Frederic C. Bartter
General Clinical Research Center (GCRC)
Joint Commission 2004 Comprehensive
Accreditation
Manual for Hospitals
**
Applicable to the GCRC DSMP **
IM.6.10 The hospital has a complete and accurate medical record for every patient assessed or treated.
IM.6.20 Records contain patient-specific information, as appropriate, to the care, treatment, and services provided.
IM.6.30 The medical record thoroughly documents operative or other procedures and the use of moderate or deep sedation or anesthesia.
IM.6.40 For patients receiving continuing ambulatory care services, the medical record contains a summary list of all significant diagnoses, procedures, drug allergies, and medications.
IM.6.50 Designated qualified personnel accept and transcribe verbal orders from authorized individuals.
IM.6.60 The hospital can provide access to all relevant information from a patient's record when needed for use in patient care, treatment, and services.
PC.16.10 The hospital defines the extent to which waived test results are used in patient care, treatment, and services (definitely or only as a screen).
PC.16.20 The hospital identified the staff responsible for performing and supervising waived testing.
PC.16.30 Staff performing test has adequate, specific training and orientation to perform the tests and demonstrates satisfactory levels of competence.
PC.16.40 Approved policies and procedures for specific testing-related processes are current and readily available.
PC.16.50 Quality control checks, as defined by the hospital, are conducted on each procedure.
PC.16.60 Appropriate quality control and test records are maintained.
MM.4.40 Medications are dispensed safely.
EC.2.10 The hospital identifies and manages its security risks.
EC.3.10 Hospitals must identify materials they use that need special handling and implement processes to minimize the risks of their unsafe use and improper disposal.
EC.6.10 The hospital manages medical equipment risks.
EC.8.10 The hospital establishes and maintains an appropriate environment.
APR 22 The organization reduces the risk of health care-acquired infections.
PI.3.20 An ongoing, proactive program for identifying and reducing unanticipated adverse events and safety risks to patients is defined and implemented.
PI.2.180 The hospital protects research subjects and respects their rights during research, investigation, and clinical trials involving human subjects.
Overview of the
requirements for a Data and Safety Monitoring Plan (DSMP)
Level of Risk Review Form (HTML)
(PDF)
Quality Management (QM) and the Data and Safety Monitoring
Plan (DSMP)
Data and Safety Monitoring Plan Guidelines
Data and Safety Monitoring Plan document
PDF Word
VA Policies related to the GCRC DSMP
RSA responsibility with
Quality Management (QM) and Data and Safety Monitoring (DSM)
Date page last modified: 08/08/05 03:04 PM
