JCI Standard COP.05.00
⭐ JCI QPS Mandatory Surveillance Measure
Care of Patients / Safe Surgery (COP)Epic (SURGICAL SUITE)

Surgical Time-Out & Safe Surgery Rate

At risk

100% WHO surgical safety pause completion prior to skin incision

Owned by Dr. Kenji Tanaka•Feed: FHIR (Real-time Stream (< 5s))•Pipeline Health: 99.9% Uptime•Last Synced: 3 mins ago

77%

Current Score

100%

23% off target

Previous Week
77.3%-0.3%
Previous Month
78.2%-1.2%
Previous Year
77.6%-0.6%
2023 Cycle
80%-3%

Twelve Months Historical Performance to Aug 26

How this is calculated

compliant surgical time-out checklists / total audited surgical interventions

144

Compliant surgical pause & time-out logs

÷

188

Audited surgical interventions

=

77%

This KPI

JCI Standards COP.05.00 & IPSG.04.00 mandate verification of correct patient, procedure, and site via pre-procedure verification, surgical site marking, and immediate time-out.

Safe Surgery Compliance by Standard

Audited checklist completion across surgical standards.

  • IPSG.196%Strong
  • IPSG.288%Strong
  • IPSG.363%At risk
  • IPSG.490%Strong
  • IPSG.682%Strong
  • IPSG.781%Strong
  • IPSG.887%Strong
  • IPSG.985%Strong
  • IPSG.1087%Strong
  • IPSG.1167%At risk
  • IPSG.1272%Watch
  • IPSG.1366%At risk
  • IPSG.1481%Strong
  • IPSG.1596%Strong
  • IPSG.1681%Strong
  • IPSG.1782%Strong
  • IPSG.1877%Watch
  • IPSG.1971%Watch
  • IPSG.2098%Strong
  • IPSG.2185%Strong
  • IPSG.2277%Watch
  • IPSG.2385%Strong
  • COP.280%Strong
  • COP.392%Strong
  • COP.481%Strong
  • COP.563%At risk
  • COP.660%At risk
  • COP.764%At risk
  • COP.891%Strong
  • COP.980%Strong
  • COP.1061%At risk
  • COP.1175%Watch
  • COP.1260%At risk
  • COP.1359%At risk
  • COP.1487%Strong
  • COP.1562%At risk
  • COP.1671%Watch
  • COP.1776%Watch
  • COP.1875%Watch
  • COP.1965%At risk
  • COP.2066%At risk
  • COP.2168%At risk

Demonstration output from synthetic data. This is decision support for your quality team, not an accreditation determination.