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

Accreditation & Quality Compliance Advisor

- Volume

Issue

What are hospitals required to report?

February 11, 2026

Accreditation & Survey Preparation, Quality & Errors

Hospitals must report adverse actions taken against the privileges of a physician or dentist to the National Practitioner Data Bank. They may choose to report actions against the privileges of other h...

Patient Safety Monitor Journal

- Volume

Issue

Closing the gosh-darn door during surgery

November 06, 2023

Infection Control

When operating on a patient, minimizing infection risks and eliminating harmful distractions are crucial to their safety—which is why excessive door openings can be a real problem, says Brad Truax, MD...

Patient Safety Monitor Journal

- Volume

Issue

Count the sponges: Preventing unintended retained surgical items

November 13, 2023

Infection Control, Patient Safety

A recent study published in The Joint Commission Journal on Quality and Patient Safety has found some good news—the number of reported unintended retained surgical items (URSI) has continued to declin...

Inside Accreditation & Quality

- Volume

Issue

Beware of category 3: TJC executive offers update on sterile compounding requirements, Part 1

November 07, 2023

Accreditation & Survey Preparation

The clinical director of The Joint Commission’s (TJC) Standards Interpretation Group is warning hospitals that one of the greatest risks for noncompliance under revisions to U.S. Pharmacopeia (USP) &l...

Inside Accreditation & Quality

- Volume

Issue

Beware of category 3: TJC executive offers update on sterile compounding requirements, Part 2

November 13, 2023

Accreditation & Survey Preparation

This is Part 2 of our coverage of revisions to U.S. Pharmacopeia (USP) <797> requirements for compounding sterile medication, which were discussed by Robert Campbell, PharmD, BCSCP, The Joint Co...

Patient Safety Monitor Journal

- Volume

Issue

How hospitals can prepare for respiratory disease season

November 20, 2023

Infection Control, Patient Safety, Workplace safety

In its Respiratory Disease Season Outlook, the CDC expects the 2023-2024 season will look similar to last year. Last year’s hospitalizations were higher than experienced before the COVID-19 pandemic, ...

Medical Environment Update

- Volume

Issue

Picking the right pair of laboratory shoes

February 11, 2026

Laboratory Safety

Exposed skin and lab work simply don’t mix, which is why open-toed shoes are verboten in the laboratory, says Dan Scungio, MT(ASCP), SLS, a laboratory safety officer for multihospital system Sentara H...

Healthcare Safety Leader

- Volume

Issue

Get started on projects: CMS approval of waiver extensions drying up

February 11, 2026

If you’ve asked for a time-limited waiver to address a Life Safety Code (LSC) deficiency, be aware that CMS is unlikely to approve extensions, warned Herman McKenzie, MBA, CHS, director of The Joint C...

Mac's Safety Space

- Volume

Issue

Mac's Safety Space: Shoes are dropping—Effective management of ligature risks

February 11, 2026

Accreditation & Survey Preparation

Pretty much since 2017, I have been wishing, hoping, etc. for the ligature resistance pendulum to find itself in something close to a middle ground. The pendulum will always sway a bit, but I’m thinki...

Mac's Safety Space

- Volume

Issue

Mac’s Safety Space: Safety first: Managing surgical fire risks in the operating room

February 11, 2026

Accreditation & Survey Preparation, Fire & Life Safety

In general, I think it can be rather instructive when (and to what degree) our friends in Chicago modify an existing Sentinel Event Alert, particularly one that relates to the management of risks in t...

What are hospitals required to report?

Closing the gosh-darn door during surgery

Count the sponges: Preventing unintended retained surgical items

Beware of category 3: TJC executive offers update on sterile compounding requirements, Part 1

Beware of category 3: TJC executive offers update on sterile compounding requirements, Part 2

How hospitals can prepare for respiratory disease season

Picking the right pair of laboratory shoes

Get started on projects: CMS approval of waiver extensions drying up

Mac's Safety Space: Shoes are dropping—Effective management of ligature risks

Mac’s Safety Space: Safety first: Managing surgical fire risks in the operating room

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