Md. Code Regs. 10.07.06.05

Current through Register Vol. 51, No. 22, November 1, 2024

Section 10.07.06.05 - Procedures for Level 1 and 2 Adverse Events and Certain Near-Misses

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.

Md. Code Regs. 10.07.06.05