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PhilHealth Benchbook

2005

 

6. Safe Practice and Environment

 

6.1 Patient and Staff Safety

 

Goal: Patients, staff and other individuals within the organization are provided a safe, functional and effective environment of care.   

 

Standards

Status

6.1.1 The organization plans a safe and effective environment of care consistent with its mission, services, and with laws and regulations.  

 

Criteria

 

- The organizational environment complies with structural standards and safety codes as prescribed by law.32

 

- There are management plans which address safety, security, disposal and control of hazardous materials and biological wastes, emergency and disaster preparedness, fire safety, radiation safety and utility systems.

 

- There are management plans for the safe and efficient use of medical equipment according to specifications.

 

32 The organization maintains current licenses and permits that ensure safe and effective operations. Such permits include, but are not limited to, occupancy, electrical, plumbing, radiation safety, fire safety, occupational safety, food storage and handling and waste disposal.

 

 

Standards

Status

 6.1.2 The organization provides a safe and effective environment of care consistent with its mission and services, and with laws and regulations.  

 

Criteria

 

- Policies and procedures that address safety, security, control of hazardous materials and biological wastes, emergency and disaster preparedness, fire safety, radiation safety and utility systems are documented and implemented.

 

- Policies and procedures for the safe and efficient use of medical equipment according to specifications are documented and implemented.

 

- The design of patient areas provides sufficient space for safety, comfort and privacy of the patient and for emergency care.

 

- All personnel understand and fulfill their role in safe practice.

 

- Risks are identified, assessed and appropriately controlled. Where elimination or substitution is not possible, adequate warning and protection devices are used.

 

- A coordinated security arrangement in the organization assures protection of patients, staff, and visitors.

 

 

Standards

Status

6.1.3 The organization routinely collects and evaluates information to improve the safety and adequacy of the environment of care.

 

Criteria

 

- The effectiveness of safety procedures and devices are routinely tested, monitored and improved.33

 

- An incident reporting system identifies potential harms, evaluates causal and contributing factors for the necessary corrective and preventive action.

 

33 Staff compliance with safety procedures, performance in emergency and fire drills, handling and operation of medical devices are regularly assessed and monitored. Findings of routine checks of equipment and facilities are documented and appropriately reported.

 

 

6.2 Maintenance of the Environment of Care

 

Goal: A comprehensive maintenance program ensures a clean and safe environment.

 

 

Standards

Status

6.2.1. Emergency light and / or power supply, water and ventilation systems are provided for, in keeping with relevant statutory requirements and codes of practice.

 

6.2.2 Regular maintenance of grounds, facilities and equipment in keeping with relevant statutory requirements, codes of practice, or manufacturers’ specifications are done to ensure a clean and safe environment.

 

6.2.3 Equipment is serviced only by people trained in the maintenance of that equipment. Registers and records of equipment and related maintenance are kept.

 

6.2.4 Current information and scientific data from manufacturers concerning their products are available for reference and guidance in the operation and maintenance of plant and equipment.

 

 

 

6.3 Infection Control

 

Goal: Risks of acquisition and transmission of infections among patients, employees, physicians and other personnel, visitors and trainees are identified and reduced.

 

Standards

Status

6.3.1 An interdisciplinary infection control program ensures the prevention and control of infection in all services.  

 

 

 

Standards

Status

6.3.2 The organization uses a coordinated system-wide approach to reduce the risks of nosocomial infections.      

 

Criteria

 

- The organization undertakes case finding and identification of nosocomial infections.

 

- The organization takes steps to prevent and control outbreaks of nosocomial infections.

 

 

Standards

Status

6.3.3 The organization uses a coordinated system-wide approach to reduce the risks of infection the staff are exposed to in the performance of their duties.

 

Criteria

 

- There are programs for prevention and treatment of needlestick injuries, and policies and procedures for the safe disposal of used needles are documented and monitored.

 

- There are programs for the prevention of transmission of airborne infections, and risks from patients with signs and symptoms suggestive of tuberculosis or other communicable diseases are managed according to established protocols.   

 

 

Standards

Status

6.3.4 Cleaning, disinfecting, drying, packaging and sterilizing of equipment, and maintenance of associated environment, conform to relevant statutory requirements and codes of practice.

 

 

Standards

Status

 6.3.5 When needed, the organization reports information about infections to personnel and public health agencies.

 

 

 

6.4 Equipment and Supplies

 

Goal: The provision of equipment and supplies supports the organization’s role.  

 

Standards

Status

6.4.1 Planning of facilities and selection and acquisition of equipment and supplies involve input from relevant staff and are undertaken by appropriately-qualified personnel.

 

Criteria

 

Appropriate equipment and supplies that support the organization’s role and level of service are provided. Consideration is given to at least:

. the intended use

. cost benefits

. infection control

. safety

. waste creation and disposal

. storage 

 

 

 

Standards

Status

6.4.2 Specialized equipment is operated according to specifications and only by appropriately-trained staff.

 

6.4.3 Items designated by the manufacturer for single use are not reused unless the organization has specific policies and guidelines for safe reuse which take into consideration relevant statutory requirements and codes of practice.

 

 

 

6.5 Energy and Waste Management

 

Goal: The organization demonstrates its commitment to environmental issues by considering and implementing strategies to achieve environmental sustainability.

 

 

Standards

Status

6.5.1 The handling, collection, and disposal of waste conform to relevant statutory requirements and codes of practice.

 

6.5.2 The organization implements a waste disposal program which involves reuse, reduction and recycling.

 

 

 

 

Safe Practice and Environment

 

PATIENT AND STAFF SAFETY STANDARDS

• plan of safe and eff ective environment of care

• provision of safe and eff ective environment of care• routine evaluation of environment of care

 

Goal: Patients, staff and other individuals within the organization are provided a safe, functional and effective environment of care.   

 

 

MAINTENANCE OF THE ENVIRONMENT OF CARE STANDARDS

• emergency light, power supply, water and ventilation• regular maintenance of facilities and equipment

• maintenance of equipment by qualifi ed personnel

• current information on products are available

 

Goal: A comprehensive maintenance program ensures a clean and safe environment.

 

 

INFECTION CONTROL STANDARDS

• infection control program

• risk reduction of nosocomial infection

• standardized cleaning and sterilization procedures

• internal and external reporting

 

Goal: Risks of acquisition and transmission of infections among patients, employees, physicians and other personnel, visitors and trainees are identified and reduced.

 

EQUIPMENT & SUPPLIES STANDARDS

• planning and acquisition of equipment and supplies

• specialized equipment operated by qualified staff

• safe reuse guidelines

 

Goal: The provision of equipment and supplies supports the organization’s role.  

 

 

ENERGY & WASTE MANAGEMENT STANDARDS

• standardized waste handling and disposal program

• implementation of a waste disposal program demo

 

Goal: The organization demonstrates its commitment to environmental issues by considering and implementing strategies to achieve environmental sustainability.