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Patient Safety Monitor Journal

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Issue

Q&A: Water fixture infection control

February 13, 2026

Environment and Facilities, Infection Control, Accreditation & Survey Preparation

It’s common knowledge that healthcare water systems can be a source of healthcare-acquired infections (HAI) if not cleaned properly. Just ask any of the facilities that found themselves dealing with a...

Inside Accreditation & Quality

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Issue

Communication, scheduling important as you roll out vaccine program

February 13, 2026

Infection Control, Quality & Errors

Set up clear communication with your hospital staff and remain open to feedback as you receive and administer the COVID-19 vaccines. Work with supervisors and other leadership to schedule staff vac...

Inside Accreditation & Quality

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Issue

ECRI Q&A provides lessons learned on vaccine rollout

February 13, 2026

Infection Control, Quality & Errors

It might take weeks or months before the U.S. gets the COVID-19 vaccine out to all of those who want it. The CDC and most states are first offering the shots to healthcare workers and other essential ...

Inside Accreditation & Quality

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Issue

EEOC clarifies employers’ rights to require COVID-19 vaccinations

February 13, 2026

Policies and Procedures, Workplace safety, Infection Control

The Equal Employment Opportunity Commission (EEOC) has updated its guidance on how employers can navigate federal anti-discrimination laws while requiring employees to be vaccinated against COVID-19. ...

Inside Accreditation & Quality

- Volume

Issue

Discuss mandatory COVID-19 vaccinations carefully

February 13, 2026

Policies and Procedures, Workplace safety, Infection Control

Expect to deal with many of the same exemptions—such as health concerns or religious reasons—to mandatory COVID-19 shots as you do with a mandatory flu vaccination requirement. ...

Accreditation & Quality Compliance Advisor

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Issue

How to run an emergency department social medicine team

February 13, 2026

Behavioral & Mental Health, Leadership & Finance

Treating patients with behavioral health issues such as substance abuse and social challenges such as homelessness pose several difficulties in emergency departments. For example, ED clinicians are un...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Hospitals must prepare as security and privacy concerns increase in 2021

February 13, 2026

Natural & Manmade Disasters, Environment and Facilities, Workplace safety

Last March 15, the U.S. Department of Health and Human Services (HHS) waived sanctions against hospitals that did not comply with five provisions of the HIPAA Privacy Rule during the COVID-19 pandemic...

Accreditation & Quality Compliance Advisor

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Issue

CMS puts hospital surveys on limited hold as surge continues

January 20, 2021

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

CMS is putting a general hold on hospital surveys, except for those dealing with immediate jeopardy situations, for at least 30 days, in recognition of growing COVID-19 patient surges in many areas. ...

Patient Safety Monitor Journal

- Volume

Issue

How healthcare workers can prepare for the unexpected

February 13, 2026

Accreditation & Survey Preparation, Natural & Manmade Disasters, Patient Safety

When 9/11 took place, NYC healthcare facilities were thrown into chaos trying to establish communication and coordination during the biggest terrorist attack in U.S. history. Many thought their clinic...

Inside Accreditation & Quality

- Volume

Issue

Use these lists to organize and prepare for HR review

February 13, 2026

Leadership & Finance, Policies and Procedures, Accreditation & Survey Preparation

Having your documentation organized for survey is always a challenge, but especially so when dealing with HR requirements and personnel files. Remember that as of January 1, 2021, The Joint Commission...

Q&A: Water fixture infection control

Communication, scheduling important as you roll out vaccine program

ECRI Q&A provides lessons learned on vaccine rollout

EEOC clarifies employers’ rights to require COVID-19 vaccinations

Discuss mandatory COVID-19 vaccinations carefully

How to run an emergency department social medicine team

Hospitals must prepare as security and privacy concerns increase in 2021

CMS puts hospital surveys on limited hold as surge continues

How healthcare workers can prepare for the unexpected

Use these lists to organize and prepare for HR review

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