Get the official Joint Commission standards and other accreditation requirements in the 2020 Comprehensive Accreditation Manual for Laboratory and Point-of-Care Testing (CAMLAB).

Key Topics:

“Gold tab” standards requirements including the standards, National Patient Safety Goals, and Accreditation Participation Requirements effective January 1, 2020

“Blue tab” accreditation process information about Joint Commission policies and procedures and practical survey preparation information on the Early Survey Policy, documentation requirements, patient safety systems and more

Several appendixes, including one on standards related to Individualized Quality Control Plans (IQCP) and a new one on duplicated standards between the laboratory and hospital accreditation programs

Keys to successfully using the manual for survey preparedness

Key Features:

Survey readiness tools including compliance prompts, documentation checklists, and action planning worksheets in every standards chapter

Icons to help navigate documentation requirements as well as risk areas

“What’s New” summary of changes made since the previous hard copy edition

Standards: All laboratory standards

Setting: Organizations accredited under the Laboratory Accreditation Program, including

Laboratories in hospitals, clinics, nursing care facilities, home care organizations, behavioral health care organizations, ambulatory sites and physician offices

Reference laboratories

Freestanding laboratories, such as assisted reproductive technology laboratories

Blood transfusion and donor center laboratories

Public health laboratories, including Indian Health Service laboratories

Laboratories in federal health care facilities, such as the Department of Veterans Affairs

Point-of-care test sites in patient care areas, which may include blood gas laboratories providing services to patients in emergency rooms, surgical suites, and cardiac catheterization laboratories

