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Accreditation & Quality Compliance Advisor

- Volume

Issue

COVID-19 vaccines requirements to end May 11 along with PHE

May 02, 2023

Accreditation & Survey Preparation

CMS is ending a requirement that all hospital providers and suppliers be vaccinated against COVID-19 as of the end of the public health emergency on May 11. Vaccines are still strongly urged, however....

Inside Accreditation & Quality

- Volume

Issue

COVID-19 public health emergency wrapping up? Mostly, but not everything

May 02, 2023

Accreditation & Survey Preparation

President Biden signed legislation ending the COVID-19 national emergency, and HHS is ending the public health emergency (PHE) declaration on May 11. However, there are still thousands of COVID-19 cas...

Patient Safety Monitor Journal

- Volume

Issue

What to know about ECRI’s 2023 top patient safety concerns: Part 1

December 19, 2025

Accreditation & Survey Preparation

ECRI’s annual report on the top patient safety concerns facing the healthcare industry—and what to do about them—are free online. The 2023 list contains several new issues, including pediatric mental ...

Healthcare Safety Leader

- Volume

Issue

Etiquette and tips for surviving The Joint Commission’s Life Safety survey

April 25, 2023

Accreditation & Survey Preparation, Fire & Life Safety

When accreditation organization (AO) surveyors show up for survey, people automatically become nervous. The reaction is natural. Yes, the surveyors are there to find issues where you do not comply wit...

Mac's Safety Space

- Volume

Issue

Mac’s Safety Space: The most frequently cited standards…

April 24, 2023

Accreditation & Survey Preparation, Physical environment

We can finally close the book, so to speak, on survey year 2022 and, in so doing, ponder the forces that come into play to increase the degree(s) of difficulty when it comes to compliance. And, in cas...

Medical Environment Update

- Volume

Issue

Tighten up on OSHA compliance as inspectors are urged to cite serious problems incident by incident

December 19, 2025

Accreditation & Survey Preparation, Laboratory Safety, Workplace safety

Ensure your workers are up to date on respirator fit testing and falls protection protocols, especially if OSHA has cited your healthcare facility for those safety problems in the last five years. If ...

Inside Accreditation & Quality

- Volume

Issue

ICYMI on AQCC: Measles alert, suicides remain high, TJC reapproved for psych program

April 18, 2023

Accreditation & Survey Preparation

Roundup: CDC issues measles alert, The Joint Commission reapproved to accredit psychiatric hospitals and suicide remains a leading cause of death. ...

Mac's Safety Space

- Volume

Issue

Mac’s Safety Space: Advocacy wins a round—microgrids and sustainable energy

April 17, 2023

Accreditation & Survey Preparation

In what is hopefully another in an ever-more-frequently covered topic (that being, the removal of barriers to compliance by those charged with determining compliance), CMS released information regardi...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Quick Safety 69: Preventing burns from laparoscopy and arthroscopy

December 19, 2025

Accreditation & Survey Preparation

“Even momentary proximity between an illuminated laparoscopic or arthroscopic light lead and a surgical drape can cause a full-thickness burn to the patient’s skin without generating any smoke or fire...

Healthcare Safety Leader

- Volume

Issue

Look above ceilings and in the back storage areas for sprinkler pipe citations

April 11, 2023

Accreditation & Survey Preparation

Make sure your facility’s weekly and monthly environmental walkthrough checklist includes looking for anything resting on fire sprinkler pipes, and don’t forget to check the “back of the house.” ...

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COVID-19 vaccines requirements to end May 11 along with PHE

COVID-19 public health emergency wrapping up? Mostly, but not everything

What to know about ECRI’s 2023 top patient safety concerns: Part 1

Etiquette and tips for surviving The Joint Commission’s Life Safety survey

Mac’s Safety Space: The most frequently cited standards…

Tighten up on OSHA compliance as inspectors are urged to cite serious problems incident by incident

ICYMI on AQCC: Measles alert, suicides remain high, TJC reapproved for psych program

Mac’s Safety Space: Advocacy wins a round—microgrids and sustainable energy

Quick Safety 69: Preventing burns from laparoscopy and arthroscopy

Look above ceilings and in the back storage areas for sprinkler pipe citations

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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