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Transcript of Quality Assurance
To objectively and systematically
of patient care
patient care by resolving identified problem
- World Health Organization
Quality Assurance (QA)
Joint Commission International (JCI)
in Healthcare - JCI
Lin Yuda Aiden, Isabel Teo, Zann Yeo,
Toh Ying Xian, Bryan Ang, & Tang Zhi Yin
Joint Commission International
accredits health care organizations and programs
After hours pharmacy service
Mission of JCI
safety and quality
of care in the
Accredited Hospitals in Singapore
John Hopkins Singapore International Medical Centre (2004)
Changi General Hospital (2005)
Institute of Mental Health (2005)
Tan Tock Seng Hospital (2005)
KK Women’s and Children’s Hospital (2005)
National Heart Centre (2005)
Singapore General Hospital (2005)
Raffles Hospital (2008)
Khoo Teck Puat Hospital (2011)
Storage of Medicine
Participate in JCI’s Introduction to Accreditation workshop
Purchase manuals and guides
Attend a practicum
Register with E-App
Complete phase two of E-App
Experience the survey
Beyond the survey
Preparing for the survey
Be familiar with current standards, policies and procedures
Identify problems or areas to improve on
For Hospital Practice:
In a 24 hour pharmacy operation, pharmacy service will be provided by
a pharmacist on duty.
A suitable locked storage cabinet or cart
(e.g. medication night cabinet) will be stocked with a minimum supply of drugs most commonly required for emergency
2. When the pharmacy is closed,
an authorized nurse
will obtain needed drugs from the medication night cabinet. A record will be kept on all withdrawals.
SMALL HOSPITALS PHARMACIES
Withdrawal record includes:
Patient name & location, hospital number where applicable
Complete description of drug product and quantity
Name and signature of authorized nurse
Date the drug is removed
Personal Care Practice
Corridor clutter is the
Life Safety Code (LSC).
Building drawings should be constantly
According to the Joint Commission:
Helpful tips mentioned by the
Dead-end corridors of
less than or equal to 50 square feet
can be used for storage.
allowed to use a patient room
for storage if there is an
automated door closure
and if it is
Healthcare waste must be
medical staff to be educated in
Mask fitting and PPE
to be enforced in operating theater
Purpose of a fire drill is to
efficiency, knowledge, and response
of institutional personnel in implementing the f
ire emergency plan.
To provide a
safe, functional and supportive facility.
Key Safety Standards
JCI Accreditation Standards
for Hospitals that apply to safety and emergency planning to deal with fire outbreak are:
a program to ensure that all occupants are safe from fire, smoke, or other emergencies in the facility.
Staff members are required to know
in the fire safety plan.
Procedures to protect the lives of all patients within the facility involve
five basic steps
for fire emergencies.
Protection of Patients
Fire Safety Plan
Joint Commission International
Workshops and Seminars
Policy Development and Management Workshops
1) Infection Prevention & Control (IPC) Diploma Program
2) Quality Management & Patient Safety Diploma Program
All drugs will be stored under
The things to take note for storage of drugs are:
Narcotics and controlled drugs substances
are being stored with
proper measures of security
Disinfectants and drugs for external use are
from internal and injectable medications.
Drugs are not being
will not be stocked
Drugs which may be required on an urgent or emergency basis are in
adequate and proper supply
Other International Accrediting Bodies
The Australian Council on Healthcare Standards or ACHS
QHA Trent Accreditation (based in the United Kingdom)
National Accreditation Board for Hospitals and Healthcare Providers or NABH in India.
A hospital wishes to undergo the JCI survey assessment to get accredited. During an observation round by a supervisor, this is what he observed.
Is this good enough or should the hospital do something to improve the current state?
It may be necessary for hospitals to request an equivalency for this if the perimeter walls in these storage locations do not fully extend from floor deck to ceiling deck.
Joint Commission International. (2014, April 1). Joint Commission International Accreditation Standards for Hospitals. Retrieved from http://www.onlinedic.net/docs/JCI_5th_Edition.pdf
in the hallways where needed
be more aware
Ensure that routes for evacuation and emergency are
fire safety plan
should provide the following
1) Use of alarm
2) Response to alarm
3) Evacuation of patient and staff to a safe area.
4) Emergency phone call to fire department
5) Isolation or extinguishment of fire.
medication management includes a
yearly systems review
of all parts of the organization which includes
Maintain or further improve the standards
Utilize the services JCI provides
Customized advisory services
elp healthcare organizations to improve
Advanstar Communications, Inc. (2011, August 18). Joint Commission's 2010 Report Targets Medication Preparation, Storage, and Security. Retrieved from http://drugtopics.modernmedicine.com/drug-topics/news/modernmedicine/modern-medicine-feature-articles/joint-commissions-2010-report-targe?page=full
The Manitoba Pharmaceutical Association. (2004, June). Hospital Standards of Practice. Retrieved from http://mpha.in1touch.org/uploaded/38/web/documents/Standards-of-Practice-Hospital-09.pdf
Oregon State Fire Marshal. (2013, May). Fire and Life Safety Practices in Hospitals. Retrieved from http://www.oregon.gov/osp/SFM/docs/Fire_Life_Safety/FireLifeSafetyPracticesHospitals.pdf
Tan Tock Seng Hospital. (2013, October 25). Hospitals to Use Robots to Pick and Pack Medicine. Retrieved from http://www.ttsh.com.sg/about-us/newsroom/news/article.aspx?id=5798