Key Audience: Staff responsible for accreditation, compliance, patient safety,

PDF Catalog

PDF Pages	PDF Title
1	What’s New 2020 CAMLAB
7	Cover
8	Copyright
9	Contents
11	Introduction: How The Joint Commission Can Help You Move Toward High Reliability (INTRO)
12	I. Introduction to Joint Commission Accreditation
15	Table 1. Standards That Address Complex Issues in Laboratories
16	II. About the Comprehensive Accreditation Manual for Laboratory and Point-of-Care Testing
18	Table 2. Acronyms Used in This Manual
19	Table 2.
28	III. Steps to Achieving and Maintaining Compliance
34	IV. Get Extra Help
37	Patient Safety Systems (PS) Introduction
38	What Does This Chapter Contain?
39	Sidebar 1. Key Terms to Understand
40	Sidebar 1. Becoming a Learning Organization
41	The Role of Laboratory Leaders in Patient Safety
45	Sidebar 2. Assessing Staff Accountability
46	Sidebar 2. Data Use and Reporting Systems
49	Table 1. Defining and Comparing Analytical Tools
50	A Proactive Approach to Preventing Harm
51	Sidebar 3. Strategies for an Effective Risk Assessment
52	Sidebar 3.
53	Encouraging Patient Activation
54	Beyond Accreditation: The Joint Commission Is Your Patient Safety Partner
56	References
58	Appendix. Key Patient Safety Requirements Standard EC.04.01.01 Elements of Performance for EC.04.01.01
59	Standard EC.04.01.03 Elements of Performance for EC.04.01.03
60	Standard EC.04.01.05 Elements of Performance for EC.04.01.05 Standard IC.01.03.01 Elements of Performance for IC.01.03.01 Standard LD.03.01.01 Elements of Performance for LD.03.01.01
61	Standard LD.03.02.01 Elements of Performance for LD.03.02.01 Standard LD.03.04.01 Elements of Performance for LD.03.04.01 Standard LD.03.07.01 Elements of Performance for LD.03.07.01
62	Standard LD.03.09.01 Elements of Performance for LD.03.09.01
63	Standard QSA.01.01.01 Elements of Performance for QSA.01.01.01
67	Accreditation Participation Requirements (APR) Overview
68	Chapter Outline
69	Requirements, Rationales, and Elements of Performance APR.01.01.01 Elements of Performance for APR.01.01.01 APR.01.02.01 Rationale for APR.01.02.01
70	Elements of Performance for APR.01.02.01 APR.01.03.01 Elements of Performance for APR.01.03.01 APR.02.01.01 Elements of Performance for APR.02.01.01
71	APR.03.01.01 Rationale for APR.03.01.01 Elements of Performance for APR.03.01.01
72	APR.05.01.01 Rationale for APR.05.01.01 Elements of Performance for APR.05.01.01 APR.06.01.01 Elements of Performance for APR.06.01.01 APR.07.01.01 Elements of Performance for APR.07.01.01
73	APR.08.01.01 Elements of Performance for APR.08.01.01 APR.09.01.01 Elements of Performance for APR.09.01.01 APR.09.02.01
74	Rationale for APR.09.02.01 Elements of Performance for APR.09.02.01 APR.09.03.01 Elements of Performance for APR.09.03.01 APR.09.04.01
75	Elements of Performance for APR.09.04.01 APR.10.03.01 Elements of Performance for APR.10.03.01
78	Accreditation Participation Requirements (APR)
83	Document and Process Control (DC) Overview
84	Chapter Outline
85	Standards, Rationales, and Elements of Performance Standard DC.01.01.01 Rationale for DC.01.01.01 Elements of Performance for DC.01.01.01
86	Standard DC.01.02.01 Elements of Performance for DC.01.02.01
87	Standard DC.01.02.03 Elements of Performance for DC.01.02.03 Standard DC.01.03.01 Elements of Performance for DC.01.03.01
88	Standard DC.02.01.01 Rationale for DC.02.01.01 Elements of Performance for DC.02.01.01
89	Standard DC.02.01.03 Elements of Performance for DC.02.01.03 Standard DC.02.01.05
90	Elements of Performance for DC.02.01.05 Standard DC.02.01.07 Elements of Performance for DC.02.01.07
91	Standard DC.02.02.01 Elements of Performance for DC.02.02.01 Standard DC.02.03.01 Elements of Performance for DC.02.03.01
