John Muir Health

Senate Bill 158 became effective on January 1, 2009. It requires that each facility develop hand hygiene programs and establish patient safety plans.

The safety plans must include:

1. A patient safety committee
2. A reporting system for patient safety events
3. A process for facility staff to conduct thorough analyses including root cause analyses on reported safety events
4. A process for providing ongoing patient safety training for facility personnel and health care practitioners; and
   
5. A definition of a patient safety event. This will include adverse events that are determined to be preventable and health care associated infections that are determined to be preventable.

The safety committee must:

1. Review and approve the patient safety plan
2. Receive and review reports of patient safety events
3. Monitor implementation of corrective action for patient safety events;
   
4. Make recommendations to eliminate future patient safety events
5. Review and revise patient safety plans yearly and more often as needed.