DOC-1138DOCXChapter COP
Needs review
egress_inspection_v3.docx
Owner: Dr. Ingrid Lindqvist
Uploaded: 25 Jul 2026
Version: v4
Size: 646.8 MB
0%Quality
Quality Assessment
This document is missing an explicit revision cadence or committee approval stamp, which a surveyor will typically ask for.
Classification:egress inspection
Effective year:2024
Review due:Overdue
What this document proves
Measurable element alignments and explainability trace
COP.2Critical Gap (GAP-1138)
Care of patients — control 2: documented process, responsible owner and evidence of practice (paraphrased)
COP.2
egress_inspection_v3.docx
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.docx
Documented Policy Evidence
High Confidence (88%)
critical
GAP-1138Open
Documentation gap in egress_inspection_v3.docx: Policy requires verified committee endorsement and alignment with JCI COP Measurable Elements.
Target requirement: COP.2