3rd Edition

Healthcare Hazard Control and Safety Management




ISBN 9781482206555
Published March 12, 2014 by CRC Press
606 Pages 9 B/W Illustrations

USD $165.00

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Book Description

Comprehensive in scope, this totally revamped edition of a bestseller is the ideal desk reference for anyone tasked with hazard control and safety management in the healthcare industry. Presented in an easy-to-read format, Healthcare Hazard Control and Safety Management, Third Edition examines hazard control and safety management as proactive functions of an organization.

Like its popular predecessors, the book supplies a complete overview of hazard control, safety management, compliance, standards, and accreditation in the healthcare industry. This edition includes new information on leadership, performance improvement, risk management, organizational culture, behavioral safety, root cause analysis, and recent OSHA and Joint Commission Emergency Management requirements and regulatory changes.

The book illustrates valuable insights and lessons learned by author James T. Tweedy, executive director of the International Board for Certification of Safety Managers. In the text, Mr. Tweedy touches on the key concepts related to safety management that all healthcare leaders need to understand.

  • Identifies common factors that are often precursors to accidents in the healthcare industry
  • Examines the latest OSHA and Joint Commission Emergency Management Requirements and Standards
  • Covers facility safety, patient safety, hazardous substance safety, imaging and radiation safety, infection control and prevention, and fire safety management
  • Includes references to helpful information from federal agencies, standards organizations, and voluntary associations

Outlining a proactive hazard control approach based on leadership involvement, the book identifies the organizational factors that support accident prevention. It also examines organizational dynamics and supplies tips for improving organizational knowledge management. Complete with accompanying checklists and sample management plans that readers can immediately put to use, this text is currently the primary study reference for the Certified Healthcare Safety Professional Examination.

Table of Contents

Healthcare Hazard Control
Introduction
International Board for Certification of Safety Managers
Hazard Control
Hazard Control Management
     Program or Function
     Hazard Control Is Good Business
Hazard Control Responsibilities
     Hazard Control Manager Responsibilities
     Supervisor Involvement
Addressing Behaviors
     Employee Engagement
     Working with Employee Organizations
Hazard Control Practice
     Hazard Control Policy Statements
     Hazard Control Plan
     Objectives and Goals
     Reviewing Plans, Policies, and Procedures
Understanding Hazards
     Hazard Identification
     Managing Hazards
     Preparing for Inspections
     Inspection Reports
Hazard Analysis
     Change Analysis
     Creative Hazard Analysis
     Risk Analysis
     Phase Hazard Analysis
     Process Hazard Analysis
Job Hazard Analysis
     Job Design
Hazard Control and Correction
     Engineering Controls
     Administrative Controls
     Work Practice Controls
Personal Protective Equipment
     Eye and Face Protection
     Head Protection
     Foot Protection
     Arm and Hand Protection
     Body and Torso Protection
Hazard Control Committees
     Hazard Survey Teams
Hazard Control Evaluation
     Areas to Evaluate
     Accreditation Standards
Hazards
     Conducting Hazard Surveys and Environmental Tours
Facility Hazard Index
Safety Action Teams
System Safety
     Hazard and Operability
     Failure Mode and Effects Analysis
     Fault Tree Analysis
     Hazard Control and Risk Management
     Instructional Systems Design
Ergonomics
     Musculoskeletal Disorders
     Evaluate Ergonomics Efforts
     Workstation Evaluations
     Computer Workstation Interventions
     Back Pain
Review Exercises

Understanding Accidents
Introduction
Accident Causation Theories
     Henri Heinrich’s Five-Factor Accident Sequence
     Accident Causes
     Multiple Causation Theory
     Biased Liability Theory
     Accident Pyramid
     Prevention of Fatal Events
Human Factors
     Error
     Motivating People
Accident Deviation Models
Accident Reporting
Accident Investigations
     Classifying Causal Factors
     Interviewing Witnesses
Accident Analysis
     Root Cause Analysis
     Accident Reports
Organizational Functions That Support Accident Prevention
     Interfacing Support Functions
     Operational and Support Functions
     Human Resources
     Facility Management
     Purchasing/Receiving
     Employee Health
     Shift Workers
Workers’ Compensation
     Return-to-Work/Modified Duty Positions
Substance Abuse
Orientation, Education, and Training
     Providing Adequate Sessions
     Training and Hazard Control
     Training Methods
     Off-the-Job Safety Education
     Instructional Systems Design
Promoting Safety and Hazard Control
Review Exercises

