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Joint Commission International

Who is Joint Commission International

Joint Commission International (JCI) is one of the world’s leading nonprofit patient safety organizations. JCI seeks a world where every patient receives the highest quality of care possible.

The most visible way we pursue this goal is through our accreditation program. To that end, JCI regularly publishes a demanding set of standards that represent the most current thinking in patient safety and quality improvement. Health care organizations that are capable of meeting these standards must undergo a comprehensive and rigorous on-site survey conducted by JCI in order to achieve accreditation. Once accredited, organizations must continue to meet our standards and are regularly assessed through periodic re-survey. JCI is completely independent from the organizations we accredit.

JCI also works to improve the quality of care within all hospitals, not just those that are capable of meeting our accreditation standards. Our global experts regularly assist hospitals, municipal governments, and ministries of health as they pursue their own quality goals and patient care outcomes.

History

Founded in 1994 by The Joint Commission, JCI works with health care organizations from more than 100 countries. Today, JCI fields a well-trained team of international accreditation surveyors and consultants who work in five continents.

Mission

The mission of JCI is to continuously improve the safety and quality of care in the international community through education, advisory services, and international accreditation and certification.

 

What is the Gold Seal of Approval®

JCI accreditation is viewed as the gold standard in the global health care community. A health care organization that has met JCI’s exacting standards can proudly display the Gold Seal of Approval® as a sign of this distinctive accomplishment.

As a patient, you may see the Gold Seal on the premises of JCI-accredited organizations or in their communications. It’s a visible sign of their commitment to deliver quality care in a safe environment. The Gold Seal of Approval enhances the status of these health care organizations among patients like you and clearly sets them apart from the competition. It also receives the universal respect of other providers, businesses, government ministries, and insurance companies.

So, when you are looking for a world-class health care organization, look for the JCI Gold Seal.

gold

 

Benefits of JCI Accreditation and Certification

JCI Accreditation

Joint Commission International accredits eight types of health care programs: hospitals, academic medical center hospitals, ambulatory care facilities, clinical laboratories, home care facilities, long term care facilities, medical transport organizations, and primary care centers. Here are more details about some of these accreditation categories.

Academic Medical Center 
JCI defines an academic medical center hospital as any of the following:

  • A medical facility that is integrated with a medical school
  • The principal site for the education of medical students and residents from the medical school
  • A site that conducts academic and/or commercial clinical research trials 

Ambulatory Care Facility
JCI defines an ambulatory care facility as any of the following:  

  • Free-standing medical, dental, and surgical facilities
  • Dialysis facilities
  • Diagnostic radiology centers
  • Outpatient chronic care management facilities
  • Acute care centers

Home Care Facility
JCI standards address best practices for care within a patient’s home, including end-of-life care. Measurable elements of performance cover:

  • All patient-centered care and interactions
  • Safety of the environment
  • Staff qualifications and education

Long Term Care Facility
JCI long term care standards address quality improvement issues for non-acute settings such as:

  • Assisted living facilities
  • Rehabilitation centers
  • Chronic care facilities

Medical Transport Organization
JCI standards address all aspects of emergency and nonemergency transport of patients and apply to public and community-based medical transport organizations associated with hospitals. JCI standards evaluate multiple transport modes including:

  • Emergency treatment and transport services
  • Nonemergency transport services 
  • Public and private ambulance services
  • Air and water medical transport
  • Fire brigade emergency services

Primary Care Center
JCI primary care standards focus on:

  • Community integration
  • Health promotion
  • Disease prevention
  • First-contact medical services
  • Linkages to other parts of the health care system

JCI Clinical Care Program Certification

JCI Clinical Care Program Certification (CCPC) is a means for JCI-accredited organizations to further demonstrate their commitment to quality patient care in a specific area of expertise – whether a service or disease. It is their next step towards excellence.

What are the benefits to patients?

A patient who chooses a facility that has received one or more CCPCs can have confidence that the facility has met strict criteria in patient safety, delivery of clinical care, overall patient support, and more. 

