After a CMS survey last summer resulted in a finding of Immediate Jeopardy, University of Minnesota Health (M Health) was able to quickly develop and implement a new system to bolster its response to patient harm incidents.
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.
Bouffant caps only in the surgical suite? Skull cap? Both? It’s your choice.
Just make sure your hospital policy on surgical attire is clear and that it is followed, or you may run afoul of CMS or other accreditation organizations.
Ligature risk, building safety problems, and infection control were among the top problems identified by Healthcare Facilities Accreditation Program (HFAP) surveyors last year, according to the recently published 2019 HFAP Quality Review.
