Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Nagoya J Med Sci. 2021 Feb;83(1):87-92. doi: 10.18999/nagjms.83.1.87.
The Joint Commission International (JCI) is a US-based organization that accredits and certifies hospitals worldwide. Among the requirements for accreditation, the JCI emphasizes continuous quality improvement (CQI) with regard to international patient safety goals (IPSGs). Our university hospital treats about 26,000 hospitalized patients and 600,000 outpatients annually, and our goal is patient safety in compliance with IPSGs. The purpose of this study is to examine the activities of orthopedic surgeons in preparation for JCI accreditation, including clear identification of patients, preoperative timeout and marking to ensure correct surgery, timely approval of CT/MRI reports, care with pain management, prevention of infection, setting of quality indicators and daily monitoring, and teamwork. Examiners from the JCI visited our hospital to review medical records and documents, and to interview patients, nurses and doctors. There were 1270 evaluation items covering 16 fields, including reviews of IPSGs, patient evaluation and care, infection prevention and control, and governance and leadership. Most importantly, the efforts of all the medical staff in our hospital in obtaining the first JCI accreditation among national university hospitals in Japan have promoted the safety and quality of medical care from the perspective of the patient.
国际联合委员会（JCI）是一家总部设在美国的组织，负责为全球的医院提供认证和认可。在认证要求中，JCI 强调了国际患者安全目标（IPSGs）方面的持续质量改进（CQI）。我们的大学医院每年治疗约 26000 名住院患者和 60 万名门诊患者，我们的目标是符合 IPSGs 的患者安全。本研究的目的是检查骨科医生为 JCI 认证所做的准备活动，包括明确识别患者、手术前的暂停和标记以确保手术正确、及时批准 CT/MRI 报告、关注疼痛管理、预防感染、设定质量指标和进行日常监测以及团队合作。JCI 的审查员访问了我们的医院，审查病历和文件，并采访了患者、护士和医生。共有 1270 个评估项目，涵盖 16 个领域，包括 IPSGs、患者评估和护理、感染预防和控制以及治理和领导的审查。最重要的是，我们医院全体医务人员为获得日本国立大学医院的首次 JCI 认证所做的努力，从患者的角度促进了医疗保健的安全性和质量。
