Cal. Code Regs. Tit. 22, § 71569 - Adverse Events - Policies and Procedures

(a) Each hospital shall develop, implement, maintain, and comply with policies and procedures for a written patient safety plan, pursuant to Health and Safety Code section 1279.6, that specifies systemic processes for:

(1) Internally reporting preventable patient safety events, as defined in Health and Safety Code section 1279.6(c).

(2) Documenting reportable patient safety events.

(3) Conducting a root cause analysis for the patient safety event. A root cause analysis, or any other investigation, shall not change reporting requirements regarding reportable diseases or unusual occurrences as provided in section 71535.

(4) Assessing the hospital's culture of safety at least every 24 months using a nationally recognized survey tool.

Notes

Cal. Code Regs. Tit. 22, § 71569

Note: Authority cited: Sections 1275, 131050, 131051, 131052 and 131200, Health and Safety Code. Reference: Sections 1279.1, 1279.2 and 1279.6, Health and Safety Code.

1. New section filed 10-28-2021; operative 1/1/2022 (Register 2021, No. 44). Filing deadline specified in Government Code section 11349.3(a) extended 60 calendar days pursuant to Executive Order N-40-20 and an additional 60 calendar days pursuant to Executive Order N-71-20.