phil health benchmark

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    Safe Practice and Environment

    PHILHEALTH BENCHMARK

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    6.1 Patient and Staff Safety

    Goal: Patients, staff and other individuals

    within the organization are provided asafe, functional and effective environment

    of care

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    6.1.1The organization plans a safe and effective environment of

    care consistent with its mission, services, and with laws and

    regulations.

    /

    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 utilitysystems

    /

    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 wastedisposal.

    /

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    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.

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    6.1.2The organization provides a safe and effective

    environment of care consistent with its mission

    and services, and with laws and regulations.

    /

    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 forsafety, comfort and privacy of the patient and for

    emergency care.

    /

    x

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    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

    /

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    6.1.3The organization routinely collects and evaluates

    information to improve the safety and adequacy of the

    environment of care.

    /

    -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.

    /

    Staff compliance with safety procedures, performance in emergency andfire 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.

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    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.

    x

    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 themaintenance of that equipment. Registers and records of

    equipment and related maintenance are kept.

    /

    6.2 Maintenance of the Environment of Care

    Goal:A comprehensive maintenance program ensures a clean and safe

    environment.

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    6.2.4Current information and scientific

    data from manufacturers concerning

    their products are available forreference and guidance in the operation

    and maintenance of plant and

    equipment

    /

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    6.3 Infection Control

    y Goal: Risks of acquisition and transmission of infections among patients,

    employees, physicians and other personnel, visitors and trainees are identified

    and reduced.

    6.3.1An interdisciplinary infection

    control program ensures the preventionand control of infection in all services.

    /

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    6.3.2The organization uses a

    coordinated system-wide approach to

    reduce the risks of nosocomialinfections.

    /

    The organization undertakes case finding and

    identification of nosocomial infections.

    /

    The organization takes steps to prevent and

    control outbreaks of nosocomial infections.

    /

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    6.3.3The organization uses a

    coordinated system-wide approach to

    reduce the risks of infection the staff are

    exposed to in the performance of their

    duties.

    /

    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 othercommunicable diseases are managed according

    to established protocols

    /

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    6.3.4Cleaning, disinfecting, drying,packaging and sterilizing of equipment,

    and maintenance of associated

    environment, conform to relevant

    statutory requirements and codes of

    practice.

    /

    6.3.5 When needed, the organization reports

    information about infections to personnel and

    public health agencies.

    /

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    6.4 Equipment and Supplies

    y Goal:The provision of equipment and supplies

    supports the organizations role.

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    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

    /

    Appropriate equipment and supplies that

    support the organizations 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

    /

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    6.4.2 Specialized equipment is operated

    according to specifications and only byappropriately-trained staff.

    /

    6.4.3 Items designated by the manufacturer for

    single use are not reused unless theorganization has specific policies and guidelines

    for safe reuse which take into consideration

    relevant statutory requirements and codes of

    practice.

    /

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    6.5 Energy and Waste Management

    y Goal:The organization demonstrates its

    commitment to environmental issues by

    considering and implementing strategies to

    achieve environmental sustainability.

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    6.5.1The handling, collection, and

    disposal of waste conform to relevant

    statutory requirements and codes of

    practice.

    /

    6.5.2 The organization implements a wastedisposal program which involves reuse,

    reduction and recycling.

    x