Healthcare Hazard Control and Safety Management: 3rd Edition (Hardback) book cover

Healthcare Hazard Control and Safety Management

3rd Edition

By James T. