We were just inspected by JCAHO and received a major violation for not
having the completion date and times on our lab reports.
 
Can you tell me what everyone has done if this happened at your site ?
This must be resolved within 45 days. 
 
JCAHO inspector said that they need to be able to see from the time the
tests were completed when the treatment of the patient began based on
lab results. 
 
I know so far it is the reports we send via forward advantage to our
physician offices so that would be the inquiry report in lab. 
It was not enough that you could click on the order in the EMR or see
the internal inquiry in lab if there was a problem.
The inspector said the audit trails were great but they need it on the
hardcopy. 
 
Since every result has it's own completion date and time , wondering how
this is possible especially with multiple orders on one specimen number.

 
What do paperless hospitals do for this issue ?
 
Any help would be greatly appreciated...
Gale Y. Freeman 

SMC MIS Dept 
Clinical Analyst 
315-785-5751 
[EMAIL PROTECTED] 

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