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

Accreditation & Quality Compliance Advisor

- Volume

Issue

The CMS’ State Operations Manual appears updated—but not by much

August 09, 2023

Accreditation & Survey Preparation

After years of changing and adding new Conditions of Participation (CoP), CMS has finally updated its only guidance for surveyors, State Operations Manual, Appendix A (SOM). But not entirely. ...

Mac's Safety Space

- Volume

Issue

Mac’s Safety Space: ASHE 2023 – San Antonio rose to the occasion

August 14, 2023

Environment and Facilities, Fire & Life Safety, Physical environment

Some thoughts and lessons learned from the 2023 ASHE Conference, held in San Antonio, Texas. ...

Inside Accreditation & Quality

- Volume

Issue

Surveyors told to look beyond the ligature point to evaluate patient risk for self-harm

August 15, 2023

Accreditation & Survey Preparation

A new CMS Quality, Safety & Oversight group memo on suicide prevention urges hospitals to go above and beyond to help protect patients from themselves. Accrediting organizations like ACHC and TJC ...

Healthcare Safety Leader

- Volume

Issue

Survey readiness: Double check hand sanitizer policies and placement post-COVID

August 15, 2023

Environment and Facilities, Laboratory Safety, Fire & Life Safety

Before your next survey, remember to double check your hand sanitizer policies and placement for post-COVID requirements. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Survey: 99% of hospital pharmacists experiencing drug shortages

February 11, 2026

Patient Safety, Quality & Errors

Drug shortages are near a 10-year high, according to the American Society of Health-System Pharmacists (ASHP). Drug shortages can have an impact on patient care, including drug rationing, delays in ca...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Using AI to improve interactions between physicians and patients

February 11, 2026

Quality & Errors, Healthcare Staff, Cybersecurity & Technology

DAX Express is an AI-powered solution that automatically documents patient encounters through voice-enabled technology. Clinicians can use the solution to take notes during patient interactions, helpi...

Medical Environment Update

- Volume

Issue

Observe eye safety in the laboratory this August

February 11, 2026

Natural & Manmade Disasters, Laboratory Safety, Workplace safety

August is Children’s Eye Health and Safety Month, and while hopefully your laboratory staff aren’t children, they should know the protocols for eye protection when dealing with hazardous materials. Am...

Patient Safety Monitor Journal

- Volume

Issue

Improving customer service in behavioral health

February 11, 2026

Behavioral & Mental Health, Patient Safety, Policies and Procedures, Workplace safety

While the term might invoke images of restaurants, hotels, and store clerks rather than healthcare, customer service is about working with stressed, unhappy, or potentially violent customers/patients ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

CDC: Suicide deaths increased 2.6% in 2022, according to provisional datad

February 11, 2026

Behavioral & Mental Health

On August 10, the CDC released its latest provisional suicide estimates for 2022, showing suicide deaths on the rise. There were approximately 49,499 suicide deaths in 2022, or 1,316 more than in 2021...

Mac's Safety Space

- Volume

Issue

Mac’s Safety Space: If you knew there was a problem in the physical environment, you would correct it

August 21, 2023

Accreditation & Survey Preparation

If you knew there was a problem in the physical environment, you would correct it. Wouldn’t you? ...

The CMS’ State Operations Manual appears updated—but not by much

Mac’s Safety Space: ASHE 2023 – San Antonio rose to the occasion

Surveyors told to look beyond the ligature point to evaluate patient risk for self-harm

Survey readiness: Double check hand sanitizer policies and placement post-COVID

Survey: 99% of hospital pharmacists experiencing drug shortages

Using AI to improve interactions between physicians and patients

Observe eye safety in the laboratory this August

Improving customer service in behavioral health

CDC: Suicide deaths increased 2.6% in 2022, according to provisional datad

Mac’s Safety Space: If you knew there was a problem in the physical environment, you would correct it

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