92	Standard DC.02.03.03
93	Elements of Performance for DC.02.03.03 Standard DC.02.04.01 Elements of Performance for DC.02.04.01
95	Standard DC.03.01.01 Elements of Performance for DC.03.01.01
100	Document and Process Control (DC)
107	Environment of Care (EC) Overview
110	Chapter Outline
111	Standards, Rationales, and Elements of Performance Standard EC.01.01.01 Rationale for EC.01.01.01 Elements of Performance for EC.01.01.01
112	Standard EC.02.01.01 Rationale for EC.02.01.01 Elements of Performance for EC.02.01.01
113	Standard EC.02.01.03 Elements of Performance for EC.02.01.03 Standard EC.02.02.01 Rationale for EC.02.02.01
114	Elements of Performance for EC.02.02.01
115	Standard EC.02.03.01 Rationale for EC.02.03.01 Elements of Performance for EC.02.03.01
116	Standard EC.02.03.03 Elements of Performance for EC.02.03.03 Standard EC.02.03.05 Elements of Performance for EC.02.03.05
117	Standard EC.02.04.01 Elements of Performance for EC.02.04.01
118	Standard EC.02.04.03 Elements of Performance for EC.02.04.03
119	Standard EC.02.04.05 Elements of Performance for EC.02.04.05
120	Standard EC.02.05.01 Elements of Performance for EC.02.05.01
121	Standard EC.02.05.03 Elements of Performance for EC.02.05.03
122	Standard EC.02.05.05 Elements of Performance for EC.02.05.05 Standard EC.02.05.07
123	Rationale for EC.02.05.07 Elements of Performance for EC.02.05.07
125	Standard EC.02.06.01 Elements of Performance for EC.02.06.01
126	Standard EC.02.06.05 Rationale for EC.02.06.05 Elements of Performance for EC.02.06.05
127	Standard EC.03.01.01 Rationale for EC.03.01.01 Elements of Performance for EC.03.01.01 Standard EC.04.01.01
128	Elements of Performance for EC.04.01.01
129	Standard EC.04.01.03 Elements of Performance for EC.04.01.03 Standard EC.04.01.05 Elements of Performance for EC.04.01.05
133	Environment of Care (EC)
141	Emergency Management (EM) Overview
144	Chapter Outline
145	Standards, Rationales, and Elements of Performance Standard EM.01.01.01 Rationale for EM.01.01.01 Elements of Performance for EM.01.01.01
146	Standard EM.02.01.01
147	Rationale for EM.02.01.01 Elements of Performance for EM.02.01.01
148	Standard EM.02.02.01 Rationale for EM.02.02.01 Elements of Performance for EM.02.02.01
149	Standard EM.02.02.03 Rationale for EM.02.02.03 Elements of Performance for EM.02.02.03
150	Standard EM.02.02.05 Elements of Performance for EM.02.02.05 Standard EM.02.02.07
151	Rationale for EM.02.02.07 Elements of Performance for EM.02.02.07 Standard EM.02.02.09 Rationale for EM.02.02.09
152	Elements of Performance for EM.02.02.09 Standard EM.02.02.11 Rationale for EM.02.02.11 Elements of Performance for EM.02.02.11
154	Standard EM.02.02.15 Elements of Performance for EM.02.02.15
156	Standard EM.03.01.03 Rationale for EM.03.01.03 Elements of Performance for EM.03.01.03
161	Emergency Management (EM)
165	Human Resources (HR) Overview
167	Chapter Outline
168	Standards, Rationales, and Elements of Performance Standard HR.01.01.01 Elements of Performance for HR.01.01.01
169	Standard HR.01.02.03 Elements of Performance for HR.01.02.03
170	Standard HR.01.02.05
171	Elements of Performance for HR.01.02.05 Standard HR.01.02.07 Elements of Performance for HR.01.02.07 Standard HR.01.03.01 Elements of Performance for HR.01.03.01 Standard HR.01.04.01 Elements of Performance for HR.01.04.01
173	Standard HR.01.05.03 Elements of Performance for HR.01.05.03 Standard HR.01.06.01 Elements of Performance for HR.01.06.01
175	Standard HR.01.07.01 Elements of Performance for HR.01.07.01
182	Human Resources (HR)
187	Infection Prevention and Control (IC) Overview
189	Chapter Outline
190	Standards, Rationales, and Elements of Performance Standard IC.01.01.01
