<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".07" citation="COMAR 10.07.06.07" title_num="10" subtitle_num="07" chapter_num="06" heading="Procedures for Level 3 Adverse Events and Certain Near-Misses.">
  <paragraph num="A.">
    <text>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.</text>
  </paragraph>
  <paragraph num="B.">
    <text>All events shall be aggregated by type and level to determine any patterns or trends.</text>
  </paragraph>
  <paragraph num="C.">
    <text>The hospital is encouraged to evaluate and trend all near-misses to determine any system problems.</text>
  </paragraph>
  <paragraph num="D.">
    <text>The hospital shall monitor the results and effectiveness of all action plans.</text>
  </paragraph>
</regulation>