1. (1) Each hospital shall have a hospital safety committee to adopt, implement and monitor a comprehensive, hospital wide safety program. The committee’s functions and responsibilities may be assumed by another hospital committee. The committee shall adopt written policies and procedures to enhance the safety of the hospital, its personnel and patients. Such policies shall include but not be limited to the following:

   1. (a) A method of coordination of the safety policies of the various hospital units, departments and committees;
   2. (b) An incident reporting system;
   3. (c) A method of conveying safety-related information to all hospital employees; and,
   4. (d) Conduct of a hazardous surveillance program at specifically defined intervals.
2. (2) In addition to other requirements, each hospital shall provide a complete system for patient identification within the hospital, including a system for all emergency room cases, including DOA, and disasters.

Rulemaking Authority 395.1055 FS. Law Implemented 395.1055 FS. History–New 9-4-95, Formerly 59A-3.223.