Problem/failure/user error data collection for trending and corrective action.
Performance standards to ensure safe and reliable operation.
Annual review of the plan to maintain compliance and effectiveness.
A computerized inventory system is a useful tool but not mandated by The Joint Commission or CMS; paper-based systems may still be acceptable if compliant.
[References: The Joint Commission, Comprehensive Accreditation Manual for Hospitals, EC.02.04.01; AHA/ASHE CHFM Handbook – Administration domain.]
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