Maintaining a safe environment reflects a level of compassion and vigilance for patient welfare that is as important as any other aspect of competent health care. The way to improve safety is to learn about causes of error and use this knowledge to design systems of care to make errors less common and less harmful when they do occur. As a result, nurses and other health care providers have intensified their efforts to understand and change organizational conditions, components, and processes of health care systems as they relate to patient safety.
There are key elements in the workplace that trenches and support the workforce and, in turn, have a positive impact on patient outcomes and organizational cost effectiveness. These factors, when in place and supported by appropriate resources (both financial and human), go a long way in ensuring the establishment and maintenance of an effective health care professional workforce and, ultimately, the overall quality of health systems. Establishing positive practice environments across health sectors worldwide is of paramount importance if patient safety and health workers’ wellbeing are to be guaranteed.
All health sector stakeholders, be hey employer or employee, private or public, governmental or non- governmental, have their respective and specific roles and responsibilities to foster a positive practice environment. They must work in concert if quality workplaces for quality care is to be achieved. Safe Practice and Environment Goal: Patients, staff and other individuals within the organization are provided a safe, functional and effective environment of care. Standards a. 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. – 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. 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. B. 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. . 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. – 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 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. Goal: A comprehensive maintenance program ensures a clean and safe environment. Standards a. Emergency light and / or power supply, water and ventilation systems are provided for, in keeping with relevant statutory requirements and codes of practice. B. 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. C.