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Mac's Safety Space

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Issue

Mac’s Safety Space: If you don’t think worker safety matters when it comes to accreditation…

May 22, 2023

Accreditation & Survey Preparation

If one accepts that one of the fundamental goals of the accreditation survey process is to generate findings, there is no reason to think that frequently cited standards, etc., by other organizations ...

Accreditation & Quality Compliance Advisor

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Issue

CMS restarting pilot project putting agency surveyors side-by-side with AO teams

May 11, 2023

Accreditation & Survey Preparation

Surveyors from CMS could start appearing along with survey teams from each accrediting organization as the federal agency resumes its full AO validation survey program. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Women now urged to get mammograms starting at age 40

February 11, 2026

Patient Safety, Policies and Procedures

The draft recommendations say female patients should be screened when they’re 40, then once every other year. The draft recommendation was issued May 9 and is open for public comment until June 5, 202...

Accreditation & Quality Compliance Advisor

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Issue

Changes to CAH standards allow for unified medical staff, hearings and appeal process in bylaws

February 11, 2026

Accreditation & Survey Preparation

Critical access hospitals (CAH) that are accredited by The Joint Commission (TJC) will now have the option to create a single, unified medical staff if they are part of a multihospital system. TJC has...

Medical Environment Update

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Issue

Hazardous material storage in the laboratory

February 11, 2026

Environment and Facilities, Physical environment, Laboratory Safety, Workplace safety

You can have clutter in your bedroom, your car, or your home closet, but you can’t have it in your laboratory. Hazardous chemicals can’t be stored above eye level, boxes can’t block exits, combustible...

Patient Safety Monitor Journal

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Issue

Antimicrobial resistance: A danger that crosses borders and species

February 11, 2026

Accreditation & Survey Preparation, Physical environment, Infection Control, Quality & Errors

No single healthcare facility will beat antimicrobial resistance (AMR) alone—nor will one industry, field, or even country. To prevent a world where AMR infections become the norm requires cooperation...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Focusing on hand hygiene to prevent HAIs

February 11, 2026

Physical environment, Infection Control, Patient Safety, Workplace safety

Five medical organizations have teamed up to recommend best practices for hand hygiene in healthcare settings to protect patients and providers from infection. In particular, the recommendations focus...

Healthcare Safety Leader

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Issue

Remember to update your facility’s list of hazardous chemicals

May 16, 2023

Environment and Facilities, Workplace safety

Remember to update your facility’s list of hazardous chemicals and materials at least annually, possibly more often depending on your state and local regulations. ...

Inside Accreditation & Quality

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Issue

CMS continues to issue guidance on end of COVID-19 public health emergency

May 16, 2023

Accreditation & Survey Preparation

Discuss now how your hospital wants to handle COVID-19 vaccine requirements for staff once CMS ends the mandate, which was first established in late 2021 at the height of the public health emergency (...

Mac's Safety Space

- Volume

Issue

Mac's Safety Space: If it ain’t over ‘til it’s over…

May 15, 2023

Accreditation & Survey Preparation

By Steve MacArthur, Hospital Safety Consultant Can you get over something that’s not over? I think this one will be relatively brief (as I always do), so we’ll see how far this takes us… On M...

Mac’s Safety Space: If you don’t think worker safety matters when it comes to accreditation…

CMS restarting pilot project putting agency surveyors side-by-side with AO teams

Women now urged to get mammograms starting at age 40

Changes to CAH standards allow for unified medical staff, hearings and appeal process in bylaws

Hazardous material storage in the laboratory

Antimicrobial resistance: A danger that crosses borders and species

Focusing on hand hygiene to prevent HAIs

Remember to update your facility’s list of hazardous chemicals

CMS continues to issue guidance on end of COVID-19 public health emergency

Mac's Safety Space: If it ain’t over ‘til it’s over…

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