The April Perspectives summarizes the 10 top scored standards – 2017 calendar year. And, EC and LS top the list again.
Similar to the one published in September 2017 which covered only the first half of the year, this list looks nothing like the ones they published years ago. For instance, here is how they differ.
TJC Top Scored Standards – 2017
First, there is only one clinical standard making the list with the remaining coming from the EC and LS chapters.
The one clinical standard that did make the list is IC.02.02.01. It is cited for a wide assortment of problems with low level disinfection, high level disinfection, sterilization and storage of medical supplies and equipment.
Moreover, cited in 72% of hospital surveys in 2017 , this standard is a huge problem. High level disinfection and sterilization are the issues we see most often in survey reports. A major contributing factor is the Joint Commission’s surveyors knowledge and expertise. They know more about the intricacies of the AAMI and AORN requirements for high level disinfection and sterilization than the staff performing or supervising these duties at hospitals.
But, correcting this disparity is a must. The Joint Commission effectively trains several hundred senior clinicians and hospital quality leaders to conduct surveys. In fact, most have never performed HLD or sterilization, or in the minutiae of these requirements, in their careers. If this training succeeds at providing surveyors an in-depth knowledge, then it is feasible for direct clinical staff, who perform these duties each day to obtain a far greater depth of knowledge than the surveyors.