AccrediSense Demo Hospital · JCI 8th Edition · Survey window Q1 2027
How ready are we today?
Your documentation is strong, but your biggest vulnerability is the gap between documented process and everyday staff practice. At 81% overall readiness with 5 findings still open, Facilities & Safety and Surgery show the largest differences between what your policies say and what staff describe.
+14%since baseline · improving
Click to open the full breakdown — 1,248 evidence items, 74 staff assessments, 32 tracers.
Readiness dimensions
Every dimension is clickable — open the analysis behind it.
Show me where we're vulnerable
AccrediSense compares documented process against what staff actually describe and what evidence proves.
Takes under two minutes and ends with an approved remediation plan.
What needs your attention?
Generated from your live findings, department trends and document activity.
- Critical
Two-identifier check not consistently verbalised before specimen collection
Silent verification removes the patient from the safety check and is a common trigger for surveyor deep-dive into identification practice hospital-wide.
- • Emergency · Patient Identification
- • 1 staff in scope
- • 2 evidence items linked
- High priority
Staff unable to demonstrate medication reconciliation at transfer
Unreconciled medication at transfer is a leading contributor to preventable adverse drug events, and surveyors routinely trace this at the point of care rather than in policy.
- • Pharmacy · Medication Safety
- • 1 staff in scope
- • 3 evidence items linked
- High priority
Facilities & Safety readiness is 69% (-1%)
This is your lowest performing department. A surveyor is likely to spend time here.
- • 11 open findings
- • Lead: Tom Becker
- Action required
A recently updated policy affects multiple requirements
"Patient Identification Policy" was re-issued. Staff practice may not yet reflect the new process.
- • 6 requirements potentially affected
- • 214 staff in audience
- Improvement
Pharmacy readiness improved 8%
Targeted remediation and training are working here — consider replicating the approach.
- • Now at 78%
Accreditation journey
What changed: readiness rose because high-priority findings closed and staff completed targeted training. Target for survey window: 95%.
See the full reassessment log →Activity feed
- Critical readiness issue identified in ICU — identification practice inconsistency.12 min ago
- 14 staff members require competency reassessment in ICU.2 hours ago
- Policy update to Medication Reconciliation Procedure affects 7 requirements.Yesterday
- Pharmacy readiness improved 8% this month.2 days ago
Department readiness
Click a department to open its readiness analysis.
Critical findings
1
Require leadership attention
High-risk findings
3
Traceable at the point of care
Departments below 80%
3
Likely surveyor focus
Staff requiring training
214
Linked to open findings