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ARTICLES IN Inside Accreditation & Quality - VOLUME 4 ISSUE 1 - PRINT FULL ISSUE

Accreditation & Quality Compliance Advisor

- Volume

Issue

It’s official: COVID-19 public health emergency to end on May 11

January 31, 2023

Accreditation & Survey Preparation

As promised, the White House is giving ample notice—the COVID-19 public health emergency (PHE) will end on May 11. ...

Medical Environment Update

- Volume

Issue

TJC: Antibiotic stewardship updates effective January 1, 2023

February 11, 2026

Accreditation & Survey Preparation, Infection Control, Quality & Errors

The Joint Commission (TJC) has several updated antibiotic stewardship elements of performance (EP) that took effect on January 1, 2023. These EPs include requirements to have an antibiotic stewardship...

Accreditation & Quality Compliance Advisor

- Volume

Issue

COVID-19 is eighth-leading cause of death for children— 821 deaths in one 12-month period

February 11, 2026

Patient Safety, Infection Control

“Various factors, including underreporting and not accounting for COVID-19’s role as a contributing cause of death from other diseases, mean that these estimates may understate the true mortality burd...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Pandemic’s toll: 55.3% of surveyed healthcare workers report subthreshold PTSD symptoms

February 11, 2026

Workplace safety, Healthcare Staff, Infection Control

The recent study, which was published in the Journal of Psychiatric Research, is based on survey data collected from 852 healthcare workers from January 2021 to February 2021. The survey participants ...

Healthcare Safety Leader

- Volume

Issue

Departmental Workplace Violence Assessment (courtesy Bryan Warren)

January 30, 2023

Environment and Facilities, Workplace safety

(Departmental workplace violence risk assessment courtesy of Bryan Warren, president and chief consultant for WarSec Security; for more information on this tool, go here; for a downloadable copy of th...

Mac's Safety Space

- Volume

Issue

Location, location, location!

February 06, 2023

Accreditation & Survey Preparation, Environment and Facilities

Any time there’s a shift in focus when it comes to healthcare leadership, I like to ponder how it might end up impacting the management of the physical environment. ...

Healthcare Safety Leader

- Volume

Issue

ACHC hospitals: Facilities managers stretched thin as physical environment deficiencies grow

February 07, 2023

Accreditation & Survey Preparation, Infection Control

More than 40% of ACHC hospitals were cited for eight of the top nine most frequently listed physical environment deficiencies. ...

Healthcare Safety Leader

- Volume

Issue

ACHC surveyor findings: Samples of physical environment deficiencies, tips for compliance

February 07, 2023

Accreditation & Survey Preparation, Infection Control

Here are some samples of physical environment and life safety deficiency findings found at acute care hospitals surveyed by the Accreditation Commission for Health Care (ACHC) from June 1, 2021, to Ma...

Inside Accreditation & Quality

- Volume

Issue

Infection control, supply storage, food services top ACHC survey deficiencies

February 07, 2023

Accreditation & Survey Preparation, Infection Control

Beware of repeat deficiencies. CMS is pressing accrediting organizations (AO) to deal more harshly with hospitals that have repeat citations, including elevating a recurring finding to a condition-lev...

Accreditation & Quality Compliance Advisor

- Volume

Issue

The value of personalized education on pregnancy risks

February 11, 2026

Patient Safety

U.S. maternal mortality rates continued their alarming upward trajectory in 2020. The Centers for Disease Control and Prevention (CDC) reported that the overall U.S. maternal death rate rose from 20.1...

It’s official: COVID-19 public health emergency to end on May 11

TJC: Antibiotic stewardship updates effective January 1, 2023

COVID-19 is eighth-leading cause of death for children— 821 deaths in one 12-month period

Pandemic’s toll: 55.3% of surveyed healthcare workers report subthreshold PTSD symptoms

Departmental Workplace Violence Assessment (courtesy Bryan Warren)

Location, location, location!

ACHC hospitals: Facilities managers stretched thin as physical environment deficiencies grow

ACHC surveyor findings: Samples of physical environment deficiencies, tips for compliance

Infection control, supply storage, food services top ACHC survey deficiencies

The value of personalized education on pregnancy risks

Resource/w tools selected

STET CMS & tools

OSHA Dental Facilities Update - November 2023

OSHA Medical Facilities Update - November 2023

Tab 2, Medical Facilities OSHA Manual- August 2023

Tab 2, Dental Facility OSHA Manual- August 2023

Chapter 2: Chapter Format and Tracer Planning