Section 11-45-235 - Quality management program(a) Each applicant or licensee subject to section 11-45-236 or section 11-45-238 shall establish and maintain a written quality management program to provide high confidence that radiation shall be administered as directed by the authorized user. The quality management program shall include written policies and procedures to meet the following specific objectives: (1) Before administration, a written directive is prepared for any external beam radiation therapy dose; (A) Notwithstanding this paragraph, a written revision to an existing written directive may be made provided that the revision is dated and signed by an authorized user before the administration of the external beam radiation therapy dose or the next external beam radiation therapy fractional dose;(B) Notwithstanding this paragraph, if, because of the patient's condition, a delay in order to provide a written revision to an existing written directive would jeopardize the patient's health, an oral revision to an existing written directive shall be acceptable, provided that the oral revision is documented immediately in the patient's record and a revised written directive is signed by an authorized user within forty-eight hours of the oral revision;(C) Notwithstanding this paragraph, if, because of the emergent nature of the patient's condition, a delay in order to provide a written directive would jeopardize the patient's health, an oral directive shall be acceptable, provided that the information contained in the oral directive is documented immediately in the patient's record and a written directive is prepared and signed by an authorized user within twenty-four hours of the oral directive.(2) Before the administration of each course of radiation treatments, the patient's identity is verified, by more than one method, as the individual named in the written directive;(3) External beam radiation therapy final plans of treatment and related calculations are in accordance with the respective written directives;(4) Each administration is in accordance with the written directive; and(5) Any unintended deviation from the written directive is identified and evaluated, and appropriate action is taken.(c) Development of quality management program. (1) Each application for a license subject to section 11-45-236 or section 11-45-238 shall develop a quality management program as part of the application required by subchapter 2. The licensee shall implement the program upon issuance of a license by the department;(2) Each existing licensee subject to sections 11-45-236 and 11-45-238 shall, within thirty days of the effective date of this chapter, submit to the department a written certification that a quality management program has been implemented.(d) As a part of the quality management program, the licensee shall: (1) Develop procedures for, and conduct a review of, the quality management program including, since the last review, an evaluation of a representative sample of patient administrations, all recordable events, and all misadministrations to verify compliance with all aspects of the quality management program;(2) Conducted these reviews at intervals not to exceed twelve months;(3) Evaluate each of these reviews to determine the effectiveness of the quality management program and, if required, make modifications to meet the requirements of subsection (b); and(4) Maintain records of each review, including the evaluations and findings of the review.(e) The licensee shall evaluate and respond, within thirty days after discovery of the recordable event, to each recordable event by: (1) Assembling the relevant facts including the cause;(2) Identifying what, if any, corrective action is required to prevent recurrence; and(3) Retaining a record, in an auditable form, of the relevant facts and what corrective action, if any, was taken.(f) The licensee shall retain: (1) Each written directive; and(2) A record of each administered radiation dose, in an auditable form.(g) The licensee may make modifications to the quality management program to increase the program's efficiency provided the program's effectiveness is not decreased.(h) The licensee shall evaluate each misadministration and shall take the following actions in response to a misadministration: (1) Notify the department by telephone no later than the next calendar day after discovery of the misadministration;(2) Submit a written report to the department within fifteen days after discovery of the misadministration. The written report shall include: the licensee's name; the prescribing physician's name; a brief description of the event; why the event occurred; the effect on the patient; what improvements are needed to prevent recurrence; actions taken to prevent recurrence; whether the licensee notified the patient or the patient's responsible relative or guardian (this person shall subsequently be referred to as "the patient"), and if not, why not, and if the patient was notified, what information was provided to the patient. The report shall not include the patient's name or other information that could lead to identification of the patient;(3) Notify the referring physician and also notify the patient of the misadministration no later than twenty-four hours after its discovery, unless the referring physician personally informs the licensee either that he/she shall inform the patient or that, based on medical judgment, telling the patient would be harmful. The licensee is not required to notify the patient without first consulting the referring physician. If the referring physician or patient cannot be reached within twenty-four hours, the licensee shall notify the patient as soon as possible thereafter. The licensee shall not delay any appropriate medical care for the patient, including any necessary remedial care as a result of the misadministration, because of any delay in notification;(4) Retain a record of each misadministration. The record shall contain the names of all individuals involved (including the prescribing physician, allied health personnel, the patient, and the patient's referring physician), the patient's social security number or identification number if one has been assigned, a brief description of the event, why it occurred, the effect on the patient, what improvements are needed to prevent recurrence, and the actions taken to prevent recurrence; and(5) If the patient was notified, furnish, within fifteen days after discovery of the misadministration, a written report to the patient by sending either a copy of the report that was submitted to the department, or a brief description of both the event and the consequences as they may effect the patient, provided a statement is included that the report submitted to the department can be obtained from the licensee;(i) Aside from the notification requirement, nothing in subsection (h) affects any rights or duties of licensees and physicians in relation to each other, patients, or the patient's responsible relatives or guardians.[Eff 11/12/99] (Auth: HRS §§ 321-10, 321-11, 321-71) (Imp: HRS §§ 321-1, 321-11(21), 321-71)