Last year, CMS accrediting agencies conducted 4,611 surveys at U.S. hospitals. Of those surveys, nearly 7% resulted in a citation over a patient’s right to receive care in a safe setting.
Here were the 25 most common citations, according to data from CMS’ Quality and Certification Oversight Reports:
Patient rights: Care in safe setting — 317 citations
RN supervision of nursing care — 297
Patient rights — 240
Compliance with 489.24 (transfers) — 175
Supervision of contract staff — 173
Nursing services — 160
Medical screening exam — 141
Patient rights: Free from abuse/harassment — 113
Nursing care plan — 104
Patient rights: Informed consent — 85
Administration of drugs — 80
Staffing and delivery of care — 79
Patient rights: Restraint or seclusion (physician order) — 66
Governing body — 65
Patient rights: Notice of rights — 64
Patient safety — 62
Infection control surveillance, prevention — 54
Facilities, supplies, equipment maintenance — 51
Infection control program — 51
Appropriate transfer — 48
QAPI (quality assurance and performance improvement) — 46
Patient rights: Restraint or seclusion (monitoring) — 42
Stabilizing treatment — 41
Maintenance of physical plant — 40
Patient care assignments — 38