Leadership and Management
Introduction
Leadership
     Practical Leadership
Management
     Management Theories
     Peter Drucker
     Classic Management Theory
     Motivation–Hygiene Theory
     Managerial Grid
     Management Theory S
     Theory Z
     Knowledge Management
Decision Making
     Management by Exception
Functions of Management
     Planning
     Directing
     Organizing
     Controlling
     Coordinating
Other Management Concerns
     Staffing
     Project Management
     Psychological Safety
     Crisis Management
Organizational Dynamics
     Traditional Organizational Structure
     Organizational Culture
     Covert and Overt Cultures
Effective Speaking and Writing
     Communication
     Communication Barriers
     Effective Writing
     Purpose for Writing
     Persuasive Writing
     Editing
     Writing a Report
Review Exercises

Federal Agencies, Standards Organizations, and Voluntary Associations
Federal Law
Occupational Safety and Health Administration
     Summary of General Duties
     Priorities
     Citations
     State-Approved Plans
     Recordkeeping (29 CFR 1904)
     Recording Work-Related Injuries and Illnesses
     Medical Treatment
     Restricted Work
     Classifying Injuries
     Classifying Illnesses
     Posting the Summary
     Form 301 Injury and Illness Incident Report
     Access to Employee Exposure and Medical Records (29 CFR1910.1020)
     OSHA Whistle-Blowing Responsibilities
     OSHA Management Guidelines
     Occupational Safety and Health Review Commission
Environmental Protection Agency
     Resource Conservation and Recovery Act
          Comprehensive Environmental Response, Compensation, and Liability Act
          Superfund Amendments and Reauthorization Act of 1986
          Clean Air Act
          Clean Water Act
     Federal Insecticide, Fungicide, and Rodenticide Act
     Toxic Substances Control Act
Department of Transportation
     Federal Motor Carrier Safety Administration
Nuclear Regulatory Commission
Department of Health and Human Services
     National Institute for Occupational Safety and Health
     Centers for Disease Control and Prevention
     Food and Drug Administration
     Agency for Healthcare Research and Quality
     National Institutes of Health
     Agency for Toxic Substances and Disease Registry
     Health Resources Services Administration
     Assistant Secretary for Preparedness and Response
     Centers for Medicare and Medicaid Services
Department of Homeland Security
     Emergency Preparedness and Response
     Science and Technology
     Information Analysis and Infrastructure Protection
     Federal Emergency Management Agency
     Fire Administration
     US Coast Guard
Institute of Medicine
Americans with Disabilities Act
     Title I Employment
     Title II Public Services
     Title III Public Accommodation and Services Operated by Private Entities
     Title IV Telecommunications
     Title V Miscellaneous
Bureau of Labor Statistics
Accreditation Organizations
     Joint Commission
     EOC Management
     American Osteopathic Association
     DNV National Integrated Accreditation for Healthcare Organizations
     Accreditation Canada
     Commission on Accreditation of Rehabilitation Facilities
     College of American Pathologists Laboratory Accreditation
Voluntary Standards Organizations
     American Conference of Governmental Industrial Hygienists
     American National Standards Institute
     American Society of Heating, Refrigerating, and Air-Conditioning Engineers
     American Society of Mechanical Engineers
     ASTM International
     Compressed Gas Association
     Factory Mutual Research Corporation
     International Electrotechnical Commission
     National Council on Radiation Protection and Measurements
     National Fire Protection Association
     NSF International
     Safety Equipment Institute
     Underwriters Laboratories
Associations and Other Organizations
     AIA Academy of Architecture for Health
     American Dental Hygienists’ Association
     American Health Care Association
     American Hospital Association
     American Society of Healthcare Engineering
     American Society of Healthcare Risk Management
     American Association of Occupational Health Nurses
     American Association of Safety Councils
     American Chemistry Council
     American Industrial Hygiene Association®
     American Public Health Association
     ASIS International
     American Society of Safety Engineers
     American Welding Society
     Association of Healthcare Environment
     Association of Occupational Health Professionals
     Canadian Centre for Occupational Health and Safety
          CHEMTREC
          ECRI
     Facility Guidelines Institute
     Health Physics Society
     Human Factors and Ergonomics Society
     Institute of Hazardous Materials Management
     International Association of Nanotechnology
     International Organization for Standardization
     International System Safety Society
     National Board of Boiler and Pressure Vessel Inspectors
     National Restaurant Association
     National Safety Council
     Society for Chemical Hazard Communication
     World Health Organization
Review Exercises

