.
• JCI, which is also not-for- profit, currently accredits
facilities in Asia, Europe, the Middle East, and South
America.
• A count of JCI-accredited hospitals worldwide (as
listed on the JCI website till 2015) shows 820 hospitals
in 47 & above countries.
• 21 hospitals in India
5. JCIA Global Presence
JCI team:
World headquarters in North America
Regional offices in Asia-Pacific, Europe, and the Middle East
More than 200 international consultants and accreditation
surveyors
6. WHAT IS JCI?HOW IS IT GOOD FOR US ?
• JCI stands for JOINT COMMISSION INTERNATIONAL.
• It is US based , not for profit accreditation body , which sets & addresses
standards for the healthcare providers level of performance in key
functional areas , such as patient rights , patient treatment & infection
control
• JCI’S mission is to improve the quality of healthcare in the international
community by providing worldwide accreditation services
• JCIA is an initiative designed to respond to a growing around the world for
standards – based evaluation in health care.
7. HOW WILL IT HELP US?
• JCI standards would lead us to improved patient care, safety & path of
continuous quality improvement .
• This would strengthen patient , third party and insurer confidence
and would provide us a competitive edge
• JCI accreditation is the gold standard for quality as it reflects the
provision of the highest level of patient care & patient safety
8. • JCI ACCREDITATION. JCI accredits 8 types of healthcare programs:-
• 1.hospitals
• 2.academic medical center hospitals
• 3.ambulatory care facilities
• 4.clinical laboratories
• 5.home care facilities
• 6.long term care facilities
• 7.medical transport organizations
• 8.primary care centers
9. JCI 5TH Edition
• Effective from 1st April 2014
• Consists of four sections
Section 1 consists of accreditation participation requirements APR
Section 2 Patient centered standards
• 1.IPSG
• 2. ACC (Access to care and continuity of care)
10. JCI 5th Edition
• 3. PFR (Patient and Family Rights)
• 4. AOP (Assessment Of Patients)
• 5. COP (Care Of Patients) ambulatory
• 6. ASC (Anesthesia and Surgical Care)
• 7. MMU (Medication Management and Use)
• 8. PFE (Patient and Family Education)
11. JCI 5TH edition
Section 3 consists of Health care organization management standards
• 9. QPS (Quality improvement and Patient Safety)
• 10. PCI (Prevention and Control of Infections) laboratory
• 11. GLD (Governance, Leadership and Direction) for hospitals and
academic medical institutions
12. JCI 5th edition
• 12.FMS (Facility Management and Safety)
• 13.Staff qualification and education SQE
• 14.Management of Information MOI
Section 4 academic medical center hospitals
standards
• 15.Medical profession education MPE
• 16.Human subjects research Programs HRP
13. JCI 5th edition
5th edition of the Hospital Standards contains
• 285 Standards
• 1160 Measurable Elements
4thEdition of the Hospital Standards
• Contains 320 standards
• Over 1200 criteria measured during the survey/evaluation
process
15. JCI survey methodology
Thorough survey process becomes Operational:
Typical survey team consists of a physician, nurse,
and administrator
Surveyors evaluate various units within an
organization and meet to discuss their finding
Surveys conduct a complete system analysis on
integration and coordination of care processes
16. ACCREDITATION SURVEYS
• Interview with staff & patients & other verbal information
• On-site observations of patient care process by surveyors
• Policies, procedures, clinical practice guidelines, and other documents
provided by the organization
17. Jci accreditation process timeline
CONTINUOUS QUALITY
IMPROVEMENT JOURNEY
6-9 MONTHS PRIOR
TO TRIENNIAL DUE
DATE
WITHIN 15 DAYS
OF SURVEY
SURVEY DATES
2 MONTHS PRIOR
TO SURVEY
4-6 MONTHS
PRIOR TO SURVEY
6-9 MONTHS
PRIOR TO SURVEY
12-24 MONTHS
PRIOR TO SURVEY
JCI Accreditation survey occurs
Submit revised application & schedule triennial JCI accreditation re- survey
Receive Accreditation Decision & Official Accreditation findings report from
JCI
JCI Survey team leader contacts your organization to determine survey
agenda
Receive & complete JCI survey Contract & Travel Instructions Form
Submit application for survey to JCI, & schedule survey dates with JCI
Obtain JCI standards manual & begin preparing for JCI accreditation.
18. Scoring the Survey Results
• Each standard must have a scoring of at least 5
• Each chapter must have a score of at least 8
• All standards must together average for at least 9
• All measurable elements are averaged to obtain the score for the
standard
19. Scoring survey results
• Each Measurable Element (ME) is scored
Met (10)
Partially Met (5)
Not Met (0)
• All Standards are averaged to obtain the score of the chapter
• All Chapters are averaged to obtain the overall score
20. IPSG
INTERNATIONAL PATIENT SAFETY GOALS
GOAL 1
• Identify patients correctly
GOAL 2
• Improve effective communication
GOAL 3
Improve the safety of high alert medications
a. IV potassium chloride = or > 2meq concentration
b. Sodium chloride >0.9%
c. Magnesium sulphate =or >50% concentration
d. Potassium phosphate = or > 3mmol/ml concentration
21. GOAL 4
• Ensure correct site , correct procedure & correct patient surgery
GOAL 5
• Reduce the risk of healthcare associated infection
GOAL 6
• Reduce the risk of patient harm resulting from falls
22. PIPELINE CARRYING COLOR CODES
As per BIS(Bureau of Indian Standards) :-
• Oxygen –yellow line & white strips
• Vacuum - blue & black strips
• Air – blue & white & black strips
• Nitrous oxide – yellow line with dark blue strips
• Dry nitrogen – yellow with light green strips
• ENTONX – blue & white strips
• Carbon dioxide – yellow with ash strips
• Calibration gas – white & red strips