N.J. Admin. Code § 8:43G-34.11

Current through Register Vol. 56, No. 23, December 2, 2024

Section 8:43G-34.11 - Surgery continuous quality improvement

(a) There shall be a complete and current record of all surgical procedures.

(b) The hospital's quality improvement program shall include a systematic review and evaluation of patient care, anesthesia practices and anesthesia techniques. The surgical staff shall identify problem-prone processes which manifest undesirable patterns. The hospital shall develop a plan by which to collect and analyze data in order to evaluate outcomes or performance of the problem-prone processes. Data analysis shall focus on recommendations for implementing corrective actions and improving performance.

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).
In (b), substituted references to continuous quality improvement for references to quality assurance throughout.
Amended by R.2003 d.57, effective 2/3/2003.
See: 34 New Jersey Register 232(a), 35 New Jersey Register 865(a).
Rewrote (b).