DOC-1113XLSXChapter COP
Low quality
egress_inspection_v3.xlsx
Owner: Dr. David Kim
Uploaded: 16 Aug 2026
Version: v3
Size: 728.2 MB
0%Quality
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:Q2 2027
What this document proves
Measurable element alignments and explainability trace
COP.2Critical Gap (GAP-1113)
Care of patients — control 2: documented process, responsible owner and evidence of practice (paraphrased)
COP.2
egress_inspection_v3.xlsx
Documented Policy Evidence
Verification Gap Detected
COP.3Verified · Requirement Met
Care of patients — control 3: documented process, responsible owner and evidence of practice (paraphrased)
COP.3
egress_inspection_v3.xlsx
Documented Policy Evidence
High Confidence (88%)
COP.4Verified · Requirement Met
Care of patients — control 4: documented process, responsible owner and evidence of practice (paraphrased)
COP.4
egress_inspection_v3.xlsx
Documented Policy Evidence
High Confidence (88%)
critical
GAP-1113Open
Documentation gap in egress_inspection_v3.xlsx: Policy requires verified committee endorsement and alignment with JCI COP Measurable Elements.
Target requirement: COP.2