California Code of Regulations
Title 22 - Social Security
Division 5 - Licensing and Certification of Health Facilities, Home Health Agencies, Clinics, and Referral Agencies
Chapter 1 - General Acute Care Hospitals
Article 11 - Adverse Event Reporting Requirements
Section 70974 - Adverse Events-Policies and Procedures

Universal Citation: 22 CA Code of Regs 70974

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) Each hospital shall develop, implement, maintain, and comply with policies and procedures for a written patient safety plan, pursuant to Health and Safety Code section 1279.6, that specifies systemic processes for:

(1) Internally reporting preventable patient safety events, as defined in Health and Safety Code section 1279.6(c).

(2) Documenting reportable patient safety events.

(3) Conducting a root cause analysis for the patient safety event. A root cause analysis, or any other investigation, shall not change reporting requirements regarding reportable diseases or unusual occurrences as provided in Section 70737.

(4) Assessing the hospital's culture of safety at least every 24 months using a nationally recognized survey tool.

1. New section filed 10-28-2021; operative 1-1-2022 (Register 2021, No. 44). Filing deadline specified in Government Code section 11349.3(a) extended 60 calendar days pursuant to Executive Order N-40-20 and an additional 60 calendar days pursuant to Executive Order N-71-20.

Note: Authority cited: Sections 1275, 131050, 131051, 131052 and 131200, Health and Safety Code. Reference: Sections 1279.1 and 1279.6, Health and Safety Code.

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