News & Analysis | .accreditationqualitycenter

Mac's Safety Space

- Volume

Issue

Why your water management program is important

December 13, 2025

Infection Control, Environment and Facilities

Over time, I’ve spoken a fair amount about the work of Matt Freje and the folks at HCInfo in improving the approaches to the management of risks associated with water systems. They’ve been leading the...

Medical Environment Update

- Volume

Issue

Lab Safety Man: The strange anatomy of a lab exposure

December 13, 2025

Infection Control, Laboratory Safety, Workplace safety

The lab manager reported to me that an employee had a body fluid splash to the mouth, and the manager and the employee both wanted to know if it should be reported. At this point, the story breaks dow...

Patient Safety Monitor Journal

- Volume

Issue

How to avoid computer-driven bias in patient care

February 26, 2024

Cybersecurity & Technology

While technology can help case managers speed up their workflow and identify high-risk patients, it can also introduce bias into processes. Learn how to prevent technology-based bias in patient care. ...

Inside Accreditation & Quality

- Volume

Issue

Quality review: Most frequent ACHC deficiencies fall under infection control

February 26, 2024

Accreditation & Survey Preparation, Infection Control

Almost 90% of hospitals surveyed by the Accreditation Commission for Health Care (ACHC) between June 1, 2022, and May 31, 2023, were cited for deficiencies under one of the accrediting organization’s ...

Inside Accreditation & Quality

- Volume

Issue

A patient complaint investigation is likely—what are your first steps?

December 13, 2025

Accreditation & Survey Preparation

If you have reason to believe your hospital may be subject to a complaint investigation by your accrediting organization (AO) or CMS, the best strategy is to be prepared with documentation, including ...

Mac's Safety Space

- Volume

Issue

Making sure there’s enough breathing room: Updating medical gas systems

December 13, 2025

Patient Safety, Environment and Facilities

One of the many lessons learned during the COVID-19 pandemic is that medical gas system capacity is an important consideration. I suspect a lot of folks are giving serious consideration to how best to...

Medical Environment Update

- Volume

Issue

From false positives to focused prevention: The AI-driven approach against drug diversion

December 13, 2025

Healthcare Staff, Laboratory Safety

Hospital leaders only need to glance at the headlines from the U.S. Department of Justice Drug Enforcement Administration’s Diversion Control Division to see the pervasiveness of drug diversion in hos...

Healthcare Safety Leader

- Volume

Issue

The benefits of exercise

December 13, 2025

Natural & Manmade Disasters, Physical environment

There is not one hospital in the United States that is immune from disasters, whether caused by internal system failures or events externally directed at them and the communities they serve. Yet many ...

Patient Safety Monitor Journal

- Volume

Issue

Case study: Breaking the rules and KitKats at Queen’s University

February 19, 2024

Patient Safety

In 2022, the Queen’s University in Kingston, Ontario embarked on a journey to prune away the rules that hindered care and comfort in their Department of Emergency Medicine. The project was lead by Lou...

Mac's Safety Space

- Volume

Issue

Emergency management moves out into ambulatory care

December 13, 2025

Accreditation & Survey Preparation, Natural & Manmade Disasters

Well, not strictly speaking—I’m pretty sure we’ve been working on preparedness in the ambulatory care settings for a while now. I suspect that this is more of a recalibration to ensure that all applic...

Why your water management program is important

Lab Safety Man: The strange anatomy of a lab exposure

How to avoid computer-driven bias in patient care

Quality review: Most frequent ACHC deficiencies fall under infection control

A patient complaint investigation is likely—what are your first steps?

Making sure there’s enough breathing room: Updating medical gas systems

From false positives to focused prevention: The AI-driven approach against drug diversion

The benefits of exercise

Case study: Breaking the rules and KitKats at Queen’s University

Emergency management moves out into ambulatory care

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