Facility Safety
Introduction
Facility Guidelines Institute
Administrative Area Safety
Slip, Trip, and Fall Prevention
     Poor Lighting, Stairs, and Handrails
     Hazard Identification and Reporting
     Static Coefficient of Friction
Safety Signs, Colors, and Marking Requirements
Elevators and Escalators
Ladder Safety
Scaffolding (29 CFR 1910.22, 23, 28)
Fall Protection
     ANSI Z359.1: Safety Requirements for Fall Arrest Systems, Subsystems, and Components
     ANSI Z359.2: Minimum Requirements for a Comprehensive Managed Fall Protection
     ANSI Z359.3: Safety Requirements for Positioning and Travel Restraint Systems
     ANSI Z359.4: Safety Requirements for Assisted Rescue and Self-Rescue
     Systems, Subsystems, and Components
Tool Safety
Machine Guarding (29 CFR 1910.212)
     Requirements for Safeguards
Abrasive Wheel Grinder Safety (29 CFR 1910.215 and .243)
Compressed Air Safety
Electrical Safety (29 CFR Subpart S)
     Grounding
     Circuit Protection Devices
     Work Practices
     Electrical Shock
Painting Operations (29 CFR 1926.20, 29 CFR 1926.21, 29 CFR 1910.132-138)
Control of Hazardous Energy (29 CFR 1910.147)
     Authorized Employees
     Affected Employees
     Periodic Inspection and Reviews
     Maintenance
     Tag-Out Devices
     Lockout Devices
     Training
Permit Confined Spaces (29 CFR 1910.146)
     Vaults, Manholes, and Tanks
     Written Elements
     Attendant Duties
     Potential Confined Space Hazards
OSHA Hearing Conservation Standard (29 CFR 1910.95)
     Measuring Noise Levels
     Hearing Protection Evaluation
     Audiometric Testing
Heating, Ventilating, and Air-Conditioning Systems
     Introduction
     Boiler Systems
     Pipe Marking Standards
     Label Placement
     Ventilation Systems
     Exhaust and Ventilation Standards
Assessing IAQ
     Preventing IAQ Problems
     Workplace Mold
     Remediation Actions
Powered Industrial Trucks (Forklifts, 29 CFR 1910.178)
Landscape and Grounds Maintenance
     Blower Safety
     Edger Safety
     Chain Saw Safety
     Trimmer Safety
     Push Mower
     Riding Mower Safety
Fleet and Vehicle Safety
     Safe Practices for Motor Vehicle Operations (ANSI/ASSE Z15.1 Standard)
Helicopter Safety (1910.183)
Contractor and Construction Safety
     OSHA Construction Standards (29 CFR 1926)
     Healthcare Construction Site Safety Issues
     Healthcare Construction Site Hazardous Waste Issues
Weather-Related Safety
     Hot Weather Safety
     Cold Weather Safety
Review Exercises

Emergency Management
Introduction
Joint Commission Requirements
Emergency Electrical Power Sources
Emergency Water Supply Planning
     Plan Elements
Key Emergency Management Concepts
     Standardization
     All-Hazards Planning
     Understanding System Thinking
     Hospital Evacuation Planning
     Community Involvement
     Partnership for Community Safety
     Hospital Roles in Community Emergencies
Legislation
Disaster Management, Emergency Management, and Business Continuity
     NIMS Healthcare Implementation
Emergency Exercises
     Homeland Security Exercise and Evaluation Program
     Engaging Stakeholders
Incident Command System
     Incident Commander Responsibilities
     Incident Action Planning and Information Assessment
     Multiagency Coordination
     Managing Complex Incidents
     Command Function
     Operational Functions
Strategic National Stockpile
Weather Emergencies and Natural Disasters
     National Oceanic and Atmospheric Administration Weather Radio
     Emergency Alert System
     Tropical Analysis and Forecast Branch
     Hurricanes
     Tropical Storm Watch
     Tropical Storm Warning
     Hurricane Watch
     Hurricane Warning
     Inland Tropical Storm Watch
     Inland Tropical Storm Warning
     Inland Hurricane Watch
     Inland Hurricane Warning
     Thunderstorms
     Floods
     Tornadoes
     Wildfires
     Blizzards
     Earthquakes
Other Emergencies
     Technology Emergencies
     Transportation Accidents
     Civil Disturbances
     Bomb Threats
     Information and Communication Technology Emergencies
Emergency Communications
     Telecommunications Service Priority
     Government Emergency Telecommunications Service
     Wireless Priority Service
     Cyber-Attack: Response
Emergency Egress
     Emergency Lighting
Hazardous Material Response
     HAZWOPER Emergencies
     Industrial/Agricultural Chemical Decontamination Guidance
Planning for Terrorism
     Biological Agents
     Chemical Agents
     Blood Agents
     Blister Agents (Vesicants) 
     Choking and Irritating Agents
     Nerve Agents
     Industrial Chemical Agents
     Nuclear Devices
     Terrorist Dissemination Devices
     NIOSH Publication Number 2002-139
     Pandemic Planning
Healthcare Emergency Coalitions
     Six-Tier Model
     Developing a Coalition EOP
     Healthcare Coalition Standard Operating Procedures
     Coalition Exercises
2013 National Preparedness Report
     Opportunities for Improvement
     Key Factors for Future Progress
Review Exercises

