We have at BCMCH, a risk management plan, which is reviewed and revised annually.

We consistently communicate and model the BCMCH’s values, mission and vision, especially as they relate to patient safety.

We conduct Patient Safety rounds on a regular basis and provide feedback to staff about the concerns presented during the rounds.

We uphold the idea of a fair and just culture and seek to propagate this concept throughout BCMCH.

We have a process in place to hold individuals accountable for their actions and performance, and to evaluate compliance with designated responsibilities, scope of practice and organizational values.

We perform daily safety briefings or huddles, if any, in the MS office meetings

We embrace patient- and family-centered care practices, and commit adequate resources and effort to implement these practices.

We have a formal process to identify and respond to serious adverse events and medical errors.

We are honest and transparent with patients and families when serious adverse events and medical errors occur.

We have an established process for disclosing errors to patients and family members, and we specify who should participate in these discussions.

We monitor patient satisfaction survey results and take prompt action when we become aware of adverse trends and issues.

We provide the governing board with quarterly reports on patient safety and risk management initiatives.

We have a thorough, well-documented process for credentialing, privileging and reappointing members of the medical staff.

We involve the Administrative Committee in overseeing the credentialing process.

We have a process in place for verifying the education, training and credentials of advanced practice nurses and mid-level providers.

We conduct employee surveys to assess attitudes and reveal potential problems regarding patient safety.

We actively encourage communication and collaboration among risk management,quality and patient safety departments.

We have a formalized Audit process, which is governed by hospital and medical staff by laws.

Our Audit process is in accordance with the requirements of relevant statutory and accrediting organizations.

We collect and systemically analyze provider performance data, including morbidity and mortality rates, patient satisfaction results, complaints, Audit recommendations and practice patterns (e.g., length of stay, readmissions, prescribing patterns).

We follow Medical Council for Graduate Medical Education requirements regarding the supervision of residents.

We have a formalized process in place addressing disruptive, abusive and/orimpaired providers