(FMEA) process recommended by the Joint Commission on

Joint Commission–accredited organizations are encour-aged—but not mandated—to self report sentinel events. In fact, about 70 % of the reviewable sentinel events received by

Purpose. The primary objective of this paper is to discuss pharmaceutical care of the oncology patient in the context of recent recommendations made by

established six Core Measures as indicators of qual-ity in the delivery of care to adult Intensive Care Unit (ICU) patients. These Core Measures are demanding in terms of the amount of physiologic, medication, treatment and observational data required for meas-urement. At Cedars-Sinai Medical Center (CSMC), a Clinical Information System (CIS) gathers data for all ICU patients. For 72 beds in eight adult ICUs, the CIS was configured to ensure automated and easy charting of Core Measure observations. Severity of illness is automatically calculated from physiologic and admission data. All data is automatically trans-ferred to a relational database daily. A Core Meas-ure scoring program was devised to produce weekly and monthly run charts of JCAHO ICU Core Meas-ure performance for each ICU. Internal publication of results and refinement of care processes led to progressive improvement in compliance with Core Measure treatments.

asthma core measure, child, home management plan of care, quality improvement

prepared for the

The Connecticut River Valley of Vermont and New Hampshire is home to a remarkable partnership among the governments in the two states, businesses, farmers, conservationists, and other citizens from many walks of life. Working together through the Connecticut River Joint Commissions (CRJC

, the International Joint Commission produced this report to inform the public on how much has been done in restoring beneficial uses in Areas of Concern. The Commission greatly appreciates the cooperation and assistance of the two governments in its preparation.

ABSTRACf: The authors outline the quality indicators being

The granting of clinical staff privileges is one of the primarymechanisms used by institutions to uphold the quality of