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:
- A patient safety committee
- A reporting system for patient safety events
- A process for facility staff to conduct thorough analyses including root cause analyses on reported safety events
- A process for providing ongoing patient safety training for facility personnel and health care practitioners; and
- 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:
- Review and approve the patient safety plan
- Receive and review reports of patient safety events
- Monitor implementation of corrective action for patient safety events;
- Make recommendations to eliminate future patient safety events
- Review and revise patient safety plans yearly and more often as needed.