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Safety/EOC Committee - Life Safety - PI Trending Sheet |
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Manual: Life Safety and Interim Life Safety Management Manual (Ver 4) External Reference: (JCAHO EC.9.10, EC.9.20)
MCN’s customizable template, Safety/EOC Committee - Life Safety - PI Trending Sheet, is taken from our Life Safety and Interim Life Safety Management Manual. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals. MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors. Here is some sample content from Safety/EOC Committee - Life Safety - PI Trending Sheet:
| | Performance Measures/Outcomes
Interdepartmental Collaboration
Benchmark
Goal
Function
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Total
PFA:
- % of staff able to demonstrate knowledge, skill and level of participation in the life safety program
Safety Officer
Dept. Managers
Human Resources
Safety/EOC Comm.
EC, HR
- Inservice education conducted at least annually
As above
As above
- Staff can describe evacuation procedures for their unit
Safety Officer
All Departments
Safety/EOC Comm.
EC
PFA:
- # of fire drills conducted
Engineering Dept.
Safety Officer
All Depts.
Safety/EOC Comm.
EC
-... |
| Second excerpt: |
| | ...of fire drills/incidents
As above
As above
- % of fully operational fire doors
Engineering Dept.
Safety Officer
Safety/EOC Comm.
As above
- Inspection, testing and maintenance of fire alarm/ detectors and all automatic fire extinguishing systems completed on schedule and according to JCAHO and NFPA requirements
As above
As above
- Interim Life Safety Measures implemented during construction or failure of fire alarm, detection or suppression equipment
As above
As above
PERFORMANCE IMPROVEMENT... |
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Back to Life Safety and Interim Life Safety Management Manual (Ver 4) |
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