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Striving for Excellence Every Day is part of the Mass General culture.
The Regulatory Readiness Portal is designed to support you in working toward this goal with a particular focus on expectations during external surveys. These periodic reviews assure the public that Mass General provides care based on evidenced-based practice and the most current standards for patient safety.
The Regulatory Readiness Portal provides easy access to information about key areas of compliance through National Patient Safety Goals resources and educational materials, a Tuesday Take Away archive, Regulatory Readiness audits, checklists, and more.
PCS Office of Quality & Safety staff are also available to help address questions about regulatory preparation and other patient safety issues. Please contact us at any time:
Colleen Snydeman RN, PhD(c), Director
Judi Carr, RN, Staff Specialist
Deb Frost, RN, Staff Specialist
Patti Shanteler, RN, Staff Specialist
Mary Ann Walsh, RN, Nurse Clinician
Claire Seguin, RN, Senior Manager
DPH INFECTION CONTROL SURVEY:
The Department of Public Health (DPH) conducts periodic, unannounced Infection Control surveys.
Resources to help you prepare:
Excellence Every Day Regulatory Readiness Resource Guide for Licensed Staff:
2015 National Patient Safety Goals (NPSGs) for Hospitals
GOAL 1: Identify patients correctly
GOAL 2: Improve staff communication
GOAL 3: Use medicines safely
Goal 3 has 3 standards related to safe medication management: labeling of medications, anticoagulation therapy,
and medication reconciliation.
GOAL 6: Use alarms safely
GOAL 7: Prevent infection
Goal 7 has five standards related to preventing healthcare-associated infections.
- Policy Prevention of Healthcare Associated Infections (internal access only)
FOR STAFF: Infection Control: Dos and Don'ts
PATIENT EDUCATION MATERIALS:
GOAL 15: Identify patient safety risks
Universal Protocol: Prevent mistakes in surgery return to top
Medication Education Safety & Approval Committee
(MESAC-internal access only)
Infection Control Policy
(internal access only)
If you have questions or suggestions related to the Regulatory Readiness portal, please contact Georgia Peirce at (617) 724-9865 or via email at firstname.lastname@example.org.
Massachusetts General Hospital 55 Fruit Street, Boston MA 02114 / (617) 726-2000 / TDD: 617-724-8800