To keep its standards as closely aligned with CMS as possible, the Healthcare Facilities Accreditation Program (HFAP) has updated its Acute Care Manual with new prepublication requirements on removing ligature (hanging) risks in rooms meant for suicidal patients.
Several standards have been affected:
04.01.01 – Staff Training – Identification of Patients at Risk for Harm
11.01.01 – Periodic Monitoring for Safety Issues
11.01.02 – Building Safety
11.01.08 – Review of Safety Policies and Procedures
11.02.01 – Building Security
13.00.01 – Life Safety Code Compliance
13.01.06 – Exit Discharge
13.05.09 – Utility Systems
15.01.17 – Privacy and Safety: Safe Setting
15.01.19 – Privacy and Safety: Identify Patients at Risk
15.01.20 – Privacy and Safety: Environmental Risk Assessment
27.03.01 – Privacy and Safety: Identify Patients at Risk
27.03.02 – Privacy and Safety: Environmental Risk Assessment
To see the changes to the standards, visit the HFAP website.