Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 1
Subtitle 07 - HOSPITALS
Chapter 10.07.06 - Hospital Patient Safety Program
Section 10.07.06.05 - Procedures for Level 1 and 2 Adverse Events and Certain Near-Misses
Universal Citation: MD Code Reg 10.07.06.05
Current through Register Vol. 51, No. 19, September 20, 2024
A. When a level 1 or 2 adverse event, or a near-miss that warrants a root cause analysis occurs, the hospital shall:
(1) Provide immediate
care to the patient;
(2) Identify
any immediate corrective action to prevent reoccurrence;
(3) Identify and report the event in
accordance with the hospital's reporting process;
(4) Complete a root cause analysis within 60
days of the time that the hospital has knowledge of the occurrence;
(5) Develop and implement an action plan to
correct any systems problems;
(6)
Share any pertinent information with quality assurance or other medical review
committees; and
(7) Aggregate data
to determine patterns or trends.
B. All patient safety activities shall be conducted by a medical review committee established under Health Occupations Article, §1-401, Annotated Code of Maryland.
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