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Activities for Minimizing Risks
Managing Medical Equipment Risks
Inspection,testing, and maintaining Medical Equipment
Roles/responsibilites of staff related to Environment of Care
Environment of Care Chapter
100
Life Safety Security Hazardous Materials and Waste Management Emergency Management Life Safety Management Medical Equipment Management Utility Systems Management
What are the seven areas of the environment of care?
100
The hospital manages medical equipment risks
What is Environment of Care Standard EC.02.04.01?
100
Before initial use of medical equipment on the medical equipment inventory, the hospital performs safety, operational, and functional checks
What is EP1 of EC.02.04.03?
100
Staff and licensed independent practitioners can describe or demonstrate actions to take in the event of an environment of care incident
What is EP3 of EC.03.01.01?
100
NPSG's are a series of specific actions that accredited organizations are required to take in order to prevent medical errors such as miscommunication among caregivers, unsafe use of infusion pumps, and medication mix-ups
What are National Patient Safety Goals?
200
High-level written management plans
What helps the hospital manage risks?
200
The hospital has written procedures to follow when medical equipment fails, including using emergency clinical interventions and backup equipment.
What is EP6 of EC.02.04.01?
200
For hospitals that use Joint Commission accreditation for deemed status purposes: Qualified hospital staff inspect, test, and calibrate nuclear medicine equipment annually. The dates of these activities are documented
What is EP 14 of EC.02.04.03?
200
Staff and licensed independent practitioners can describe or demonstrate how to report environment of care risks
What is EP 3 of EC.03.01.01?
200
Health care organizations, programs, and services voluntarily pursue accreditation and certification
Is accreditation or certification mandatory?
300
Leaders identify an individual(s) to manage risk, coordinate risk reduction activities in the physical environment, collect deficiency information, and disseminate summaries of actions and results. Note: Deficiencies include injuries, problems, or use errors
What is EP1 EC.01.01.01?
300
The hospital identifies the activities, in writing, for maintaining, inspecting, and testing for all medical equipment on the inventory.
What is EP3 of EC.02.04.01?
300
The hospital inspects, tests, and maintains medical equipment
What is Environment of Care standard EC.02.04.03?
300
Staff and licensed independent practitioners are familiar with their roles and responsibilities relative to the environment of care
What is Environment of Care (EC) standard EC.03.01.01?
300
Joint Commission Quality Reports give the public information on the safety and quality of care at the more than 18,000 accredited health care organizations.
Where can I find information about an accredited Health Care Organization?
400
Leaders identify an individual(s) to intervene whenever environmental conditions immediately threaten life or health or threaten to damage equipment or buildings.
What is EP 2 of EC.01.01.01?
400
The hospital solicits input from individuals who operate and service equipment when it selects and acquires medical equipment.
What is EP1 of EC. 02.04.01?
400
The hospital inspects, tests, and maintains all life-support equipment. These activities are documented.
What is EP2 of EC.02.04.03?
400
Everyone who works in the organization is responsible for safety, and it is important for them to know how to identify and minimize risks, what actions to take when an incident occurs, and how to report it
Who is responsible for safety in a Hospital?
400
Accreditation is awarded for three years, except for laboratory accreditation, which is awarded for two years. Joint Commission Disease-Specific Care Certification, Primary Stroke Center Certification, and Health Care Staffing Services Certification are awarded for two years.
How long is an accreditation and certification award?
500
The hospital plans activities to minimize risks in the environment of care.
What is Environment of Care Standard: EC.01.01.01?
500
The hospital identifies, in writing, frequencies for inspecting, testing, and maintaining medical equipment on the inventory based on criteria such as manufacturers’ recommendations, risk levels, or current hospital experience.
What is EP4 of EC.02.04.01?
500
The hospital performs equipment maintenance and chemical and biological testing of water used in hemodialysis. These activities are documented.
What is EP5 of EC.02.04.03?
500
Staff and licensed independent practitioners can describe or demonstrate methods for eliminating and minimizing physical risks in the environment of care.
What is EP 1 for EC.03.01.01?
500
The Joint Commission renders accreditation decisions two weeks to two months after the survey.
How long does it take The Joint Commission to render an accreditation decision?