medication_double-check_v4.jpg

Owner: Dr. Sofia Rossi

Uploaded: 28 Aug 2026

Version: v2

Size: 312.2 MB

0%Quality

Document Gaps Summary:5 Gaps FoundCritical: 1Major: 2Minor: 2

Quality Assessment

This document satisfies the core requirement baseline but would benefit from a refreshed review signature before survey.

Classification:medication double-check

Effective year:2024

Review due:Q4 2026

What this document proves

Measurable element alignments and explainability trace

FMS.4Critical Gap (F-0203)

Fire and life-safety programme with maintained egress (paraphrased)

FMS.4

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Documented Policy Evidence

Verification Gap Detected

FMS.7Major Gap (F-0199)

Fire-fighting equipment inspected and unobstructed (paraphrased)

FMS.7

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Documented Policy Evidence

Verification Gap Detected

Open findings related to this document (5)

critical

F-0203

awaiting-verification

Fire exit on level 3 obstructed by stored equipment during walkthrough.

Target requirement: FMS.4

low

F-0237

Open

Evidence gap identified for FMS.4 during learner evaluation; requires documented remediation. (demonstration)

Target requirement: FMS.4

medium

F-0249

awaiting-verification

Evidence gap identified for FMS.4 during live field capture; requires documented remediation. (demonstration)

Target requirement: FMS.4

high

F-0264

Open

Evidence gap identified for FMS.4 during live field capture; requires documented remediation. (demonstration)

Target requirement: FMS.4

high

F-0199

Open

Accreditation gap in FMS.7: High-alert clinical administration policy and double-check protocol lacks verified quarterly audit logs and signature endorsement.

Target requirement: FMS.7