N.J. Admin. Code § 8:43G-7.41

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:43G-7.41 - Pediatric cardiac surgery continuous quality improvement methods

(a) There shall be a program of quality continuous improvement for all services that is integrated into the hospital continuous improvement program and includes regularly collecting and analyzing data to help identify health-service problems and their extent, and recommending, implementing, and monitoring corrective actions on the basis of these data.

(b) The continuous quality improvement program for surgery shall include at least:

1. Monitoring the volume of each service provided;

2. Infection and complication rates;

3. The incidence of mortality, morbidity, and other adverse occurrences in each service;

4. Patient factors that affect risk of complications in each service; and

5. Retrospective evaluation of emergency procedures in each service.

N.J. Admin. Code § 8:43G-7.41

Recodified from N.J.A.C. 8:43G-7.35 and amended by R.1999 d.436, effective 12/20/1999.
See: 31 New Jersey Register 367(a), 31 New Jersey Register 614(a), 31 New Jersey Register 4293(c).
Substituted references to continuous quality improvement for reference to quality assurance throughout.