News & Analysis | .accreditationqualitycenter

Accreditation & Quality Compliance Advisor

- Volume

Issue

The chronic issue of cybersecurity

February 16, 2026

Quality & Errors

Healthcare institutions large and small can be left black and blue by a cyberattack. Larger institutions have more patients and thus have more user health records that attackers can compromise. Smalle...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Multiple injection safety violations led to NJ outbreak

February 16, 2026

Infection Control, Quality & Errors

Multiple violations of injection safety and infection prevention practices contributed to a 2017 outbreak of septic arthritis at a New Jersey outpatient facility ...

Patient Safety Monitor Journal

- Volume

Issue

Medical center’s four-pronged effort reduced C. diff infections by 55%

February 16, 2026

Infection Control, Quality & Errors

At North Shore Medical Center, antibiotic stewardship was the most effective intervention in reducing C. diff infections ...

Inside Accreditation & Quality

- Volume

Issue

HFAP citations review offers key compliance tips on toughest problems

February 16, 2026

Quality & Errors, Accreditation & Survey Preparation

HFAP surveyors will be looking for increased follow-through on a hospital’s evaluation and implementation of organizational policies. ...

Mac's Safety Space

- Volume

Issue

People get ready: There’s a (survey) train a-coming!

July 23, 2019

Environment and Facilities, Accreditation & Survey Preparation

By Steve MacArthur, Hospital Safety Consultant When it comes right down to it, I think it is nigh on impossible to have access to too many resources or, indeed, to have access to too many perspecti...

Accreditation & Quality Compliance Advisor

- Volume

Issue

The CMS Conditions of Participation and Interpretive Guideline, 2019

February 16, 2026

While CMS posts updates to the CoPs on its website, they are often difficult to search and lengthy, not to mention tedious to print. This is where HCPro comes in! We have taken the most recent version...

Accreditation & Quality Compliance Advisor

- Volume

Issue

TJC: Abuse and human trafficking patients

February 16, 2026

Patient Safety, Accreditation & Survey Preparation, Workplace safety

TJC posted two blog items this July, one on providing trauma informed care to patients who’ve been abused and the other on identifying human trafficking victims. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

New decision support tool reduces sepsis mortality by 22.9%

February 16, 2026

Infection Control, Quality & Errors

“The SPOT algorithm surveils 24 hours a day, seven days a week to look for the signs and symptoms of sepsis. When those signs are found, they are teed up and presented to the caregivers,” ...

Patient Safety Monitor Journal

- Volume

Issue

Touching eyes: Disinfecting ophthalmology devices

February 16, 2026

Infection Control, Accreditation & Survey Preparation

A new Quick Safety advisory from The Joint Commission (TJC) tells providers to do a better job sterilizing medical devices that touch patients’ eyes. ...

Inside Accreditation & Quality

- Volume

Issue

New compounding pharmacy certification designed to boost compliance

February 16, 2026

Accreditation & Survey Preparation, Quality & Errors

Consider getting an accrediting organization to review and certify your hospital’s drug compounding practices as scrutiny ratchets up on medication management of both sterile and hazardous drugs. ...

The chronic issue of cybersecurity

Multiple injection safety violations led to NJ outbreak

Medical center’s four-pronged effort reduced C. diff infections by 55%

HFAP citations review offers key compliance tips on toughest problems

People get ready: There’s a (survey) train a-coming!

The CMS Conditions of Participation and Interpretive Guideline, 2019

TJC: Abuse and human trafficking patients

New decision support tool reduces sepsis mortality by 22.9%

Touching eyes: Disinfecting ophthalmology devices

New compounding pharmacy certification designed to boost compliance

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