medication_double_check_policy_v3.pdf
Quality Assessment
This document satisfies the core requirement baseline but would benefit from a refreshed review signature before survey.
What this document proves
Measurable element alignments and explainability trace
Medication storage, labelling and independent double-check before administration (paraphrased)
Administration verified against order with independent second check for high-alert drugs (paraphrased)
Independent double-check for high-alert medications not consistently performed at administration; self-assessment claimed 94% but evidence supports 71% and observed practice 68%.
Target requirement: MMU.3Evidence gap identified for MMU.6 during live field capture; requires documented remediation. (demonstration)
Target requirement: MMU.6Evidence gap identified for MMU.6 during document analysis; requires documented remediation. (demonstration)
Target requirement: MMU.6Evidence gap identified for MMU.6 during mock surveyor; requires documented remediation. (demonstration)
Target requirement: MMU.6