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View Full Version : Why document control matters - Hospital or Health Care Environment


japayson
20th September 2008, 11:23 PM
I am trying to advise my spouse, who is a 25 year veteran RN in a large community hospital.

There are things that go on with policy documents that should not. There are committees assigned to oversight of things such as patient care standards, and do work on policies and standards including final approvals for issue. However, before issue this work is often changed, without any notification to the committee. If someone did not look at the published version online immediately, the authors would not know.

It turns out that there is no document control policy or procedure. It seems that this is not a requirement by Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) under which many hospitals operate. Also hospitals are generally the domain of professionals (Nurses and Physicians) all who have their own standards set externally by licensing and skill certifications. So there is not a lot of defined management chain of command and responsibility.


Can someone make the argument and maybe point to cases or papers about how and why document control and document change control benefits an organization from the view of management and deployment of management decisions, policies, and outlook?

jp

harry
20th September 2008, 11:41 PM
Welcome,

We had heard stories over in UK and also had a fair share of blunders here. From the ISO world, yes, I think proper document control helps.

I hope the stories in this article helps in convincing people for the need to have proper document control: English doctors amputate wrong legs, testicles and cut out healthy kidneys (http://english.pravda.ru/society/stories/06-10-2006/84912-amputation-0) (there are more in google)

I had heard of and seen these stories published in our local papers - you need to verify that they are indeed true.

MIREGMGR
21st September 2008, 12:14 AM
JCAHO's standards aren't actually a quality system. Their historical focus has been on mandating Best Practices for specific clinical and managerial actions and subsystems, with a fundamental goal of maximized likelihood of good patient outcomes. JCAHO standards in many cases are very prescriptive within their individual focus-areas. They however do not require a coherent overall systematic managerial approach.

Many hospitals in Pacific Rim countries utilize adaptations of ISO 9000 as a quality system, but that approach is rare in the US.