Hazardous Materials
Introduction
Hazardous Substance Safety
     Hazardous Substance Exposures
     Hazardous Chemical Determination
     Reproductive Hazards
     Threshold Limit Values
     Chemical Properties
     Flash Points
     Airborne Exposure
     OSHA Additive Formula
     Emergency Showers and Eyewashes
     Compressed Gas Safety
OSHA Hazard Communication Standard (29 CFR 1910.1200)
     Globally Harmonized System
     Major Hazard Communication Standard Changes
     Safety Data Sheet Changes
     Managing and Communicating Changes to the Hazard Communication Standard
     Employee Training
     Aspects of Pesticide Regulation That GHS Does Not Affect DOT Hazardous Material Regulations
          Placards
          Containers
Healthcare Hazardous Materials
     Acetone
     Acryl Amide
     Ammonia
     Asbestos
          OSHA Asbestos General Industry Standard (29 CFR 1910.1001)
          OSHA Asbestos Construction Standard (29 CFR 1926.1101)
          EPA Standards
     Benzene (29 CFR 1910.1028) 
     Cadmium (29 CFR 1910.1027)
     Carbon Monoxide
     Chlorine Compounds
     Iodine
     Isopropyl Alcohol
     Lead (29 CFR 1910.25) 
     Mercury
     Methyl Methacrylate
     Peracetic Acid
     Pesticides
     Phenol Substances
     Quaternary Ammonium Compounds
     Solvents
     Ethyl Alcohol
     Glutaraldehyde
Ethylene Oxide (29 CFR 1910.1047)
Formaldehyde (29 CFR 1910.1048)
Hazardous Drugs
     Hazardous Pharmaceutical Wastes
Medical Gas Systems
     Anesthetic Gas Hazards
     Scavenging
     Nitric Oxide
     Nitrous Oxide
Managing Waste
     Medical Waste
     Other Types of Hazardous Waste
     Universal Waste
     Electronic Waste (E-Waste)
     Proper Hazardous Waste Marking and Labeling
     DOT Labels
Hazardous Waste Operations and Emergency Response Standard
     Chemical Protective Clothing
     HAZWOPER and Hospitals
     Spill Response Personal Protective Equipment
Respiratory Protection (29 CFR 1910.134) 
     Types of Respirators
Review Exercises

Infection Control and Prevention
Introduction
Healthcare Immunizations
     Guidelines of the Advisory Committee for Immunization Practice
     Other Vaccination Considerations
Centers for Disease Control and Prevention
     CDC Guidelines for Hand Hygiene in Healthcare Settings
     Guidelines for Environmental Infection Control in Healthcare Facilities 
     Other CDC Infection Control Guidelines
     CDC Standard Precautions
     Disease and Infection Transmission Routes
     Airborne Precautions
     Droplet Precautions
     Contact Precautions
     New Infection Risk
CMS Hospital-Acquired Conditions and Present on Admission Indicators
Disinfectants, Sterilants, and Antiseptics
     Germicidal Effectiveness
     Regulatory Approval of Disinfectants
     EPA’s Registered Sterilizers, TB, and Antimicrobial Products
     CDC Recommendations
     Selecting a Disinfectant
OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030)
     Exposure Control Plan
     OSHA Hand Hygiene Requirements
     Employee Involvement
     Recordkeeping
     Engineering Controls
     Needleless Systems
     Exposure Determination
     Control Measures
     Personal Protective Equipment
     Housekeeping, Laundry, and Waste Practices
     Hepatitis B Virus
     Hepatitis B Vaccination
     Hepatitis C Virus
     Human Immunodeficiency Virus
     Other Key Topics
     Latex Allergies
     Information and Training
     Training Methods and Interactive Question Opportunities
     Trainer Qualifications
     Medical Recordkeeping
     Training Recordkeeping
     Hazardous Waste Operations and Emergency Response (29 CFR 1910.120)
     Postexposure Evaluation and Follow-Up
Tuberculosis
     TB Screening Procedures for Settings Classified as Low Risk
     TB Screening Procedures for Settings Classified as Medium Risk
     TB Screening Procedures for Settings Classified as Potential Ongoing Transmission
     OSHA Tuberculosis Exposure Enforcement Guidelines
     OSHA Citations for TB Exposures
     OSHA Abatement Methods
     OSHA Tuberculosis Respirator Requirements
     TB Exposure Control Plan
     Administrative Controls
     Environmental Controls
     Respiratory Protection Controls
     Engineering Controls
Healthcare Opportunistic Infections
     Bacteria
     Methicillin-Resistant Staphylococcus aureus
     Viruses
     Aspergillus
     Anthrax
     Severe Acute Respiratory Syndrome
     Pseudomonas
     Legionella
     Infection Control Risk Assessment
Medical Waste
     Sharps Containers
     Separating Medical and Hazardous Wastes
     Infectious Wastes
     Medical Waste Best Practices
     Waste Handling for Off-Site Transfer
     Containers
     Medical Waste Disposal
     DOT Infectious Shipping Requirements
     Review Exercises

