Medical Safety

Medical Safety Environment of Care (EC)/Physical Environment (PE) Risk Management Toolkit

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​Safety is defined as freedom from unacceptable risks, and it is the cornerstone for the Joint Commission's EC/PE standards.

To manage risk within the EC, military treatment facilities must effectively plan and execute effective programs related to safety, security, hazardous materials and waste, fire safety, medical equipment and facilities/utilities management.

This toolkit provides practical information and guidance, templates, sample policies, work sheets, checklists and similar tools to improve compliance with the Joint Commission's EC/PE standards.

​Environment of Care Management Plans & Annual Evaluation Templates
  • The environment of care management plans and annual evaluations are the Joint Commission surveyors' first impression of your military treatment facility (MTF).
  • These documents must quickly convey to readers important information on the ways you manage risk, keep people safe, and the general status of your program.
  • The APHC management plan and annual evaluation templates are easily understood, yet they are complete and concise.
  • In addition, the templates are simple to modify so they accurately reflect your local policies, procedures, and work practices.

***MTFs must have a written management plan for safety, security, hazardous materials and waste, fire safety, medical equipment, and utility systems and evaluate these plans annually.***

Plans & Templates

2017 Annual Evaluation of the EC Management Plans External Link

2016 Annual Evaluation of the EC Management Plans External Link

2017 Environment of Care Management Plans for Hospitals External Link

2017 Environment of Care Management Plans for Ambulatory Care External Link

2017 Environment of Care Management Plans for Business Occupancies External Link


Templates
Safety

Product Notices and Recall Policy External Link

Safety Inspection Schedule External Link


Safety/EC Committees

EC Safety Committee Report Tracker External Link

EC Safety Committee Minutes Template External Link

EC Safety Committee Issues Tracking Log External Link

EC Safety Committee Self Evaluation Tool External Link


Safe and Functional Environment

Infection Control Risk Assessment Policy External Link


Smoking

Sample Tobacco-Free Environment Policy External Link


Security

Security Incident Response Evaluation External Link

Security Incident Summary Report External Link

Security Risk Assessment Form External Link

Security Risk Analysis Form External Link


Hazardous Materials and Waste

Hazardous Chemical Inventory External Link


Fire Safety

Fire Smoke Barrier Penetration Policy External Link

Fire Smoke Barrier Penetration Permit External Link

Business Fire Incident Response Evaluation ReportHospital Fire Incident Response Evaluation Report External Link

Fire Drill Observer's Report External Link

Fire Drill Schedule External Link

Holiday Decoration Policy External Link

Holiday Decoration Inspection Log External Link

Interim Life Safety Measures Documentation Worksheet External Link

Interim Life Safety Measures Policy External Link

Interim Life Safety Measures Selection Matrix External Link


Medical Equipment

Medical Equipment Customer Service Evaluation External Link


Emergency Management

Emergency Codes and Staff Response External Link

2015 Emergency Management Plan Annual Evaluation External Link

Emergency Operations Annual Evaluation Outline - Hospital External Link

Emergency Operations Plan - Hospital External Link

Global Risk Assessment Tool External Link

Hazard Vulnerability Analysis (Simple) External Link

Hazard Vulnerability Analysis (Detailed) External Link

Hazard Vulnerability Analysis Tool External Link

Utility System Failure and Staff Response Guide External Link


Staff Roles and Responsibilities

Staff Physical Environment Competency Assessment External Link

New Employee Safety Orientation External Link

Safety Orientation and Training Record External Link

Security Military Police Information Sheet External Link

Medical Maintenance Repairer Competency Assessment External Link

Utility Maintainer Competency Assessment External Link


Tracers

Safety Tracer External Link

Security Tracer External Link

HAZMAT Waste Tracer External Link

Medical Equipment Tracer External Link


Checklists

Laboratory Inspection Checklist External Link

Missing Patient Search Checklist External Link

Security Program Checklist External Link

Fire Safety Inspection Checklist External Link

Holiday Decoration Checklist External Link

Medical Equipment Clinical Alarm Audit External Link

Hospital Security Program Checklist External Link


Survey Preparation
Non-government

2017 JC Survey Activities Guide for Healthcare Organizations External Link

2017 TJC Survey Activities Guide for Ambulatory Health Care External Link


Government

EC Document Review Worksheet External Link

2015 Environment of Care Key Staff External Link

Preparation for the EC Interview Session External Link