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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, ...

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...

Healthcare Safety Leader

- Volume

Issue

Executive Briefing 2023: Top EC, LS findings offer insight to common survey problems

December 13, 2025

Accreditation & Survey Preparation, Environment and Facilities, Physical environment

Safety problems identified within the physical environment account for 60%–70% of deficiencies scored by The Joint Commission (TJC) during surveys, according to TJC statistics. However, in the first s...

Mac's Safety Space

- Volume

Issue

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

December 13, 2025

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...

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...

Medical Environment Update

- Volume

Issue

Lab Safety Man: Special safety in the anatomic pathology laboratory

December 13, 2025

Laboratory Safety, Workplace safety

Anatomic pathology laboratories present safety concerns that can differ from those in the clinical lab. Formaldehyde and other hazardous chemicals are used to preserve tissue specimens; workers can be...

Mac's Safety Space

- Volume

Issue

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

December 13, 2025

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...

Healthcare Safety Leader

- Volume

Issue

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

December 13, 2025

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...

Medical Environment Update

- Volume

Issue

Picking the right pair of laboratory shoes

December 13, 2025

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...

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...

How hospitals can prepare for respiratory disease season

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

Executive Briefing 2023: Top EC, LS findings offer insight to common survey problems

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

Count the sponges: Preventing unintended retained surgical items

Lab Safety Man: Special safety in the anatomic pathology laboratory

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

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

Picking the right pair of laboratory shoes

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

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