Fire Safety Management
Introduction
     Life Safety Code Comparisons
Occupancies Defined by NFPA 101 Life Safety Code and NFPA 5000™
Building Code
     Healthcare
     Ambulatory Healthcare
     Hazard Content Description
     Deficiencies
Fire Safety Management
     Fire Safety Evaluation System
     Design Considerations
     Fire Prevention
     Inspections
     Fire Warning and Safety
     Manual Alarm Stations
     Electrically Supervised Systems
     Special Requirements for Cooking Areas
     Fire System Inspections
     Fire Confinement
Emergency Exits
     Exit Sign Illumination
     Emergency Lighting
     OSHA Egress Standards
     OSHA Exit Sign Marking Standards
Portable Fire Extinguishers
     How Fire Extinguishers Work
     Types of Fire Extinguishers
     Proper Maintenance
     Air-Pressurized Water Extinguishers
     Carbon Dioxide Extinguishers
     Dry Chemical Extinguishers
     Marking Extinguishers
     Extinguisher Ratings
Special Fire Safety Considerations
     Electrical Equipment Installations
     Flammable and Combustible Materials
     General Precautions
     Inside Storage Areas
     Fire and Chemical Hazard Symbols
     Surgical Fires
     ASTM Surgical Fire Standard
     Fire Blankets
     Welding Fire Safety (29CFR 1910.252 and NFPA 51B)
     Welding Personal Protective Equipment
Life Safety Requirements
     Interim Life Safety
     Compartmentalization
     Integrity of Egress
     Doors
     Corridors
     Patient Sleeping Rooms
     Signs
     Protection from Fire and Smoke
     Hazardous Areas
     Storage Rooms
     New Buildings and Corridors
     Openings
     Welding Fire Prevention and Protection
NFPA 99-2012 Fire Protection Fundamentals
     Flammable Liquids and Gases
     Laboratories
     Utilities
     Mechanical Heating, Ventilating, and Air-Conditioning
     Elevators, Escalators, and Conveyors
     Rubbish Chutes, Incinerators, and Laundry Chutes
     Fire Detection, Alarm, and Communications Systems
     Smoke Alarms
     Defend In-Place and Notification
     Automatic Sprinklers
     Manual Extinguishing Equipment
Review Exercises

Environmental Services and Food/Dietary Department Safety
Environmental Services and Laundry Operations
     Basic Cleaning Guidelines
     Contaminated Work Environments
     Contaminated Equipment
     Handling Contaminated Laundry
     Sharps and Containers
     Hazardous Materials
     Latex Allergy
     Environmental Safety
     Using Cleaning Solutions
     Equipment Carts
     Cleaning for Safety and Health
     Critical Instruments and Surfaces
     Noncritical Instruments and Environmental Surfaces
     Sterilants and High-Level Disinfectants
     Intermediate-Level Disinfectants
     Low-Level Disinfectants
     Green Cleaning
     CDC Guideline for Disinfection and Sterilization in Health-Care Facilities (2008)
     System Methods
     LEED for Healthcare
     Microfiber Mopping
     Laundry Operations
     Contaminated Laundry
     Personal Protective Equipment
     Sharps Handling
     Hazardous Chemicals
     Other Hazards
     Loading or Unloading Laundry
     Linen Handling
Dietary and Food Services
     Importance of Sanitation
     Health Inspections
     Food Service Area Layout
     Overview of Kitchen Hazards
     Cutting Hazards
     Kitchen Electrical Safety
     Slip, Trip, and Fall Prevention
     Fire Safety and Burn Prevention
     Chemical Hazards
     OSHA Machine Guarding Requirements (29 CFR 1910.212)
     Ergonomics
     Delivering Meals to Isolation Rooms
     Importance of Hand Washing
     Basics for Handling Food Safely
     Storage
     Preparation
     Thawing
     Cooking Temps
     Serving
     Prepare Foods Separately
     Thermometers
     Regular Equipment Maintenance
     Safe Ice Handling
     Foodborne Illness
     Controlling Food Contamination
     FDA Bad Bug Book
     Preventing Cross Contamination
     Hazard Analysis and the Critical Control Point System
     Foodborne Illness Primer for Healthcare
Review Exercises

