Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 1
Subtitle 07 - HOSPITALS
Chapter 10.07.06 - Hospital Patient Safety Program
Section 10.07.06.02 - Definitions
Universal Citation: MD Code Reg 10.07.06.02
Current through Register Vol. 51, No. 19, September 20, 2024
A. In this chapter, the following terms have the meanings indicated.
B. Terms Defined.
(1) "Action plan" means a written document
that includes:
(a) Specific measures to
correct problems or areas of concerns;
(b) Specific measures to address areas of
system improvement;
(c) Time frames
for implementation of any specific measures; and
(d) Title of responsible individual to
monitor implementation and effectiveness.
(2) "Adverse event" means an unexpected
occurrence related to an individual's medical treatment and not related to the
natural course of the patient's illness or underlying disease
condition.
(3) "Department" means
the Department of Health and Mental Hygiene.
(4) "Level 1 adverse event" means an adverse
event that results in death or serious disability.
(5) "Level 2 adverse event" means an adverse
event that requires a medical intervention to prevent death or serious
disability.
(6) "Level 3 adverse
event" means an adverse event that does not result in death or serious
disability and does not require any medical intervention to prevent death or
serious disability.
(7) "Medical
review committee" has the meaning stated in Health Occupations Article, §1-401, Annotated
Code of Maryland.
(8) "Near-miss"
means a situation that could have resulted in an adverse event but did not,
either by chance or through timely intervention.
(9) "Patient safety program" means an
ongoing, proactive program for identifying risks to patient safety and reducing
medical errors which is one component of the hospital-wide risk management
program.
(10) "Root cause analysis"
means a medical review committee process as defined under Health Occupations
Article, §1-401, Annotated
Code of Maryland, for identifying the basic or contributing causal factors that
underlie variations in performance associated with adverse events or
near-misses.
(11) "Serious
disability" means a physical or mental impairment that substantially limits one
or more of the major life activities of an individual lasting more than 7 days
or still is present at the time of discharge.
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