What did the Joint Commission due to address the increase in work place incivility?
1. Required all HCOs to track incivility.
2. Issued a sentinel event alert on incivility.
3. Denied accreditation to HCOs with high rate of incivility.
4. Required that all HCOs post signs for patients to watch for staff incivility and report.
2
Explanation: 1. The Joint Commission cannot tell all HCOs to do—can only influence Joint Commission accredited HCOs, and it would be difficult to track incivility.
2. The Joint Commission issued a sentinel event alert, "Behaviors Undermine a Culture of Safety." A sentinel event alert means that accredited HCOs need to pay special attention to the issue identified and provide information about status.
3. Incivility is important to control, but there is much more to HCO accreditation.
4. The Joint Commission cannot tell all HCOs to do, can only influence Joint Commission accredited HCOs—it leaves strategies up to its accredited HCOs. This strategy also puts patients on the spot since incivility is a complex behavior.
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