Briefings on Hospital Safety, July 2018
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July 1, 2018
Editor's Note: Click the PDF button above for a full edition of the July 2018 edition of Briefings on Hospital Safety.
Currently, the majority of U.S. hospitals and outpatient facilities do not use hand hygiene monitoring technology. Perhaps the increased surveyor focus on hand hygiene compliance and more success stories like the one experienced at Lutheran Medical Center in Colorado will encourage others to pay up.
All of the 10 most-cited standards by The Joint Commission in 2017 were in or linked to the Environment of Care and Life Safety chapters. Those requirements have gone through major revisions in the wake of the adoption of the 2012 NFPA codes, and CMS has voiced strong concerns that accrediting organizations are not being tough enough when surveying the physical environment.
Make a list of all areas that are required to have positive or negative air pressure and ensure those areas are checked regularly to avoid possible condition-level findings by CMS, The Joint Commission, or another authority having jurisdiction, say experts. Because if there is a problem with room pressures, it’s almost inevitable that a surveyor will find it.
With the renewed focus on ligature and self-harm, facilities need to undergo a complete reassessment of the physical environment where patients with behavioral or mental health problems are cared for.
Remember to provide fall-protection training to any worker at your facility who may be exposed to a fall of more than 4 feet and ensure any contractors are also meeting the safety requirements under the newly revised OSHA standard. In addition, any fixed ladders over 24 feet must be equipped with fall arrest or safety systems.