Support Department Safety
Central Sterile Supply
     Autoclaves and Sterilizers
     Ethylene Oxide (ETO) Standard (29 CFR 1910.1047)
     Glutaraldehyde
     Safety Issues
     Disinfectants
     Drying and Storage of Instruments
     Surfaces
     International Association of Healthcare Central Service Material Management
     Association for the Advancement of Medical Instrumentation
Materials Management
     Cost, Quality, and Outcomes
     Improving Healthcare Delivery
Association for Healthcare Resource & Materials Management (AHRMM)
Medical Equipment Management
     Joint Commission Requirements
     Maintenance, Testing, and Inspecting
     Medical Equipment Reporting
     SMDA of 1990
     SMDA Reportable Events
     Other Reporting Requirements
     Equipment Control and Asset Management
     Work Order Management
     Data Quality Management
     Patient Safety
     Risk Management
     Medical Equipment Inventory Inclusion Criteria.
     Medical Equipment Maintenance
     Maintenance Intervals
     Monitoring and Reporting Incidents as Required by the SMDA of 1990
     Emergency Procedures
     Medical Equipment Maintenance, Testing, and Inspection
     Documentation of Acceptance Testing
     Documentation of Maintenance of Life-Support Equipment
     Documentation of Maintenance of Non-Life-Support Equipment
     Documentation of Performance Testing of Sterilizers
     Documentation of Testing Water Used in Renal Dialysis
     Evaluation/Effectiveness
     Clinical Engineers
     FDA Safety Communication: Cybersecurity for Medical Devices and Hospital Networks
Healthcare Security
     NFPA 99-2012, Security Management (Chapter 13)
     Resources
     Incident Reporting
     Property Protection
     Sensitive Area Access
     Identification of Patients, Visitors, and Staff
     Traffic Control and Vehicle Access
     Weapons on Campus
     Handling Civil Disturbances
     Handling Situations Involving VIPs or the Media
     Access and Crowd Control
     Communications
     Orientation and Education
     Evaluation of Security
     Using Proven Practices to Improve Security
     Forensic Patients
     Workplace Violence Prevention (NIOSH Publication No. 2002-101)
     Healthcare Worker Safety
     Management Commitment and Employee Involvement
     American Society of Industrial Security
     International Association of Healthcare Safety and Security (IAHSS) Standards
Review Exercises

Nursing and Clinical Area Safety Topics
Patient Care Area Hazards
     Bloodborne Pathogens
     Hazardous Material Safety
     Nursing Personnel and Workplace Violence
     Helicopter Safety
     Shift Work and Sleep Deprivation
     Job Stress
Noncompensated or Voluntary Worker Safety
Home Health Safety
Musculoskeletal Injuries and Disorders
     Administrative Issues
     Equipment Maintenance
     Facility Design Issues
     Mechanical Lift and Assist Devices
     Understanding the Body
     Injuries and Disorders
     Other Back Problems
     Back Injury Prevention
     Lateral Transfers
     Ambulating, Repositioning, and Manipulating
     Performing Activities of Daily Living
     Useful Tips
     Lift Teams
     Guiding and Slowing FallsTransfer Task Safety
     Personal Factors
     Work Evaluation Tools
     Training and Education
Patient Transport Functions
     Transporting Patients
     Patient Care
     Transport Team Development
     Wheelchair Safety
Surgical Department Safety
     Surgical Room Relative Humidity Requirements
     Hazardous Chemicals
     Environment and Equipment Hazards
     Instrument Passing and Sharps Disposal
     Personal Protective Equipment
Lasers and Electrosurgery
     Laser Safety
     Laser Safety Officer
     Laser Standards
     Laser Classifications
          Class 1 Laser
          Class 1M Laser
          Class 2 Laser
          Class 2M Laser
          Class 3R Laser
          Class 3B Laser
          Class 4 Laser
     Plumes
     Laser Skin Protection
     Fire Prevention Tip during Laser Surgery
Intensive Care Units
Physical Therapy
Emergency Department
Dialysis Unit Safety
     Equipment
     Personal Protective Equipment
Review Exercises

