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Accreditation & Quality Compliance Advisor

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Issue

CMS updates its surveyor’s manual for first time in more than a year

February 15, 2026

Accreditation & Survey Preparation

Just in time for the holidays, CMS is offering the gift of a newly revised State Operations Manual (SOM), one of the first significant overhauls in more than a year, especially for hospitals. Expect u...

Accreditation & Quality Compliance Advisor

- Volume

Issue

CMS offers training on new electronic form for restraint-related deaths

February 15, 2026

Patient Safety, Policies and Procedures, Accreditation & Survey Preparation, Workplace safety

As of January 1, CMS eliminated the paper version of the form to report patient deaths associated with restraint or seclusion. ...

Mac's Safety Space

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Issue

I heard the bells! Or did I see three ships?

December 23, 2019

Environment and Facilities, Workplace safety

By Steve MacArthur, Hospital Safety Consultant Yet another mixed bag of festive goodies for you this week: I know you’ve all been good (our profession doesn’t really leave a lot of room for anythin...

Accreditation & Quality Compliance Advisor

- Volume

Issue

IHI Looks to Expand ‘Age-Friendly’ Health Systems

February 15, 2026

Patient Safety, Policies and Procedures, Quality & Errors

The Institute for Healthcare Improvement (IHI) has joined with the nation’s major hospital associations to expand a program that promotes and recognizes providers of “age friendly” care. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Medical Malpractice Rate Dropped Over 10-Year Period

December 17, 2019

Patient Safety, Quality & Errors

When looking at the number of defendants per 100 physicians, the steepest decline was in OB-GYN claims with a 44% drop over 10 years. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Will you create TJC’s next Emergency Preparedness poster?

December 11, 2019

Natural & Manmade Disasters, Environment and Facilities, Accreditation & Survey Preparation

Selected posters will be exhibited at the Emergency Management Standards Base Camp on April 21, and at the 2020 Emergency Preparedness Conference on April 21 and 23. ...

Mac's Safety Space

- Volume

Issue

’Twas the week before Christmas and all through the…

December 17, 2019

Natural & Manmade Disasters, Environment and Facilities

By Steve MacArthur, Hospital Safety Consultant Do you ever find yourself at the end of the year with a list of random items that you just never got to? It’s not that they weren’t (or, indeed, aren’...

Inside Accreditation & Quality

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Issue

Fire safety may trump ligature risk, but surveyors likely will want both

December 17, 2019

Environment and Facilities, Fire & Life Safety, Accreditation & Survey Preparation, Behavioral & Mental Health

The Joint Commission’s (TJC) newest engineering director, Herman A. McKenzie, MBA, CHSP, told hospital leadership that life safety (LS) trumps ligature risk. But be prepared to not have a choice. ...

Inside Accreditation & Quality

- Volume

Issue

TJC to focus on how hospitals prevent obstetric hemorrhage, treat severe hypertension

December 17, 2019

Patient Safety, Accreditation & Survey Preparation

Obstetric hemorrhage and severe hypertension are the two focus areas of the requirements that will come online in July 2020 ...

Patient Safety Monitor Journal

- Volume

Issue

Five strategies to improve opioid use disorder care in hospitals

December 17, 2019

Patient Safety, Quality & Errors

A new report provides five system-level strategies with specific initiative examples for hospitals to improve prevention, identification, and treatment of opioid use disorder. ...

CMS updates its surveyor’s manual for first time in more than a year

CMS offers training on new electronic form for restraint-related deaths

I heard the bells! Or did I see three ships?

IHI Looks to Expand ‘Age-Friendly’ Health Systems

Medical Malpractice Rate Dropped Over 10-Year Period

Will you create TJC’s next Emergency Preparedness poster?

’Twas the week before Christmas and all through the…

Fire safety may trump ligature risk, but surveyors likely will want both

TJC to focus on how hospitals prevent obstetric hemorrhage, treat severe hypertension

Five strategies to improve opioid use disorder care in hospitals

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