It’s OK to break the rules, sometimes

December 19, 2025

Accreditation & Quality Compliance Advisor

- Volume

Issue

A nurse leader advocates for "positive deviance" in nursing—bending or tweaking rules or guidelines in the interest of positively affecting patient care, even though there is no outcomes data to support the practice.

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Accreditation & Survey Preparation

Accrediting organizations suspend most survey activities to focus on COVID-19

March 18, 2020

Accreditation & Survey Preparation, Infection Control

If you are expecting a survey from your accreditation organization (AO) in the upcoming weeks and months, check in with your liaison. Some AOs are suspending most or all survey activities as COVID-19 ...

Inside Accreditation & Quality

- Volume

Issue

Verma raps accrediting organizations’ ‘glaring conflict of interest’

December 19, 2025

Accreditation & Survey Preparation

Centers for Medicare & Medicaid Services Administrator Seema Verma took a swipe at accrediting organizations, noting that when they accept consulting fees from the hospitals they grade it creates ...

Patient Safety Monitor Journal

- Volume

Issue

The Joint Commission seeks to reduce maternal deaths

March 24, 2020

Patient Safety, Policies and Procedures, Accreditation & Survey Preparation

The Joint Commission (TJC) has issued guidance and an alert to hospitals to help prevent what it calls a shocking number of women who die from typically preventable pregnancy complications. The acc...

Inside Accreditation & Quality

- Volume

Issue

You be the surveyor, April 2020

March 24, 2020

Accreditation & Survey Preparation

What deficiencies would you cite and why? And how would you correct them? You be the surveyor. The following information was taken from a CMS Form-2567 “Statement of Deficiencies” posted online ...

Patient Safety Monitor Journal

- Volume

Issue

Coronavirus and preparing for the worst

December 19, 2025

Accreditation & Survey Preparation, Natural & Manmade Disasters, Infection Control

Preparing for a worldwide pandemic, especially when you don’t know how fast it will spread or how serious its consequences will be, is one of the hardest things that healthcare workers do. ...