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

Patient Safety Monitor Journal

- Volume

Issue

Ring in the new year by addressing potential problem areas

February 11, 2026

Accreditation & Survey Preparation

A new year often brings a host of new compliance issues along with it. It’s important to address these emerging compliance issues, while also keeping perennial problems in mind as well. We asked sever...

Medical Environment Update

- Volume

Issue

It shouldn’t take a crisis to make a leader

February 11, 2026

Natural & Manmade Disasters, Leadership & Finance

A crisis can happen at any time, anywhere, and to any organization or community. Some are fairly predictable, such as the cyclical patterns of weather; others come unannounced, such as the events of 9...

Patient Safety Monitor Journal

- Volume

Issue

Preventive cybersecurity: Key to safeguarding healthcare's digital frontiers

February 12, 2024

Cybersecurity & Technology

Cybersecurity never sleeps. A recent major report on the topic, published in November, comes from the U.S. government’s Cybersecurity & Infrastructure Security Agency (CISA). This report is partic...

Inside Accreditation & Quality

- Volume

Issue

ACHC highlights cited deficiencies at ambulatory surgery centers

February 12, 2024

Accreditation & Survey Preparation

Ambulatory surgery centers (ASC) accredited by the Accreditation Commission for Health Care (ACHC) are being reminded of the importance of having complete documentation in patients’ medical records. ...

Inside Accreditation & Quality

- Volume

Issue

Inside CMS validation surveys: Strategies for consistent healthcare quality

February 11, 2026

Accreditation & Survey Preparation, Quality & Errors

With the advent of side-by-side validation surveys, healthcare accreditation leaders have quickly realized that they need to be thoroughly prepared for all types of surveys every day, now more than ev...

Inside Accreditation & Quality

- Volume

Issue

Quality review: Most frequent ACHC deficiencies fall under infection control

February 26, 2024

Accreditation & Survey Preparation, Infection Control

Almost 90% of hospitals surveyed by the Accreditation Commission for Health Care (ACHC) between June 1, 2022, and May 31, 2023, were cited for deficiencies under one of the accrediting organization’s ...

Inside Accreditation & Quality

- Volume

Issue

A patient complaint investigation is likely—what are your first steps?

February 11, 2026

Accreditation & Survey Preparation

If you have reason to believe your hospital may be subject to a complaint investigation by your accrediting organization (AO) or CMS, the best strategy is to be prepared with documentation, including ...

Patient Safety Monitor Journal

- Volume

Issue

IHI: This healthcare rule does not spark joy

February 05, 2024

Patient Safety

If you could break any rule in service of a better experience for patients or healthcare staff, what would it be? What rules create complexity and effort for doctors, nurses, and patients without impr...

Patient Safety Monitor Journal

- Volume

Issue

Case study: Breaking the rules and KitKats at Queen’s University

February 19, 2024

Patient Safety

In 2022, the Queen’s University in Kingston, Ontario embarked on a journey to prune away the rules that hindered care and comfort in their Department of Emergency Medicine. The project was lead by Lou...

Mac's Safety Space

- Volume

Issue

If you don’t properly maintain the environment…

February 05, 2024

Accreditation & Survey Preparation

As we continue our crawl through The Joint Commission standards changes, let’s drop in on the changes in the Infection Control chapter. Although the changes aren’t necessarily pointed at the physical ...

Ring in the new year by addressing potential problem areas

It shouldn’t take a crisis to make a leader

Preventive cybersecurity: Key to safeguarding healthcare's digital frontiers

ACHC highlights cited deficiencies at ambulatory surgery centers

Inside CMS validation surveys: Strategies for consistent healthcare quality

Quality review: Most frequent ACHC deficiencies fall under infection control

A patient complaint investigation is likely—what are your first steps?

IHI: This healthcare rule does not spark joy

Case study: Breaking the rules and KitKats at Queen’s University

If you don’t properly maintain the environment…

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