191	Rationale for IC.01.01.01 Elements of Performance for IC.01.01.01 Standard IC.01.02.01 Elements of Performance for IC.01.02.01 Standard IC.01.03.01 Elements of Performance for IC.01.03.01
192	Standard IC.01.04.01 Elements of Performance for IC.01.04.01 Standard IC.01.05.01 Elements of Performance for IC.01.05.01
193	Standard IC.01.06.01 Rationale for IC.01.06.01 Elements of Performance for IC.01.06.01
194	Standard IC.02.01.01 Elements of Performance for IC.02.01.01
195	Standard IC.02.02.01 Rationale for IC.02.02.01 Elements of Performance for IC.02.02.01
196	Standard IC.02.03.01 Elements of Performance for IC.02.03.01
197	Standard IC.02.04.01
198	Elements of Performance for IC.02.04.01
199	Standard IC.03.01.01 Elements of Performance for IC.03.01.01
203	Infection Control and Prevention (IC)
207	Information Management (IM) Overview
208	Chapter Outline
209	Standards, Rationales, and Elements of Performance Standard IM.01.01.01 Elements of Performance for IM.01.01.01
210	Standard IM.01.01.03 Elements of Performance for IM.01.01.03
211	Standard IM.02.01.01 Elements of Performance for IM.02.01.01
212	Standard IM.02.01.03 Elements of Performance for IM.02.01.03
213	Standard IM.02.02.01 Rationale for IM.02.02.01 Elements of Performance for IM.02.02.01
214	Standard IM.02.02.03 Rationale for IM.02.02.03
215	Elements of Performance for IM.02.02.03 Standard IM.02.02.05 Elements of Performance for IM.02.02.05 Standard IM.03.01.01
216	Elements of Performance for IM.03.01.01 Standard IM.04.01.01 Rationale for IM.04.01.01 Elements of Performance for IM.04.01.01 Standard IM.05.01.01 Elements of Performance for IM.05.01.01
219	Information Management (IM)
223	Leadership (LD) Overview
226	Chapter Outline
227	Standards, Rationales, and Elements of Performance Standard LD.01.01.01
228	Rationale for LD.01.01.01 Elements of Performance for LD.01.01.01 Standard LD.01.03.01 Rationale for LD.01.03.01
229	Elements of Performance for LD.01.03.01
230	Standard LD.02.01.01 Rationale for LD.02.01.01 Elements of Performance for LD.02.01.01
232	Standard LD.03.01.01 Rationale for LD.03.01.01
233	Elements of Performance for LD.03.01.01 Standard LD.03.02.01 Rationale for LD.03.02.01 Elements of Performance for LD.03.02.01 Standard LD.03.03.01
234	Rationale for LD.03.03.01 Elements of Performance for LD.03.03.01 Standard LD.03.04.01 Rationale for LD.03.04.01 Elements of Performance for LD.03.04.01
235	Standard LD.03.05.01 Rationale for LD.03.05.01 Elements of Performance for LD.03.05.01 Standard LD.03.06.01 Rationale for LD.03.06.01 Elements of Performance for LD.03.06.01
237	Standard LD.03.07.01 Elements of Performance for LD.03.07.01 Standard LD.03.08.01 Elements of Performance for LD.03.08.01
238	Standard LD.03.09.01 Elements of Performance for LD.03.09.01 Standard LD.04.01.01 Elements of Performance for LD.04.01.01
239	Standard LD.04.01.03 Elements of Performance for LD.04.01.03 Standard LD.04.01.05 Elements of Performance for LD.04.01.05 Standard LD.04.01.11
240	Rationale for LD.04.01.11 Elements of Performance for LD.04.01.11 Standard LD.04.02.01 Elements of Performance for LD.04.02.01 Standard LD.04.02.03 Elements of Performance for LD.04.02.03 Standard LD.04.03.01
241	Elements of Performance for LD.04.03.01 Monitoring Contracted Services
242	Standard LD.04.03.09 Elements of Performance for LD.04.03.09
244	Standard LD.04.05.01 Rationale for LD.04.05.01 Elements of Performance for LD.04.05.01
245	Standard LD.04.05.03 Elements of Performance for LD.04.05.03
246	Standard LD.04.05.05 Elements of Performance for LD.04.05.05 Standard LD.04.05.07 Elements of Performance for LD.04.05.07
247	Standard LD.04.05.09 Elements of Performance for LD.04.05.09
