Accreditation & Survey Preparation | .accreditationqualitycenter

Medical Environment Update

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Issue

Lab Safety Man: The big three safety audit blunders to avoid

December 16, 2025

Accreditation & Survey Preparation

Safety audits are performed in laboratories across the world, but in some of these locations the environment remains very unsafe and performing audits hasn’t made any difference. Mistakes can be made ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

When proven solutions don’t work: Preventing infection from unexpected sources happens with clear communication

December 16, 2025

Accreditation & Survey Preparation, Infection Control, Patient Safety, Quality & Errors

Healthcare facilities have made huge strides in improving infection prevention and control, yet the Centers for Disease Control and Prevention notes that, on any given day, one in 31 hospital patients...

Inside Accreditation & Quality

- Volume

Issue

CMS stresses unannounced surveys, wants complaints investigated on-site

August 08, 2023

Accreditation & Survey Preparation

CMS is worried that hospitals have too much advance notice of when surveyors will be on the premises to audit patient safety practices and identify problems, including those found while investigating ...

Healthcare Safety Leader

- Volume

Issue

Quick quiz: Help prepare staff to avoid survey surprises

August 08, 2023

Accreditation & Survey Preparation

by A.J. Plunkett (aplunkett@decisionhealth.com) How ready are you and your staff for your next triennial survey? Here is a quick quiz to check on some common issues. And you might want to share ...

Mac's Safety Space

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Issue

Mac’s Safety Space: Pondering imponderables – CMS versus the physical environment

August 07, 2023

Accreditation & Survey Preparation

So, jumping back a little in time, I want to loop back to the physical environment “problem list” identified in CMS’ most recent assessment of the survey effectiveness of the various accreditation org...

Accreditation & Quality Compliance Advisor

- Volume

Issue

COVID-19 vaccination status checks officially retired

July 26, 2023

Accreditation & Survey Preparation

CMS has officially retired the requirements for healthcare staff vaccination against COVID-19. ...

Medical Environment Update

- Volume

Issue

OSHA: Respiratory protections, bloodborne pathogens, and hazard communication lead hospital violations

December 16, 2025

Accreditation & Survey Preparation

Get your respiratory protection program up to date and make sure it’s written and enforced, because OSHA inspectors are pressing to put those violations in a category that could mean a penalty of up t...

Inside Accreditation & Quality

- Volume

Issue

CMS memo tightens requirements on unannounced surveys, catching AOs and hospitals by surprise

August 01, 2023

Accreditation & Survey Preparation

Keep required documents up to date and ready for surveyors, and have someone within the hospital leadership team available to come in on short notice once your hospital is within six months of its tri...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Updated mock tracers now available for Platinum members

December 16, 2025

Accreditation & Survey Preparation

Platinum members can now access our updated mock tracer tools and checklists. ...

Healthcare Safety Leader

- Volume

Issue

OSHA: Respiratory protections, bloodborne pathogens, and hazard communication lead hospital violations

July 18, 2023

Accreditation & Survey Preparation

Subscribe to Accreditation & Survey Preparation

Lab Safety Man: The big three safety audit blunders to avoid

When proven solutions don’t work: Preventing infection from unexpected sources happens with clear communication

CMS stresses unannounced surveys, wants complaints investigated on-site

Quick quiz: Help prepare staff to avoid survey surprises

Mac’s Safety Space: Pondering imponderables – CMS versus the physical environment

COVID-19 vaccination status checks officially retired

OSHA: Respiratory protections, bloodborne pathogens, and hazard communication lead hospital violations

CMS memo tightens requirements on unannounced surveys, catching AOs and hospitals by surprise

Updated mock tracers now available for Platinum members

OSHA: Respiratory protections, bloodborne pathogens, and hazard communication lead hospital violations

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