For example, if you need a breast cancer specialist or a facility that focuses on children’s asthma, a hospital with a CCPC in those clinical areas may be more beneficial to your care.

Currently, JCI offers the following certifications:

  • Acute Myocardial Infarction (heart-related diseases)
  • Asthma
  • Cancer (all types)
  • Childhood Asthma
  • Chronic Heart Failure
  • Chronic Kidney Disease
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Diabetes Mellitus (types 1 and 2)
  • End-stage Renal Disease
  • Heart Failure
  • HIV/AIDS Management
  • Joint Replacement (all types)
  • Osteoarthritis of the Knee
  • Outpatient Diabetes
  • Pain Management
  • Palliative Care (all types)
  • Primary Stroke
  • Transplantation (all types)
  • Traumatic Brain Injury
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Water Quality

Correct cleaning procedures extend life expectancy of instruments and equipment

Learning how to manage water quality

The dangers of water impurities range from the risk of patient infections to higher hospital costs as a result of device and equipment deterioration. Water impurities can destroy the surface of instruments, and/or damage the chamber walls and components in the machines used for cleaning and disinfection (washer-disinfectors) and sterilization (steam sterilizers).

Understanding water quality, and how the elements in water can affect cleaning, disinfection and sterilization processes and the longevity of equipment, is key for healthcare professionals responsible for device decontamination and equipment management.

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Water Quality - Correct cleaning procedures extend life expectancy of instruments and equipment (PDF-document, 694 kB)

Understanding Blood Pressure Blood pressure is typically recorded as two numbers, written as a ratio like this:

 

117 slash 76 mm Hg

Read as "117 over 76 millimeters of mercury"
 

Systolic

The top number, which is also the higher of the two numbers, measures the pressure in the arteries when the heart beats (when the heart muscle contracts).
 

Diastolic

The bottom number, which is also the lower of the two numbers, measures the pressure in the arteries between heartbeats (when the heart muscle is resting between beats and refilling with blood).

What is the AHA recommendation for healthy blood pressure?

This blood pressure chart reflects categories defined by the American Heart Association.

Blood Pressure
Category
Systolic
mm Hg (upper #)
  Diastolic
mm Hg (lower #)
Normal less than 120 and less than 80
Prehypertension 120139 or 8089
High Blood Pressure
(Hypertension) Stage 1
140159 or 9099
High Blood Pressure
(Hypertension) Stage 2
160 or higher or 100 or higher
Hypertensive Crisis
(Emergency care needed)
Higher than 180 or Higher than 110

* Your doctor should evaluate unusually low blood pressure readings.

How is high blood pressure diagnosed?

Your healthcare providers will want to get an accurate picture of your blood pressure and chart what happens over time. Starting at age 20, the American Heart Association recommends a blood pressure screening at your regular healthcare visit or once every 2 years, if your blood pressure is less than 120/80 mm Hg.

Watch a BP Test animationYour blood pressure rises with each heartbeat and falls when your heart relaxes between beats. While BP can change from minute to minute with changes in posture, exercise, stress or sleep, it should normally be less than 120/80 mm Hg (less than 120 systolic AND less than 80 diastolic) for an adult age 20 or over. About one in three U.S. adults has high blood pressure.

If your blood pressure reading is higher than normal, your doctor may take several readings over time and/or have you monitor your blood pressure at home before diagnosing you with high blood pressure.

Watch an animation of how a blood pressure test works.

A single high reading does not necessarily mean that you have high blood pressure. However, if readings stay at 140/90 mm Hg or above (systolic 140 or above OR diastolic 90 or above) over time, your doctor will likely want you to begin a treatment program. Such a program almost always includes lifestyle changes and often prescription medication for those with readings of 140/90 or higher.

If, while monitoring your blood pressure, you get a systolic reading of 180 mm Hg or higher OR a diastolic reading of 110 mm HG or higher, wait a couple of minutes and take it again. If the reading is still at or above that level, you should seek immediate emergency medical treatment for a hypertensive crisis. If you can't access the emergency medical services (EMS), have someone drive you to the hospital right away.

Even if your blood pressure is normal, you should consider making lifestyle modifications to prevent the development of HBP and improve your heart health.

