MEDICAL CARE REVIEW

§ 107.51. Medical staff responsibilities.

 (a)  In order for the medical staff to take reasonable steps to ensure clinical practice of the highest quality, each staff member should endeavor to:

   (1)  Provide his patients with the best quality of care consistent with the circumstances of each case.

   (2)  Conduct his professional activities in accordance with the bylaws, rules and regulations of the medical staff.

   (3)  Assist in the promotion and maintenance of high quality care through the analysis, review, and evaluation of the clinical practice which exists within the hospital.

 (b)  The medical staff shall have in effect a system to review medical services rendered, to assure their quality, and to provide an educational process for medical staff members. There shall be written procedures and policies governing the process and frequency of review.

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