<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.07.06.05" title_num="10" subtitle_num="07" chapter_num="06" heading="Procedures for Level 1 and 2 Adverse Events and Certain Near-Misses.">
  <paragraph num="A.">
    <text>When a level 1 or 2 adverse event, or a near-miss that warrants a root cause analysis occurs, the hospital shall:</text>
    <paragraph num="(1)">
      <text>Provide immediate care to the patient;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Identify any immediate corrective action to prevent reoccurrence;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Identify and report the event in accordance with the hospital's reporting process;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Complete a root cause analysis within 60 days of the time that the hospital has knowledge of the occurrence;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Develop and implement an action plan to correct any systems problems;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Share any pertinent information with quality assurance or other medical review committees; and</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Aggregate data to determine patterns or trends.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>All patient safety activities shall be conducted by a medical review committee established under Health Occupations Article, §1-401, Annotated Code of Maryland.</text>
  </paragraph>
</regulation>