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Comprehensive Accreditation Manual for Laboratory and Point-of-Care Testing (CAMLAB), 2021
- What’s New 2021 CAMLAB
- Cover
- The Joint Commission Mission
- Contents
- Introduction: How The Joint Commission Can Help You Move Toward High Reliability (INTRO) [Go to Page]
- I. Introduction to Joint Commission Accreditation
- II. About the
- III. Steps to Achieving and Maintaining Compliance
- IV. Get Extra Help
- Patient Safety Systems (PS) [Go to Page]
- Introduction
- What Does This Chapter Contain?
- Becoming a Learning Organization
- The Role of Laboratory Leaders in Patient Safety
- Data Use and Reporting Systems
- A Proactive Approach to Preventing Harm
- Encouraging Patient Activation
- Beyond Accreditation: The Joint Commission Is Your Patient Safety Partner
- References
- Appendix. Key Patient Safety Requirements
- Accreditation Participation Requirements (APR) [Go to Page]
- Overview
- Chapter Outline
- Requirements, Rationales, and Elements of Performance
- Document and Process Control (DC) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Environment of Care (EC) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Emergency Management (EM) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Human Resources (HR) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Infection Prevention and Control (IC) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Information Management (IM) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Leadership (LD) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- National Patient Safety Goals (NPSG) [Go to Page]
- Chapter Outline
- Requirements, Rationales, and Elements of Performance
- Performance Improvement (PI) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Quality System Assessment for Nonwaived Testing (QSA) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Transplant Safety (TS) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Waived Testing (WT) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- The Accreditation Process (ACC) [Go to Page]
- Notices
- ACC Chapter Contents
- Overview
- Accreditation Policies
- Before the Survey
- During the Survey
- After the Survey
- Between Accreditation Surveys
- Decision Rules for Organizations Seeking Initial Accreditation
- Decision Rules for Organizations Seeking Reaccreditation
- Process for Organizations That Meet Decision Rule PDA02 for Patients Placed at Risk for Serious Adverse Outcomes Due to Signific
- Process for Organizations That Meet Decision Rule PDA04
- Review and Appeal Procedures
- Standards Applicability Grid (SAG)
- Sentinel Events (SE) [Go to Page]
- I. Sentinel Events
- II. Goals of the Sentinel Event Policy
- III. Responding to Sentinel Events
- IV. The Sentinel Event Database
- V. Determination That a Sentinel Event Is Subject to Review
- VI. Optional On-Site Review of a Sentinel Event
- VII. Disclosable Information
- VIII. The Joint Commission’s Response
- IX. Sentinel Event Measures of Success (SE MOS)
- X. Handling Sentinel Event–Related Documents
- XI. Oversight of the Sentinel Event Policy
- XII. Survey Process
- Appendix. Accreditation Requirements Related to Sentinel Events
- The Joint Commission Quality Report (QR) [Go to Page]
- Introduction
- What Is The Joint Commission Quality Report?
- What Will My Quality Report Contain?
- What Is Quality Check?
- Can My Laboratory Comment on Its Quality Report?
- What Are the Marketing and Communication Guidelines for Publicizing Your Accreditation and Commitment to Quality?
- Required Written Documentation (RWD) [Go to Page]
- List of EPs Requiring Written Documentation for Laboratories and Pointof Care Testing
- Early Survey Policy (ESP)
- Appendix A: Retention Times for Records, Reports, and Specimens (AXA) [Go to Page]
- Retention Times for Records, Reports, and Specimens
- Appendix B: Laboratory Developed Tests (AXB) [Go to Page]
- Laboratory Developed Tests
- Appendix C: Individualized Quality Control Plan–Eligible Requirements (AXC)
- Appendix D: Duplicate Laboratory and Hospital/ Critical Access Hospital Requirements (AXD)
- Glossary (GL)
- Index (IX) [Go to Page]