248	Standard LD.04.05.11 Elements of Performance for LD.04.05.11
249	Standard LD.04.05.13 Elements of Performance for LD.04.05.13
254	Leadership (LD)
259	National Patient Safety Goals (NPSG) Chapter Outline National Patient Safety Goals
260	Requirements, Rationales, and Elements of Performance NPSG.01.01.01 Rationale for NPSG.01.01.01 Elements of Performance for NPSG.01.01.01 NPSG.02.03.01 Rationale for NPSG.02.03.01
261	Elements of Performance for NPSG.02.03.01 NPSG.07.01.01 Rationale for NPSG.07.01.01
262	Elements of Performance for NPSG.07.01.01
264	National Patient Safety Goal (NPSG)
267	Performance Improvement (PI) Overview
269	Chapter Outline
270	Standards, Rationales, and Elements of Performance Standard PI.01.01.01 Elements of Performance for PI.01.01.01
271	Standard PI.02.01.01 Elements of Performance for PI.02.01.01
272	Standard PI.03.01.01 Elements of Performance for PI.03.01.01
277	Quality System Assessment for Nonwaived Testing (QSA) Overview
278	Chapter Outline
283	Standards, Rationales, and Elements of Performance Standard QSA.01.01.01 Rationale for QSA.01.01.01
284	Elements of Performance for QSA.01.01.01
286	Standard QSA.01.02.01 Rationale for QSA.01.02.01 Elements of Performance for QSA.01.02.01
288	Standard QSA.01.03.01 Elements of Performance for QSA.01.03.01 Standard QSA.01.04.01 Elements of Performance for QSA.01.04.01
289	Standard QSA.01.05.01 Elements of Performance for QSA.01.05.01
290	Standard QSA.02.01.01 Elements of Performance for QSA.02.01.01
292	Standard QSA.02.02.01 Rationale for QSA.02.02.01 Elements of Performance for QSA.02.02.01
293	Standard QSA.02.03.01 Elements of Performance for QSA.02.03.01
294	Standard QSA.02.04.01
295	Elements of Performance for QSA.02.04.01
296	Standard QSA.02.06.01 Elements of Performance for QSA.02.06.01
297	Standard QSA.02.07.01 Elements of Performance for QSA.02.07.01
298	Standard QSA.02.08.01 Elements of Performance for QSA.02.08.01
299	Standard QSA.02.09.01 Elements of Performance for QSA.02.09.01 Standard QSA.02.10.01 Elements of Performance for QSA.02.10.01
302	Standard QSA.02.10.03 Elements of Performance for QSA.02.10.03
303	Standard QSA.02.11.01 Elements of Performance for QSA.02.11.01
304	Standard QSA.02.12.01 Elements of Performance for QSA.02.12.01
306	Standard QSA.02.13.01 Elements of Performance for QSA.02.13.01
307	Standard QSA.02.14.01 Elements of Performance for QSA.02.14.01 Standard QSA.03.01.01
308	Elements of Performance for QSA.03.01.01 Standard QSA.03.02.01 Rationale for QSA.03.02.01 Elements of Performance for QSA.03.02.01 Standard QSA.03.03.01 Elements of Performance for QSA.03.03.01 Standard QSA.04.01.01
309	Elements of Performance for QSA.04.01.01
310	Standard QSA.04.02.01 Elements of Performance for QSA.04.02.01
311	Standard QSA.04.03.01 Elements of Performance for QSA.04.03.01 Standard QSA.04.04.01
312	Elements of Performance for QSA.04.04.01 Standard QSA.04.05.01
313	Elements of Performance for QSA.04.05.01 Standard QSA.04.06.01 Elements of Performance for QSA.04.06.01 Standard QSA.04.07.01
314	Rationale for QSA.04.07.01 Elements of Performance for QSA.04.07.01 Standard QSA.05.01.01 Elements of Performance for QSA.05.01.01
315	Standard QSA.05.02.01 Elements of Performance for QSA.05.02.01
316	Standard QSA.05.02.03 Elements of Performance for QSA.05.02.03
317	Standard QSA.05.02.05 Elements of Performance for QSA.05.02.05 Standard QSA.05.03.01 Elements of Performance for QSA.05.03.01 Standard QSA.05.03.03 Elements of Performance for QSA.05.03.03
318	Standard QSA.05.04.01 Elements of Performance for QSA.05.04.01
319	Standard QSA.05.04.03 Elements of Performance for QSA.05.04.03 Standard QSA.05.05.01 Elements of Performance for QSA.05.05.01
