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Related Experiment Videos

Planning for a JCAH survey

V S Crane, M L Louviere

    American Journal of Hospital Pharmacy
    |October 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    This study details a hospital pharmacy department's systematic preparation for a Joint Commission on Accreditation of Healthcare Organizations (JCAHO) survey. It highlights strategies for meeting JCAHO standards through improved procedures and documentation.

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    Area of Science:

    • Healthcare Administration
    • Pharmacy Management
    • Quality Improvement

    Background:

    • Hospital pharmacy departments face challenges in meeting accreditation standards, especially during expansion.
    • Inconsistent procedures and inadequate documentation can hinder compliance with accreditation requirements.

    Purpose of the Study:

    • To describe the planning and preparation process for a Joint Commission on Accreditation of Healthcare Organizations (JCAHO) survey within a hospital pharmacy.
    • To provide actionable advice for meeting JCAHO standards.

    Main Methods:

    • Analysis of problems arising from pharmacy program and staff expansion.
    • Development and implementation of a corrective action plan addressing procedures and documentation.
    • Study of JCAHO standards and institutional application.

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  • Use of checklists for progress evaluation and a mock survey for assessment.

    • Main Results:

    • A structured approach to identifying and correcting deficiencies was implemented.
    • Pharmacy operations documentation was organized for surveyor presentation.
    • Staff involvement and training were key components of the preparation process.

    Conclusions:

    • Systematic preparation, quality assurance, and staff training are crucial for meeting JCAHO standards.
    • Effective planning enables a pharmacy department to achieve and maintain high operational standards.