egress_inspection_v1.dcm

Owner: Dr. Amara Okafor

Uploaded: 14 Jul 2026

Version: v2

Size: 551.4 MB

0%Quality

Document Gaps Summary:1 Gaps FoundCritical: 1Major: 0Minor: 0

Quality Assessment

Quality is below the acceptable evidence threshold. Lacks required verification elements and requires immediate hospital revision.

Classification:egress inspection

Effective year:2025

Review due:Q4 2026

Measurable element alignments and explainability trace

PFR.2Critical Gap (GAP-1073)

Patient and family rights — control 2: documented process, responsible owner and evidence of practice (paraphrased)

PFR.2

egress_inspection_v1.dcm

Documented Policy Evidence

Verification Gap Detected

critical

GAP-1073

Open

Documentation gap in egress_inspection_v1.dcm: Policy requires verified committee endorsement and alignment with JCI PFR Measurable Elements.

Target requirement: PFR.2