320	Standard QSA.05.06.01 Elements of Performance for QSA.05.06.01 Standard QSA.05.07.01
321	Elements of Performance for QSA.05.07.01 Standard QSA.05.08.01 Elements of Performance for QSA.05.08.01
322	Standard QSA.05.09.01 Elements of Performance for QSA.05.09.01
323	Standard QSA.05.09.03
324	Elements of Performance for QSA.05.09.03 Standard QSA.05.10.01 Elements of Performance for QSA.05.10.01
325	Standard QSA.05.11.01 Elements of Performance for QSA.05.11.01 Standard QSA.05.12.01
326	Rationale for QSA.05.12.01 Elements of Performance for QSA.05.12.01 Standard QSA.05.13.01 Elements of Performance for QSA.05.13.01 Standard QSA.05.14.01 Elements of Performance for QSA.05.14.01
328	Standard QSA.05.14.03 Elements of Performance for QSA.05.14.03 Standard QSA.05.14.05 Elements of Performance for QSA.05.14.05
329	Standard QSA.05.14.07 Elements of Performance for QSA.05.14.07 Standard QSA.05.16.01 Elements of Performance for QSA.05.16.01
330	Standard QSA.05.17.01 Elements of Performance for QSA.05.17.01 Standard QSA.05.18.01 Elements of Performance for QSA.05.18.01
331	Standard QSA.05.19.01 Elements of Performance for QSA.05.19.01
332	Standard QSA.05.19.03 Elements of Performance for QSA.05.19.03
333	Standard QSA.05.19.05 Elements of Performance for QSA.05.19.05 Standard QSA.05.20.01 Elements of Performance for QSA.05.20.01
334	Standard QSA.05.21.01 Elements of Performance for QSA.05.21.01
335	Standard QSA.05.22.01 Elements of Performance for QSA.05.22.01 Standard QSA.05.23.01 Elements of Performance for QSA.05.23.01
336	Standard QSA.05.24.01 Elements of Performance for QSA.05.24.01
337	Standard QSA.05.24.03 Elements of Performance for QSA.05.24.03 Standard QSA.05.25.01
338	Elements of Performance for QSA.05.25.01
339	Standard QSA.06.01.01 Elements of Performance for QSA.06.01.01 Standard QSA.06.02.01 Elements of Performance for QSA.06.02.01 Standard QSA.06.03.01
340	Elements of Performance for QSA.06.03.01 Standard QSA.06.03.03 Elements of Performance for QSA.06.03.03
341	Standard QSA.06.04.01 Elements of Performance for QSA.06.04.01 Standard QSA.06.04.03 Elements of Performance for QSA.06.04.03
342	Standard QSA.06.04.05 Elements of Performance for QSA.06.04.05
343	Standard QSA.07.01.01 Rationale for QSA.07.01.01 Elements of Performance for QSA.07.01.01 Standard QSA.07.02.01 Elements of Performance for QSA.07.02.01 Standard QSA.08.01.01
344	Elements of Performance for QSA.08.01.01 Standard QSA.08.02.01 Elements of Performance for QSA.08.02.01
345	Standard QSA.08.03.01 Elements of Performance for QSA.08.03.01
347	Standard QSA.08.04.01 Elements of Performance for QSA.08.04.01
349	Standard QSA.08.05.01
350	Elements of Performance for QSA.08.05.01 Standard QSA.08.06.01 Elements of Performance for QSA.08.06.01
351	Standard QSA.08.06.03 Elements of Performance for QSA.08.06.03 Standard QSA.08.07.01 Elements of Performance for QSA.08.07.01
352	Standard QSA.08.08.01 Elements of Performance for QSA.08.08.01
353	Standard QSA.08.09.01 Elements of Performance for QSA.08.09.01 Standard QSA.09.01.01 Elements of Performance for QSA.09.01.01
354	Standard QSA.09.02.01 Elements of Performance for QSA.09.02.01 Standard QSA.09.03.01 Elements of Performance for QSA.09.03.01
356	Standard QSA.09.03.03 Elements of Performance for QSA.09.03.03 Standard QSA.09.03.05 Elements of Performance for QSA.09.03.05 Standard QSA.09.03.07 Elements of Performance for QSA.09.03.07
357	Standard QSA.09.04.01 Elements of Performance for QSA.09.04.01 Standard QSA.09.05.01
358	Elements of Performance for QSA.09.05.01 Standard QSA.09.06.01 Elements of Performance for QSA.09.06.01 Standard QSA.09.07.01 Elements of Performance for QSA.09.07.01
359	Standard QSA.09.07.03 Elements of Performance for QSA.09.07.03
