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

Inside Accreditation & Quality

- Volume

Issue

Decoding the language of care: How accreditation leaders uphold healthcare excellence

December 05, 2023

Accreditation & Survey Preparation

The pivotal role of accreditation leaders is undeniable in ensuring patient outcomes and institutional integrity. Tasked with navigating the maze of regulations and standards, these leaders are fundam...

Mac's Safety Space

- Volume

Issue

Mac’s Safety Space: Compliance versus convenience—what’s the winning combination?

February 11, 2026

Accreditation & Survey Preparation, Physical environment, Quality & Errors

When you look at a lot of the “traditional” conditions that end up presenting during survey—propped doors, unsecured or improperly segregated gas cylinders, obstructed access to emergency equipment, s...

Patient Safety Monitor Journal

- Volume

Issue

Q&A: Generative AI risks and opportunities in healthcare quality improvement, Part 1

December 05, 2023

Cybersecurity & Technology, Patient Safety

After decades of effort to improve healthcare quality and equity, a powerful new tool has presented itself to healthcare professionals—artificial intelligence. With its ability to quickly analyze larg...

Patient Safety Monitor Journal

- Volume

Issue

Q&A: Generative AI risks and opportunities in healthcare quality improvement: Part 2

December 11, 2023

Cybersecurity & Technology, Patient Safety

This is Part Two of our interview with Jeffrey Rakover, MPP, a director of innovation and design at the Institute of Healthcare Improvement (IHI) and Marina Renton, MPhil, a senior research associate ...

Mac's Safety Space

- Volume

Issue

Mac’s Safety Space: Don’t forget to check the gas!

February 11, 2026

Physical environment

One of the topics that doesn’t necessarily get a lot of coverage in this space relates to the management of medical gas systems and equipment. As we edge ever nearer to the New Year, I think sharing s...

Medical Environment Update

- Volume

Issue

Five behavioral expectations of lab staff

February 11, 2026

Laboratory Safety, Workplace safety

Be clear with your laboratory staff about what you expect of them when they encounter real or potential problems, says Sean G. Kaufman, CEO and founding partner of the lab safety company Safer Behavio...

Healthcare Safety Leader

- Volume

Issue

Lessons learned: Planning key to dealing with extreme winter weather

February 11, 2026

Environment and Facilities, Physical environment

Extreme winter forecasts can be met with fear or confidence. Being prepared for extreme cold along with snow and ice is a major concern for the safety of both patients and staff. Worried about the cos...

Inside Accreditation & Quality

- Volume

Issue

TJC: Place focus on clinical care as much as mitigating physical self-harm risks

December 11, 2023

Accreditation & Survey Preparation

Reducing physical risks for self-harm remains a key part of meeting CMS requirements to provide patient care in a safe setting, but don’t focus everything on ligature risk. ...

Inside Accreditation & Quality

- Volume

Issue

CMS, accreditors update part of process for ligature risk deficiencies

December 19, 2023

Accreditation & Survey Preparation, Patient Safety

Hospitals no longer must worry about new—or in some cases even old—ligature risk extension requests (LRER) for deficiencies that cannot be corrected within 60 days. However, hospitals still need to pe...

Medical Environment Update

- Volume

Issue

Lab Safety Man: Lab safety lessons

February 11, 2026

Laboratory Safety, Leadership & Finance

I recently completed a seven-month stint as an interim laboratory manager. One of my leaders asked me if the time in that role had altered my perspective about lab safety. ...

Decoding the language of care: How accreditation leaders uphold healthcare excellence

Mac’s Safety Space: Compliance versus convenience—what’s the winning combination?

Q&A: Generative AI risks and opportunities in healthcare quality improvement, Part 1

Q&A: Generative AI risks and opportunities in healthcare quality improvement: Part 2

Mac’s Safety Space: Don’t forget to check the gas!

Five behavioral expectations of lab staff

Lessons learned: Planning key to dealing with extreme winter weather

TJC: Place focus on clinical care as much as mitigating physical self-harm risks

CMS, accreditors update part of process for ligature risk deficiencies

Lab Safety Man: Lab safety lessons

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