Regulation .01 Purpose.
Regulation .01 Purpose.LinkCopy Citation
The purpose of this chapter is to provide a safe environment for patients by requiring hospitals to:
A.
Identify adverse events;
B.
Encourage reporting of near-misses;
C.
Assess and prioritize near-misses and adverse events based on level of disability or potential disability to patients;
D.
Determine the appropriate hospital response based on level of disability or potential disability;
E.
Conduct a root cause analysis of:
(1)
All level 1 events;
(2)
All level 2 events; and
(3)
If warranted, any near-miss or other adverse event;
F.
Conduct an appropriate investigation of adverse events and near-misses that do not require or warrant a root cause analysis;
G.
Provide a process by which the concerns of patients can be addressed; and
H.
Provide a process to notify a patient or, if appropriate, a patient's family, whenever an outcome of care differs significantly from an anticipated outcome.