New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 37 - COMMUNITY MENTAL HEALTH SERVICES ACT
Subchapter 9 - QUALITY ASSURANCE
Section 10:37-9.9 - Risk management (RM)

Universal Citation: NJ Admin Code 10:37-9.9

Current through Register Vol. 56, No. 18, September 16, 2024

(a) Each QA program shall include a risk management (RM) component which shall be described in the QA plan.

(b) The RM component of the QA program shall include the following activities:

1. Monitoring of implementation of PA's policies and procedures regarding medication (for example: documentation that staff are aware of medications prescribed for clients, dosage, frequency, side effects, and adverse medication reactions, frequency of laboratory tests when necessary);

2. Monitoring life safety;

3. An incident review and reporting procedure that will allow for the analysis of client and staff incidents to identify patterns and trends or opportunities to improve client care and staff safety and to reduce agency liability risks. Incident review shall include interviews of clients and staff involved in each incident. The PA shall ensure that clients and staff who report incidents are not adversely affected; and

4. Development of an infection control policy and monitoring of the implementation of the policy.

(c) Risk management reports shall document all RM activities. Conclusions, recommendations, actions to reduce risk or resolve problems and follow up of corrective actions taken shall be included in these reports.

(d) When the PA has developed the QA program, the following should be considered for inclusion in RM activities:

1. Monitoring of compliance with PA policies regarding confidentiality and release of information;

2. Identifying categories of potential risk in clinical aspects of care to clients;

3. Review of case-specific instances of potential risk; and

4. Documentation and implementation of a RM plan that fully describes the scope of the RM program and its integration with other QA activities.

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