News & Analysis | .accreditationqualitycenter

Mac's Safety Space

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Issue

Breaking the law: Not something you want to be doing…

February 13, 2026

Quality & Errors

By Steve MacArthur, Hospital Safety Consultant A very quick item this week, mostly because I want you to have the opportunity to take advantage of a resource that I think is well worth your time an...

Accreditation & Quality Compliance Advisor

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Issue

More and more hospital surveys may be onsite, depending on conditions

February 19, 2021

Accreditation & Survey Preparation

As COVID-19 cases go down, your odds for on onsite reaccreditation survey might go up. While CMS is still limiting surveys in some cases, hospitals still may be subject to their regular onsite, trienn...

Patient Safety Monitor Journal

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Issue

Achieving zero preventable deaths: One hospital’s journey

February 13, 2026

Patient Safety, Quality & Errors

At CHOC’s Quality Committee meeting in 2015, CHOC deliberately shifted its established goal from “reducing hospital-acquired conditions” to “achieving zero preventable deaths.” This goal became one of...

Inside Accreditation & Quality

- Volume

Issue

Surveys on limited hold, PHE extended, new standards reviewed

February 13, 2026

Accreditation & Survey Preparation, Infection Control

In case you missed it, here’s a roundup of breaking news from the Accreditation & Quality Compliance Center since Inside Accreditation & Quality was last published. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Study: Half of hospitalized coronavirus patients have symptoms 4 months after discharge

February 13, 2026

Infection Control

Many coronavirus patients hospitalized with severe acute respiratory infection experience significant respiratory, functional, and psychological symptoms four months after hospital discharge, a recent...

Accreditation & Quality Compliance Advisor

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Issue

OSHA HazCom updates include labeling, SDS requirements

February 13, 2026

Policies and Procedures, Workplace safety

On February 16, the Occupational Safety and Health Administration (OSHA) proposed an update to the agency’s Hazard Communication Standard (HCS), which would align provisions of the rule with the seven...

Mac's Safety Space

- Volume

Issue

Doing the waive: Categorical waivers are still in the mix…

February 13, 2026

Accreditation & Survey Preparation

By Steve MacArthur, Hospital Safety Consultant In preparation for last week’s missive on the transmission of fire alarm signals during fire drills (more on that in a moment), I ran across a CMS cat...

Mac's Safety Space

- Volume

Issue

Are you transmitting? Late night fire drills and alarm signals…

February 13, 2026

Environment and Facilities, Fire & Life Safety

By Steve MacArthur, Hospital Safety Consultant I think we can safely say that sometimes it is tough to pinpoint specifics when it comes down to what performance elements are cited during regulatory...

Patient Safety Monitor Journal

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Issue

Air control equals infection control: Fine tune your internal air quality to slow the spread and growth of bacteria, viruses, and other pathogens

February 13, 2026

Environment and Facilities, Infection Control

Finding ways to improve your HVAC systems can be difficult, particularly with the financial strain that many healthcare organizations find themselves in. But there are some simple steps to improve you...

Inside Accreditation & Quality

- Volume

Issue

Survey readiness: TJC changes EP on spare sprinkler heads again

February 13, 2026

Accreditation & Survey Preparation, Fire & Life Safety

Review your hospital’s inventory of different types of sprinkler heads, and then ensure you have at least six spare sprinkler heads for each type and temperature rating of those installed in your faci...

Breaking the law: Not something you want to be doing…

More and more hospital surveys may be onsite, depending on conditions

Achieving zero preventable deaths: One hospital’s journey

Surveys on limited hold, PHE extended, new standards reviewed

Study: Half of hospitalized coronavirus patients have symptoms 4 months after discharge

OSHA HazCom updates include labeling, SDS requirements

Doing the waive: Categorical waivers are still in the mix…

Are you transmitting? Late night fire drills and alarm signals…

Air control equals infection control: Fine tune your internal air quality to slow the spread and growth of bacteria, viruses, and other pathogens

Survey readiness: TJC changes EP on spare sprinkler heads again

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