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Who needs to be notified of patient care improvements each year to comply with Standard 4.8 Quality Improvements?

  1. Pharmacy

  2. Quality Improvement Department

  3. Risk Management

  4. Medical Staff and Administration

The correct answer is: Medical Staff and Administration

The need to notify the Medical Staff and Administration of patient care improvements each year aligns with the goals of ensuring that all stakeholders involved in healthcare delivery are aware of the ongoing quality improvement initiatives. Medical staff plays a crucial role in implementing care practices, while administration oversees the operational strategies that facilitate these improvements. By keeping them informed, the facility establishes a collaborative environment where feedback can be incorporated and changes to care protocols can be effectively executed. This communication helps in aligning the goals of patient care with institutional policies and enhancing overall patient outcomes. In contrast, while the Quality Improvement Department and Risk Management departments are important for various functions within the hospital (such as developing quality measures or managing patient safety issues), the explicit requirement is focused on the interaction between medical staff and administration, as they are integral in the execution and endorsement of quality improvement initiatives.