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Collaborating with Physician Leaders

The journey towards high reliability health care is a challenging but worthwhile venture, physician leaders are key to their organization’s successful achievement of this goal. In mid-April, more than 130 physician leaders from around the country make their way to Oakbrook Terrace, Illinois, to experience The Joint Commission’s annual Physician Leaders Forum.

Reasons you don't want to miss this event:

  • Opportunity to network and collaborate with fellow physician leaders
  • Gain practical insights from experts
  • Earn continuing medical education (CME) credits

Email the Forum Team to learn more details.

High Reliability Assessment

Physicians who want to get their organizations on the path to zero harm will want to complete the Oro® 2.0 Assessment. This provides an unmatched opportunity for leadership engagement with foundational aspects of high reliability. Oro 2.0 can help senior leaders not only understand where they stand today on the spectrum of high reliability but also provides an actionable path forward in pursuit of zero harm.

Sentinel Events

The Joint Commission adopted a formal Sentinel Event Policy in 1996 to help hospitals that experience serious adverse events improve safety and learn from those sentinel events. Careful investigation and analysis of Patient Safety Events (events not primarily related to the natural course of the patient’s illness or underlying condition), as well as evaluation of corrective actions, is essential to reduce risk and prevent patient harm. For resources related to sentinel events including our Sentinel Event Alerts click on the button below.

Suicidal Patient Slips through the Cracks

This fictionalized case example follows the failed hand-offs of a suicidal patient through screening and assessment in the ED to admission to a medical-surgical unit. Case examples can be used as learning opportunities for identifying lapses in patient safety and missed opportunities for developing a culture of safety. A follow-up will highlight safety actions and strategies.
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R3 Report Issue 50: New and Revised Requirements for Infection Prevention and Control for Laboratories

Effective July 1, 2025, The Joint Commission approved new and revised requirements for the “Infection Prevention and Control” (IC) chapter for laboratories.
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R3 Report Issue 49: New and Revised Emergency Management Standards for Behavioral Health and Human Services (BHC) Accreditation Program

Effective July 1, 2025, new and revised emergency management requirements will apply to all Joint Commission–accredited behavioral health and human services programs.
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R3 Report Issue 48: New and Revised Emergency Management Standards for Assisted Living Community Programs

Effective July 1, 2025, new and revised emergency management requirements will apply to all Joint Commission–accredited assisted living community programs.
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R3 Report Issue 47: New and Revised Emergency Management Standards for Laboratories

Effective January 1, 2025, new and revised emergency management requirements will apply to all Joint Commission–accredited laboratories. The Joint Commission began conducting a critical analysis of its “Emergency Management” (EM) chapter in late 2019. The changes in the EM chapter include a new numbering system, elimination of redundant requirements, and the addition of new requirements. This restructuring resulted in a reduction in the number of elements of performance by over 60% in the EM chapter for the laboratory program.
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R3 Report Issue 46: New and Revised Emergency Management Standards for Nursing Care Centers

Effective January 1, 2025, new and revised emergency management requirements will apply to all Joint Commission–accredited nursing care centers.
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R3 Report Issue 45: Workplace Violence Prevention in Home Care Settings

Effective January 1, 2025, two new and one revised workplace violence prevention requirements will apply to all Joint Commission–accredited home care (OME) organizations.
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R3 Report Issue 44: New and Revised Restraint and Seclusion Requirements for Behavioral Health Care and Human Services Organizations

Effective January 1, 2025, The Joint Commission has approved new and revised requirements for behavioral health care and human services organizations who use restraint and seclusion.
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R3 Report Issue 43: Medications for Opioid Use Disorder

Consequences associated with opioid use, such as overdose, are a serious health care issue in the United States. In 2022, overdose deaths from any opioid occurred at a rate of 28.7 per 100,000 residents across 30 US jurisdictions (Centers for Disease Control and Prevention, 2024).
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R3 Report Issue 42: Workplace Violence Prevention in Behavioral Health Care and Human Services

Effective July 1, 2024, three new and one revised workplace violence prevention requirements will apply to all Joint Commission–accredited behavioral health care and human services (BHC) organizations.
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R3 Report Issue 41: New and Revised Requirements for Infection Prevention and Control for Critical Access Hospitals and Hospitals

Effective July 1, 2024, The Joint Commission approved new and revised requirements for the "Infection Prevention and Control" (IC) chapter for critical access hospitals and hospitals.
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