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Commiittees Nabh 2015 Safety

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444 views7 pages

Commiittees Nabh 2015 Safety

Uploaded by

pratimaz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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To whomsoever it may concern

T his is to info r m the co ncer ne d peo ple t hat a Safe ty Man age me nt
co mmi tte e o f the ho spi tal has be e n r e fo r me d w.e .f _ __ __ __ _ __ __ _ __ __
un der the chair mans hip o f the me mbe r s o f the co mmi tte e
alo ng w ith o ther infor ma tio n is me ntio ne d be lo w :
Members:
S.R.
No.

Name of The Responsible


Person

Designation
in
Committee

Designation in
Hospital

MD

CEO

Signature

MEDICAL

Superintendent
4.

ADMINISTRATO
R

5
Quality Manager
6
Hr. Manager

Administrative Information: 1 At least 50% of the scheduled members should be present for the committees to
Establish Quorum or else the business of the committee for the scheduled day would
be dissolved.
2 The minutes of the meeting would be circulated among the members of the committee
after the meeting under the signature of the chairman and member secretary.
3 Incase required the chairman/member secretary may invite a person not among the
scheduled member for the meeting however the presence of the same person would
not considered while deciding.
4 Notice for all scheduling committee meeting would be circulated at least 24 hrs prior to
the scheduled time and should information pertaining to the agenda of the meeting. In
case of Emergency Short notice may be made by the chairman/member Secretary of
the Committee Stating the reason for the same.

Chairman

Terms of Reference (TOR)


SAFETY MANAGEMENT COMMITTEE (SMC)
A. Purpose:
The purpose of the Safety Management Committee (SMC) is to ensure a progressive
patient safety program to provide safe and effective care to the patient of the Hospital by
creating an environment conducive to the following:
1.
2.
3.
4.
5.

An organization culture focused on safety and prevention of errors.


Staff that is aware of and educated about safety, risks and error prevention.
Internal reporting of errors, near misses and risks to safe care.
Focus on process improvement rather than aiming blame.
Effective collection, analysis and application of data to further improve on patient
safety
6. Collaboration and communication among departments, teams and individuals.
7. Education of patients / families about their role in patient safety.
8.
To advise improvement initiatives for code blues in the hospital.

B. Scope and function:

To monitor and track response to all code blue cases in the hospital

Aid improve response time and easy access to emergency medical


equipment including crash cart

Decide upon the composition and responsibilities of each member of


the code blue team

Recommend special training initiatives for the code blue team


members.

B. Scope:
The scope of the SMC encompasses the following:
1.
2.
3.
4.
5.
6.
7.
8.

Integration and participation by all hospital departments and medical services.


Staff Education.
Patient Education.
Data collection and analysis.
Process design / re-design and implementation.
Monitoring & auditing.
Internal and external reporting.
Handling of adverse unanticipated patient outcomes, including disclosure to
patients families.
9. Staff counseling and
10. Participation in research projects.
C. The type of patient safety concerns addressed include the following:
1. Occurrences reported through incident reports.
2. Sentinel events, near misses and unusual events.
3. Patient safety links identified by internal sources such as anonymous reporting,
incident reports, staff, patient, surveys etc..
4. Data collected through patient feedback form.

D. Frequency of the meetings:


Quarterly/ or as when required
G. Members:S.R.
No.

Name of The Responsible


Person

Designation
in Committee

Designation in
Hospital

MD

CEO

MEDICAL

4.
4

ADMINISTRATOR

Signature

Superintendent
Quality Manager

Hr. Manager

CIRCULAR
SAFETY MANAGEMENT COMMITTEE

This is to inform to the concerned people of Safety Management


Committee that the first meeting of the committee is scheduled to be held
on ________________________________.
All the members of the committee are requested to attend the meeting to
fulfill the requirement of committee.

For any kind of clarification, please contact the designated.

Thanking you

Chairman

MINUTES OF MEETING
SAFETY MANAGEMENT COMMITTEE
Venue:
Date:
Time:
Agenda:

Formation of Safety Committee.


Confirming the teroms ofreference of the afety commitee
Evaluating the training status of the risk management system in the organization.
Discuss the guideline for uniform resuscitation of patient throughout the
organization.
Blood transfusion practice evaluation and monitoring

Members were presented in the meeting:S.R.


No.

Name of The Responsible


Person

Designation
in Committee

Chairman

Secretary

3
4

Member

Designation in
Hospital

Signature

Member
5
Member

Discussion:
Introduction of Committee members has been done and works
related to safety committee has been discussed.
A SOP was designed incorporating the following points:
Identification of all possible situations in the hospital were
people (patient, staff, visitors etc. may be exposed to injury,
infection or disease.
Role & responsibilities of key personnel involved in the
prevention of risk in the hospital environment.
To develop a system for reporting and analyzing hazard in the
hospital.
Training of staff to carry out various practices the minimize
risk and educating them on safety measures in case of any
hazard.
Electric safety was reviewed.
Fire Detection unit were found adequate but staff training was not
adequate so training advised

Formation of CPR Team

Evaluation of CPR Forms and format and training need of staff in CPR
Blood transfusion practices were reviewed
Spill kits were required to be checked and staff retraining on hazmat handling
required
Hazmat team members to be reidentified and trained
Alternate sources of water and electricity,oxygen being tested but documentation
also required
Quality assurance of x ray to be done
Calibration status of equipment to be updated
Amc s to be renewed
Training of equipment management to be again repeated

Chairman

CIRCULAR
SAFETY MANAGEMENT COMMITTEE
This is to inform to the concerned people of Safety Management
Committee that the meeting of the committee is scheduled to be held on
_______________________________.
All the members of the committee are requested to attend the meeting to
fulfill the requirement of committee.

For any kind of clarification, please contact the designated.

Thanking you

Chairman

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