Happy New Year to All, Our Lab is CAP accredited and JCAHO does not include them in our surveys because of this. LAB is surveyed by CAP and the rest of the Hospital falls under the jurisdiction of the JCAHO inspectors. As a side note, on our last CAP survey, IS was included and the IS Director and LAB Analyst were interviewed by the surveyor. Donna Wendel, RN Senior Clinical Analyst Anderson Hospital Maryville, IL 62062 618-288-5711 ext. 444 Confidentiality Notice: This email is intended only for the person(s) identified above. It contains information which may be privileged, confidential and/or exempt from disclosure under law. If you are not the intended recipient of the email, you are hereby notified that you should not review the contents of the email, and that any review, dissemination, distribution or copying of this communication is strictly prohibited. If you received this in error, please notify me immediately at the listed phone number or email me at [EMAIL PROTECTED] Also, please destroy it in such a way that it cannot be accidentally redisclosed. Thank you
-----Original Message----- From: [email protected] [mailto:[EMAIL PROTECTED] Behalf Of Smith, Joan Sent: Friday, December 29, 2006 9:42 AM To: [EMAIL PROTECTED]; HEIM, NICOLE; [EMAIL PROTECTED] Subject: RE: [MEDITECH-L] new CAP questions for patient safety The College of American Pathologists (CAP) has a laboratory accreditation program. Go to: http://www.cap.org/apps/cap.portal?_nfpb=true <http://www.cap.org/apps/cap.portal?_nfpb=true&cntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow&_windowLabel=cntvwrPtlt&cntvwrPtlt%7BactionForm.contentReference%7D=laboratory_accreditation%2Faboutlap.html&_state=maximized&_pageLabel=cntvwr> &cntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow&_windowLabel=cntvwrPtlt&cntvwrPtlt%7BactionForm.contentReference%7D=laboratory_accreditation%2Faboutlap.html&_state=maximized&_pageLabel=cntvwr My understanding is if your hospital laboratory is actively accredited by CAP, the JCAHO surveyors will not waste their time surveying the lab. Joan M. Smith, MSN, RN-BC Clinical Project Leader Doctors Community Hospital 8118 Good Luck Road Lanham, Maryland 20706 301-552-8867 [EMAIL PROTECTED] CONFIDENTIALITY STATEMENT: This communication, including attachments, is for the exclusive use of addressee and may contain proprietary, confidential or privileged information. If you are not the intended recipient, you are hereby notified that any disclosure, use, copying, dissemination, distribution or taking of any action in reliance on the content of this information is strictly prohibited. If you are not the intended recipient, please notify the sender immediately by return email and delete this communication and destroy all copies. Thank you. _____ From: [email protected] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Thursday, December 28, 2006 11:01 AM To: HEIM, NICOLE; [EMAIL PROTECTED] Subject: Re: [MEDITECH-L] new CAP questions for patient safety Hi there. I see connections between the checklist below and the contents of JCAHO's National Patient Safety Goals. But I have no idea what "CAP" is. I hope someone will elaborate! Sharon -------------- Original message -------------- From: "HEIM, NICOLE" <[EMAIL PROTECTED]> > Good Afternoon! > > Does anyone have solutions/reports to answer the questions related to the new > CAP patient safety goals? Any help would be greatly appreciated! Thanks! > > The CAP checklist now has a list of patient safety goals. These goals > include: > > 1. Patient/Specimen I.D. - % labeled incorrectly, not labeled > 2. Critical Value reporting - % documented that results were called > 3. Corrected reports - LAB, MIC, BBK - % edited > 4. Corrected reports - PTH - % edited > 5. Surgical Pathology/Cytology Specimen Labeling - % labeled incorrectly, not > labeled > > Nicole A. Heim > Clinical Systems Analyst > Milford Regional Medical Center > phone: 508-422-297! 1 & gt; email: [EMAIL PROTECTED] > > > > =*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*=*= > To subscribe or unsubscribe to the meditech-l, visit MTUsers.COM. > > To check the status of the meditech-l, visit MTUsers.NET. > > For help, email [EMAIL PROTECTED] > ______________________________________ > meditech-l mailing list > [email protected] > http://mtusers.com/mailman/listinfo/meditech-l
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