Which number is more important, top (systolic) or bottom (diastolic)?

Typically more attention is given to the top number (the systolic blood pressure) as a major risk factor for cardiovascular disease for people over 50 years old. In most people, systolic blood pressure rises steadily with age due to increasing stiffness of large arteries, long-term build-up of plaque, and increased incidence of cardiac and vascular disease.

Watch this video to learn more about your blood pressure numbers

Injecting contrast media into the bloodstream of patients enables visualization of various pathologies through X-ray, computed tomography, magnetic resonance, or other medical-imaging modalities. Contrast delivery is most effective and efficient using a medical device called a “power injector” that can be programmed to deliver specific amounts of contrast agent at specific flow rates. Gemasindo - Injector
Uses of Power Injection

Power injection is an important advancement that, when combined with state-of-the-art scanner technology, has made risky and expensive exploratory surgery virtually a relic of the past. Practical uses of power injection are found whenever contrast delivery is needed during many types of diagnostic and therapeutic medical procedures.

A power injector may be used as a part of imaging procedures that help to diagnose stroke, heart disease, cancer, vascular disease, physical injury, digestive disorder, and more.

Four Basic Truths of Power Injection

Generally, power injection is beneficial for these four reasons:

  1. Tight "Bolus" of Contrast Media

    The amount of contrast can be concentrated in the area of interest during the scan. A tight "bolus" provides maximum enhancement and visualization in the final image without a lot of waste.

  2. Precise Timing of Contrast-Media Delivery

    Timing of delivery can be closely controlled, which is especially important when imaging the heart. Faster scanners make precise timing even more critical. For example, some cardiac CT scanners take images in less than one second, requiring a precise amount of contrast in the heart during this window of time.

  3. Consistent, Reproducible, Patient-Specific Results

    Power injectors deliver a consistent flow rate and volume from scan to scan. Bayer's Certegra® P3T® technology allows physicians to easily customize injection protocols for specific studies and specific patients.

  4. Time and Cost Savings

    Automated features of Bayer's Medrad power injection systems enable them to be part of a very efficient healthcare procedure that saves time and money.

Power Injetor

Power injectors consist of a "head" where syringes are inserted on the injector head and then the technologist fills a syringe with contrast media and the other with saline. Plungers push the contrast media out of the syringes into tubing attached to a patient's vascular system. Because it is desirable to minimize the tubing needed, the power injector resides in the scan room near the patient. It can be mounted on a floor pedestal or from an overhead mount. There is a computer "control unit" in the control room, where flow rates and volumes are programmed and the injection is started and stopped.

 Advances in Modern Power Injection

The power injector is a complex medical device that is a part of imaging procedures that can help improve diagnosis, treatment, and, ultimately, patient outcomes. Using sophisticated design, innovative materials, computer processors, touchscreen technology, wireless networking, and more, manufacturers of power injection systems have produced the units to be very useful, efficient, and sophisticated tools for healthcare professionals.

Today's power injection systems are becoming an integral part of the hospital information system. Data from each injection can be stored and entered into patient records that are accessible to radiologist reading images or to administrators trying to maintain efficient contrast use and safety standards.

 Bayer's Role with Medrad Power Injection Systems

Medrad's founder, M. Stephen Heilman, MD, an emergency room physician, saw an early coronary arteriogram during the early 1960s and immediately realized the need for better tools to deliver contrast media. He teamed up with Mark Wholey, MD, who had visited Sweden and had trained with some of the pioneers of angiography in the early 1960s as well.

Together, they invented and developed the first flow-controlled angiographic injector in Dr. Heilman’s home outside of Pittsburgh, Pennsylvania. The Heilman-Wholley Injector was commercialized in 1967, and was initially distributed by Picker X-Ray Company and manufactured by the new company, Medrad, Inc.

Since then, the Medrad name has become synonymous with high quality, reliable, and innovative power injection systems. Medrad created the markets for angiography, computed tomography (CT), and magnetic resonance (MR) power injectors, and continues to be the market leader.

 

 

 

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