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Patient Safety in Michigan

Michigan has enacted some regulations that pertain to patient safety.  For example, the law requires a qualified hospital organization to create a reporting system to collect data on serious, adverse events occurring in hospitals in order to improve patient safety.1  Nursing facilities are also required to record all instances of medication errors or adverse reactions to medications that occur on premises.2  Additionally, nursing homes are required to submit information on conduct that is detrimental to its residents to a task force within the nursing facility’s governing agency.3  Specifically, Michigan prohibits physical, mental, and emotional abuse, mistreatment, and neglect of nursing home patients by any employee, administrator, or licensee. All employees, nursing home administrators, nursing directors, physicians, and other licensed health care personnel must report violations to the appropriate authority.4

 

Footnotes

  • 1. M.C.L.A. §331.534
  • 2. MI Admin. Code R. 325.20904
  • 3. M.C.L.A. §333.21763
  • 4. M.C.L.A. §333.21771

 

Patient Safety in Michigan

Subtopic Statute/Regulation Description
Sentinel and adverse event reporting: Accident (incl. falls) Mich. Admin. Code r. 325.1924 - Reporting of incidents, accidents, elopement All nursing homes must report all incidents and accidents and must include in the report information such as the name of the individual involved, a...
Mich. Comp. Laws Ann. § 331.534 - Creation of nonpunitive, confidential reporting system by qualified hospital patient safety organization; public report; definitions A qualified hospital patient safety organization (one that was incorporated before Jan. 1, 2009 with a membership of at least 75% of all hospitals)...
Sentinel and adverse event reporting: Medication errors Mich. Admin. Code r. 325.20904 - Medications; errors; reactions All medication errors and reactions to medications that occur in nursing facilities must be reported to an applicable nurse, physician, or pharmacist...
Mich. Comp. Laws Ann. § 331.534 - Creation of nonpunitive, confidential reporting system by qualified hospital patient safety organization; public report; definitions A qualified hospital patient safety organization (one that was incorporated before Jan. 1, 2009 with a membership of at least 75% of all hospitals)...
Patient abuse/neglect records Mich. Comp. Laws Ann. § 330.1723 - Suspected abuse of recipient or resident; report to law enforcement agency All records listing the identity, diagnosis, prognosis, and treatment of a patient being treated for substance use disorder are confidential....
Mich. Comp. Laws Ann. § 330.1748a - Child abuse or neglect investigation; request for mental health records and information; immunity from civil or administrative liability; imposition of duties under another statute A Family Independence Agency caseworker may request, in writing, mental health records from a mental health professional if there is a “...
Mich. Comp. Laws Ann. § 333.2640 - Parentage registry; use and access by family independence agency; access to child’s medical records and information; immunity; exception The Family Independence Agency has access to the parentage registry when enforcing child support obligations and may disclose such information as...
Mich. Comp. Laws Ann. § 722.623 - Individual required to report child abuse or neglect; written report; regulations and guidelines regarding transmission of report Michigan requires numerous professionals, including physicians, physician’s assistants, and EMTs to report suspected cases of child abuse and...
Mich. Comp. Laws Ann. § 722.623a - Knowledge of suspicion of alcohol, controlled substance, or metabolite of controlled substance in body of newborn infant; report required; exception All persons that are required to report child abuse and neglect must also report any incident where a newborn infant has alcohol, a controlled...
Sentinal and adverse reporting (death) Mich. Comp. Laws Ann. § 331.534 - Creation of nonpunitive, confidential reporting system by qualified hospital patient safety organization; public report; definitions A qualified hospital patient safety organization (one that was incorporated before Jan. 1, 2009 with a membership of at least 75% of all hospitals)...
Sentinel and adverse event reporting: Death Mich. Comp. Laws Ann. § 331.534 - Creation of nonpunitive, confidential reporting system by qualified hospital patient safety organization; public report; definitions A qualified hospital patient safety organization (one that was incorporated before Jan. 1, 2009 with a membership of at least 75% of all hospitals)...
Sentinel and adverse event reporting: Fires (involving patient) Mich. Comp. Laws Ann. § 331.534 - Creation of nonpunitive, confidential reporting system by qualified hospital patient safety organization; public report; definitions A qualified hospital patient safety organization (one that was incorporated before Jan. 1, 2009 with a membership of at least 75% of all hospitals)...
Sentinel and adverse event reporting: Infections (HAI) Mich. Comp. Laws Ann. § 331.534 - Creation of nonpunitive, confidential reporting system by qualified hospital patient safety organization; public report; definitions A qualified hospital patient safety organization (one that was incorporated before Jan. 1, 2009 with a membership of at least 75% of all hospitals)...
Sentinel and adverse event reporting: Wrong-site surgery Mich. Comp. Laws Ann. § 331.534 - Creation of nonpunitive, confidential reporting system by qualified hospital patient safety organization; public report; definitions A qualified hospital patient safety organization (one that was incorporated before Jan. 1, 2009 with a membership of at least 75% of all hospitals)...
Patient abuse/neglect reporting: For specific health care facilities Mich. Comp. Laws Ann. § 333.16281 - Regulations and guidelines regarding child abuse or neglect investigations Michigan permits “family independence agency caseworkers” to access a child’s medical records while conducting a child abuse or...
Patient abuse/neglect reporting: Who has the duty to report Mich. Comp. Laws Ann. § 333.16281 - Regulations and guidelines regarding child abuse or neglect investigations Michigan permits “family independence agency caseworkers” to access a child’s medical records while conducting a child abuse or...
Patient safety data reporting Mich. Comp. Laws Ann. § 333.21763 - Access to nursing home patients; purposes; requirements; termination of visit; confidentiality; complaint; determination; prohibited entry Access to nursing home patients; purposes; requirements; termination of visit; confidentiality; complaint; determination; prohibited entry  ...
Mich. Comp. Laws Ann. § 333.21771 - Abusing, mistreating, or neglecting patient; reports; investigation; retaliation prohibited; exception to report requirement; time frame for reporting Michigan prohibits physical, mental, and emotional abuse, mistreatment, and neglect of nursing home patients by any employee, administrator, or...
Mich. Comp. Laws Ann. § 333.7403a - Fraudulently obtaining controlled substance or prescription from health care provider Fraudulently obtaining or attempting to obtain a controlled substance or a prescription for a controlled substance is illegal. An individual guilty...
Confidentiality of patient safety data Mich. Comp. Laws Ann. § 333.2640 - Parentage registry; use and access by family independence agency; access to child’s medical records and information; immunity; exception The Family Independence Agency has access to the parentage registry when enforcing child support obligations and may disclose such information as...
Mich. Comp. Laws Ann. § 722.625 - Identity of reporting person; confidentiality; disclosure; immunity; good faith presumed Those individuals making a good faith report of child abuse or neglect must remain confidential. Disclosure of their identity may only be made with...
Mich. Comp. Laws Ann. § 722.627a - Availability of information, reports, and records to legislature; disclosure of or keeping confidential information as misdemeanor The department must keep all reported central registry child abuse and neglect information confidential. It may, however, be available to the state...
Patient Safety Mich. Comp. Laws Ann. § 400.11a - Reporting abuse, neglect, or exploitation of adult; oral report; contents of written report; reporting criminal activity; construction of section All individuals employed to provide health care, mental health, or other human services that have reasonable cause to believe an adult has been...