360	Standard QSA.10.01.01 Elements of Performance for QSA.10.01.01
361	Standard QSA.10.02.01 Elements of Performance for QSA.10.02.01 Standard QSA.10.03.01 Rationale for QSA.10.03.01 Elements of Performance for QSA.10.03.01
362	Standard QSA.10.04.01 Elements of Performance for QSA.10.04.01 Standard QSA.10.05.01 Rationale for QSA.10.05.01
363	Elements of Performance for QSA.10.05.01 Standard QSA.10.06.01 Elements of Performance for QSA.10.06.01
364	Standard QSA.10.07.01 Elements of Performance for QSA.10.07.01 Standard QSA.11.01.01 Elements of Performance for QSA.11.01.01
365	Standard QSA.11.02.01 Elements of Performance for QSA.11.02.01
366	Standard QSA.12.01.01 Elements of Performance for QSA.12.01.01
368	Standard QSA.12.02.01 Elements of Performance for QSA.12.02.01
369	Standard QSA.12.03.01 Elements of Performance for QSA.12.03.01
370	Standard QSA.12.04.01 Elements of Performance for QSA.12.04.01 Standard QSA.12.05.01 Elements of Performance for QSA.12.05.01
371	Standard QSA.12.06.01 Elements of Performance for QSA.12.06.01 Standard QSA.12.07.01 Elements of Performance for QSA.12.07.01 Standard QSA.13.01.01
372	Elements of Performance for QSA.13.01.01 Standard QSA.13.02.01 Elements of Performance for QSA.13.02.01 Standard QSA.13.03.01 Elements of Performance for QSA.13.03.01
373	Standard QSA.13.03.03 Elements of Performance for QSA.13.03.03 Standard QSA.13.04.01 Elements of Performance for QSA.13.04.01
374	Standard QSA.13.05.01 Elements of Performance for QSA.13.05.01 Standard QSA.13.06.01
375	Elements of Performance for QSA.13.06.01 Standard QSA.13.07.01 Elements of Performance for QSA.13.07.01
376	Standard QSA.13.08.01 Elements of Performance for QSA.13.08.01 Standard QSA.14.01.01 Elements of Performance for QSA.14.01.01
377	Standard QSA.14.02.01 Elements of Performance for QSA.14.02.01 Standard QSA.15.01.01 Elements of Performance for QSA.15.01.01
378	Standard QSA.15.02.01 Elements of Performance for QSA.15.02.01
379	Standard QSA.15.03.01 Elements of Performance for QSA.15.03.01 Standard QSA.15.04.01 Elements of Performance for QSA.15.04.01
380	Standard QSA.15.05.01 Elements of Performance for QSA.15.05.01 Standard QSA.16.01.01 Elements of Performance for QSA.16.01.01
381	Standard QSA.16.02.01 Elements of Performance for QSA.16.02.01 Standard QSA.17.01.01 Elements of Performance for QSA.17.01.01
382	Standard QSA.17.01.03 Elements of Performance for QSA.17.01.03 Standard QSA.17.02.01 Elements of Performance for QSA.17.02.01 Standard QSA.18.01.01
383	Elements of Performance for QSA.18.01.01 Standard QSA.19.01.01 Elements of Performance for QSA.19.01.01 Standard QSA.19.02.01
384	Elements of Performance for QSA.19.02.01 Standard QSA.20.01.01 Elements of Performance for QSA.20.01.01
385	Standard QSA.21.01.01 Elements of Performance for QSA.21.01.01
386	Standard QSA.21.02.01 Elements of Performance for QSA.21.02.01 Standard QSA.21.03.01 Elements of Performance for QSA.21.03.01 Standard QSA.21.04.01
387	Elements of Performance for QSA.21.04.01
418	Quality System Assessment (QSA)
461	Transplant Safety (TS) Overview
462	Chapter Outline
463	Standards, Rationales, and Elements of Performance Examples of Tissue and Cell Products
465	Standard TS.03.01.01 Elements of Performance for TS.03.01.01
467	Standard TS.03.02.01 Elements of Performance for TS.03.02.01
468	Standard TS.03.03.01 Elements of Performance for TS.03.03.01
470	Transplant Safety (TS)
475	Waived Testing (WT) Overview
478	Chapter Outline
479	Standards, Rationales, and Elements of Performance Standard WT.01.01.01 Elements of Performance for WT.01.01.01
480	Standard WT.02.01.01
481	Elements of Performance for WT.02.01.01 Standard WT.03.01.01 Elements of Performance for WT.03.01.01