Patient Safety
Patient Safety: an Organizational Function
Leading Patient Safety Efforts
Summary of Key IOM Reports
Errors and Adverse Events
     Active and Latent Errors
     Factors Impairing Human Performance
     Error Reporting
     Reporting Using Technology
     Analyzing Events and Errors
     Common Error Causal Factors
     Implementing Structured Handoff and Sign-Out Procedures
     Medical Education and Error Acknowledgment
Safety Cultures
     Healthcare Bureaucratic Structure
     Proactive Organizations
     Understanding Change
     Organizational Change
     Teamwork
More about Understanding Systems
     Systems Approach
     Key System Safety Elements
     System Reliability
     Failure Mode and Effect Analysis
     Technology and Safety
Patient-Centered Healthcare
     Error Disclosure
     Medical Error Disclosure Guidance
     Evidence-Based Medicine
     General Patient Safety Practices
     Using Patient Safety Checklists
Human Factors
Patient Safety Officers and Committees
Quality Improvement Tools and Strategies
     Benchmarking
     Other Measurements
     Stakeholders
     Plan-Do-Study-Act
     Root Cause Analysis
Patient Roles in Patient Safety
Improving Patient Safety
     Wrong Surgeries
     Diagnostic Errors
     Never Events
     Handoffs
     Discharged Patient Events
Healthcare-Associated Infections
     Central Venous Catheter–Related Bloodstream Infections
     Surgical Site Infection
     Ventilator-Associated Pneumonia
     Catheter-Associated Urinary Tract Infection
Medication Safety
     Medication Errors
     Risk Factors for Adverse Drug Events
     Prevention of Adverse Drug Events
     Accomplishing Medication Reconciliation
     Medication Administration
     Reducing Medication Errors
     Reporting Medication Errors
     Investigating Medication Errors
     Computerized Provider Order Entry
Emergency Department Patient Safety
Ambulatory Care Patient Safety
Physician Work Hours and Patient Safety
     Accreditation Council for Graduate Medical Education
Rapid Response Systems
Call System Operation
Electronic Medical and Health Records
     Key Components of Electronic Health Records
     Electronic Charting
Infant Abduction Prevention
     Preventive Measures
Patient Restraints
     Most Medical/Surgical Restraints Exempt
     Patient Evaluation
Patient Fall Prevention
     Environmental Hazards
Health Insurance Portability and Accountability Act
Bed Safety
     Bed Safety Inspections
     Individualized Patient Assessment
Review Exercises

