Current through Register Vol. 46, No. 3, March 25, 2022
There shall be a written, implemented quality improvement program that provides
effective self-assessment and implementation of changes designed to improve the
care and services provided by the facility.
The quality improvement program, at a
1. Establish desired outcomes
and the criteria by which policy and procedure effectiveness is regularly,
systematically, and objectively accomplished;
2. Identify, evaluate, and determine the
causes of any deviation from the desired outcomes;
3. Identify the action taken to correct
deviations and prevent future deviation, and the person(s) responsible for
implementation of these actions;
Analyze the appropriateness of IPCs and the necessity of care and services
5. Analyze all incidents
and accidents, to include all medication errors and patient deaths;
6. Analyze any infection, epidemic outbreaks,
or other unusual occurrences which threaten the health, safety, or well-being
of the patients; and
7. Establish a
systematic method of obtaining feedback from patients and other interested
persons, for example, family members and peer organizations, as expressed by
the level of satisfaction with care and services received.
S.C. Code Regs.
Register Volume 43, Issue No. 05, eff.