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Executive Summary Joint Commission Accreditation Audit

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Executive Summary Joint Commission Accreditation Audit
|SECTION: |EFFECTIVE DATE: October 1, 2006 |
|SUBJECT: |PAGE 1 of 8 |
|Proactive Risk Assessment Policy | |

Scope:
This policy applies to all direct and indirect patient care processes, departments, and facilities of ABC Medical Center (ABC).

Objective:
To establish a comprehensive, proactive risk assessment process to evaluate the potential adverse impact of direct and indirect patient care processes, buildings, grounds, equipment, occupants, and internal physical systems on the safety and health of patients, staff, and other people coming to ABC. This proactive risk assessment process is used to identify, rate, and prioritize risks and or hazards. Based on this risk assessment, policies, procedures, and controls may be put into place to manage the risks as appropriate to the organization, with the intent of reducing them to the lowest possible level.

Policy:
ABC conducts proactive risk assessments to identify and evaluate the potential of adverse impacts of direct and indirect patient care processes, buildings, grounds, equipment, occupants, and internal physical systems on the safety and health of patients, staff, and other visitors. Risk assessments are performed on identified hazards and proposed changes to new or existing processes. Examples of proposed changes include automated or manual work processes and equipment or other technology.

The goal of performing risk assessments is to reduce the likelihood of or mitigate the impact of incidents or other negative experiences that have the potential to result in injury, accident, or other loss to patients, visitors, staff, or assets.

It is important to

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