# COMAR Title 10 — Maryland Department of Health

## Subtitle 07 — Hospitals

### Chapter 06 — Hospital Patient Safety Program

#### Regulation .07 Procedures for Level 3 Adverse Events and Certain Near-Misses.

*COMAR 10.07.06.07*

A. If the event is not a level 1 or 2 event or a near-miss that warrants a root cause analysis, the hospital shall conduct an evaluation of the event to determine any problem area and corrective action.

B. All events shall be aggregated by type and level to determine any patterns or trends.

C. The hospital is encouraged to evaluate and trend all near-misses to determine any system problems.

D. The hospital shall monitor the results and effectiveness of all action plans.