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Joint Commission International
Carlo Ramponi, Joint Commission International, European Office, via Ripamonti 44, Milano
Risk Management in Ospedale tra Governance e Assicurazioni
Cineas, Milano 21 giugno 2012
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A government or non-government agency
grants recognition to health care institutions
which meet certain standards that require
continuous improvement in structures,
processes, and outcomes
Usually a voluntary process
Accreditation – A Definition
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Potential Return on Investment1. Greater clarity to leadership structure and quality
oversight2. More efficient, cost effective work processes3. Better preventive maintenance program – longer
life of biomedical equipment 4. Improved care – fewer complications5. More satisfied staff – better retention and lower
recruitment and training costs6. Better safety management, and risk reduction –
reduced liability exposure 7. Special recognition from payment sources and
insurance companies 8. Better reputation -- increased number of new
patients
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AOP
COP ACC
PCI
QPS
MCI
SQE
FMS
GLD
PFRPFE
FUNCTIONS
MMU ASC
IPSG
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The Systemic Approach
MMUCOP
FMS
QPS
ASC
PFRPFE
PCIIPSG
GLD
SQEMCI
ACC AOP
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International Patient Safety Goalssince 2007
1. Identify Patients Correctly2. Improve Effective Communications3. Improve the Safety of High-Alert, High Risk
Medications4. Eliminate Wrong-side, Wrong-patient, Wrong-
procedure Surgery5. Reduce the Risk of Health Care-acquired
Infections6. Reduce the Risk of Patient Harm Resulting
from Falls
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Type of Sentinel Events: TJC USA database
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Sentinel Events Outcomes
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Most Frequently Identified Root Causes
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International Library of MeasuresThe International Perspective
Ongoing self-evaluation as a mandatory requirement for accreditation recognition
5 out of 11 clinical measures drawn from ILM
International Comparison based on ILM collected by JCI from JCI accredited hospitals
ILM development based on JCI accredited hospitals suggestions and international experience
The Adverse Events International data-base.
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Thank you
For more information:
• On JCR products and services• www.jcrinc.com• +1630-268-7400
• On JCI accreditation and advisory services• www.jointcommissioninternational.org• +1630-268-4800
• Carlo Ramponi, MD JCI Europe• [email protected]• +393477295364
