Regulation .05 Procedures for Level 1 and 2 Adverse Events and Certain Near-Misses.
Regulation .05 Procedures for Level 1 and 2 Adverse Events and Certain Near-Misses.LinkCopy Citation
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.