Radiation, Laboratory, and Pharmacy Safety
Imaging and Radiation Area Safety
     OSHA Ionizing Radiation Standard (29 CFR 1910.1096)
     Restricted Areas
     Surveys and Monitoring
     Radiation Areas
     Caution Signs
     Airborne Radioactivity
     Storage Areas
     TB Exposures
     Ergonomics
     Slips, Trips, and Falls
     Bloodborne Pathogens
     Storage and Handling Procedures
     Medical Radioactive Materials
     Shielding
     ALARP
     Nuclear Regulatory Commission
     Performance-Based Standards
     Radiation Control Planning
     Radiation Safety Committee
     Radiation Safety Officer
     National Council on Radiation Protection
     Food and Drug Administration Radiation Safety
     Radioactive Waste Management
     Nuclear Medicine
     Radiological Society of North America
     American College of Radiology
Nonionizing Radiation (29 CFR 1910.97)
     Ultraviolet Radiation
     Radio-Frequency and Microwave Radiation
     Wireless Medical Telemetry
     FDA/CDRH Recommendations for EMC/EMI in Healthcare Facilities
     Consensus Standards
     Other Recognized Standards
Magnetic Resonance Imaging
     FDA MRI Safety Guidelines
     Other MRI Safety Recommendations
     Sonography
Laboratory Safety
     Clinical Laboratory Improvement Amendments
     Joint Commission Laboratory Accreditation
     College of American Pathologists Accreditation
     College of American Pathologists Accreditation Program
     COLA Accreditation
     OSHA Laboratory Standard (29 CFR 1910.1450)
     Summary of Safe Laboratory Work Practices
     Centrifuges
     Laboratories and the OSHA Bloodborne Pathogens Standard
     Tuberculosis
     Morgue
     Chemical and Fire Hazards
     Chemical Exposure Response
     Standard Operating Procedures
     Laboratory Equipment
     Microtome Safety
     Pressure and Vacuum Systems
     Fume Hoods and Laboratory Ventilation
          Employee Training
     Medical Examinations and Consultations
     Supervisor Responsibilities
     Safety Personnel Responsibilities
     Laboratory Personnel Safety Responsibilities
     Animal Research Facilities
     Laboratory Hazardous Waste Disposal
     Autoclaves
     Good Clinical Laboratory Practices (GCLP)
     Laboratory Physical Environments
Biosafety
     Biological Safety Officer (BSO) Biosafety Level 1
     Biosafety Level 2
     Biosafety Level 3
     Biosafety Level 4
     Biological Safety Cabinets
     Service and Certification
     Biosecurity
Pharmacy Safety
     Clinical Pharmacy
     General Safety Considerations
     Pharmacy Safety
     OSHA Hazard Communication Standard
     Pharmacy Ergonomics
     Workplace Violence
     General Medication Labeling
     Closed Pharmacy Procedures
     Drug Recalls or Safety Alerts
     High-Risk Medications
     Investigational Medication Safety
     Evaluation of Medication Management
     Drug Quality and Storage
Hazardous Drug Safety
     Current Standards
     NIOSH Revision of ASHP Definition
     Developing a Hazardous Drug List
     Where to Find Information Related to Drug Toxicity
     2010 NIOSH Update of Hazardous Drug Alert for Healthcare Settings
     Hazardous Drug Safety Plan
     Transfer Procedures
     Caregiver Exposure Precautions
     Administering Aerosolized Drugs
     Hazardous Drug Wastes
     Spill Control
     Medical Surveillance
     Ventilated Cabinets
     Recordkeeping
Proposed Universal Waste Rule for Pharmaceuticals
     Current RCRA Requirements
     USP 797: Compounding Sterile Preparations
     USP 797 2008 Revision
Review Exercises

Appendices:

Hazard Control Management Evaluation Scoring System (HCESS)
Worker Perception Survey Questions
Sample Hazard Control Policy Statement
Hazard Correction Status Form
Sample Elements
Improvement Principles
Causal Factors Chart
Ergonomic Symptoms Report
Hazardous Exposure Limits and Terms
Revised Hazard Communication Standard
Hazard Communication Training Record
Numerical Hazardous Material Ratings
Model Hazard Communication Plan
List of Selected NFPA Codes and Standards
Personal Protective Equipment Hazard Assessment Form (Sample)
HAZWOPER Training Requirements (29 CFR 1910.120)
Retention of Occupational Safety and Health Act Records
Model Respirator Plan for Small Businesses
Sample Accident Investigation Report
Workplace Violence Prevention Policy
OSHA Construction Safety Plan Outline
Hazard Control–Related Acronyms
Bloodborne Training Requirements
Patient and Resident Moving Guidelines
Patient Safety Plan Development Considerations
Construction Infection Control Program Elements
TB Model Exposure Control Plan
Glossary of Terms
AHRQ Patient Safety Tools and Resources
Agency Listings
NIOSH Healthcare Worker Information
OSHA Publication Listing

Bibliography

Index

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Author(s)

Biography

James (Jim) T. Tweedy has served as the executive director for the International Board for Certification of Safety Managers (IBFCSM), which is also known as the Board of Certified Hazard Control Management (BCHCM) since 2007. IBFCSM was founded in 1976 and offers the following personal credentials: certified healthcare safety professional (CHSP), certified patient safety officer (CPSO), certified hazard control manager (CHCM), certified healthcare emergency professional (CHSP), certified product safety manager (CPSM), and certified hazard control manager security (CHCM-SEC).

James founded TLC Services, a healthcare, hazard control, organizational performance, and educational consulting organization in 1996. He has more than 25 years of experience with expertise in the areas of credentialing, hazard control, healthcare safety, leadership and team development, education, and compliance. He holds an MS in safety management from Central Missouri University and a BS in liberal studies from Excelsior College. He holds master level designations as a CHCM, CPSO, CPSM, CHSP, and certified healthcare emergency professional (CHEP). He also holds a professional membership in the American Society of Safety Engineers (ASSE) and is a member of the American Society of Healthcare Engineering (ASHE).

Jim is a polished speaker who presents safety-related topics at seminars, conferences, and in the workplace. He taught more than six years at the college level and is an experienced curriculum developer. He has developed and presented original training programs at locations in more than 40 states. He is a recognized leader in the area of healthcare safety and hazard control management.