482	Standard WT.04.01.01 Elements of Performance for WT.04.01.01
483	Standard WT.05.01.01 Elements of Performance for WT.05.01.01
488	Waived Testing (WT)
493	The Accreditation Process (ACC) Notices ACC Chapter Contents
495	Overview
496	Accreditation Policies
515	Sidebar 1. Early Survey Policy
516	Sidebar 1.
518	Before the Survey
523	During the Survey
524	Table 1. Exceptions to Unannounced Surveys
536	After the Survey
546	Between Accreditation Surveys
549	Sidebar 2. Focused Standards Assessment (FSA) Options
550	Sidebar 2.
558	Decision Rules for Organizations Seeking Initial Accreditation
561	Decision Rules for Organizations Seeking Reaccreditation
565	Process for Organizations That Meet Decision Rule PDA02 for Patients Placed at Risk for Serious Adverse Outcomes Due to Signific
567	Process for Organizations That Meet Decision Rule PDA04
568	Review and Appeal Procedures
575	Standards Applicability Grid (SAG)
641	Sentinel Events (SE) I. Sentinel Events
645	II. Goals of the Sentinel Event Policy III. Responding to Sentinel Events
653	IV. The Sentinel Event Database V. Determination That a Sentinel Event Is Subject to Review VI. Optional On-Site Review of a Sentinel Event
654	VII. Disclosable Information VIII. The Joint Commission’s Response
655	IX. Sentinel Event Measures of Success (SE MOS) X. Handling Sentinel Event–Related Documents
656	XI. Oversight of the Sentinel Event Policy XII. Survey Process
657	Appendix. Accreditation Requirements Related to Sentinel Events Standard LD.03.09.01 Elements of Performance for LD.03.09.01
659	The Joint Commission Quality Report (QR) Introduction What Is The Joint Commission Quality Report?
660	What Will My Quality Report Contain? What Is Quality Check?
661	Can My Laboratory Comment on Its Quality Report?
662	What Are the Marketing and Communication Guidelines for Publicizing Your Accreditation and Commitment to Quality?
665	Required Written Documentation (RWD)
666	List of EPs Requiring Written Documentation for Laboratories and Pointof Care Testing Accreditation Participation Requirements (APR) Document and Process Control (DC) Environment of Care (EC) Emergency Management (EM) Human Resources (HR)
667	Infection Prevention and Control (IC) Information Management (IM) Leadership (LD) National Patient Safety Goals (NPSG)
668	Quality System Assessment for Nonwaived Testing (QSA)
669	Transplant Safety (TS) Waived Testing (WT)
671	Early Survey Policy (ESP) Accreditation Participation Requirements (APR) Document and Process Control (DC)
672	Environment of Care (EC) Emergency Management (EM) Human Resources (HR) Infection Prevention and Control (IC)
673	Information Management (IM) Leadership (LD) National Patient Safety Goals (NPSG) Performance Improvement (PI)
674	Quality System Assessment for Nonwaived Testing (QSA)
675	Transplant Safety (TS) Waived Testing (WT)
677	Appendix A: Retention Times for Records, Reports, and Specimens (AXA) Retention Times for Records, Reports, and Specimens
681	Appendix B: Laboratory Developed Tests (AXB) Laboratory Developed Tests
683	Appendix C: Individualized Quality Control Plan–Eligible Requirements (AXC) Quality System Assessment for Nonwaived Testing (QSA)
685	Appendix D: Duplicate Laboratory and Hospital/ Critical Access Hospital Requirements (AXD) Environment of Care (EC)
686	Infection Prevention and Control (IC) Transplant Safety (TS)
687	Glossary (GL)
711	Index (IX)

Published By	Publication Date	Number of Pages
JCR	2020


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Standard Title	Comprehensive Accreditation Manual for Laboratory and Point-of-Care Testing (CAMLAB)
Published Code	JCR
Publication Date	2020

JCR CAMLAB 2020

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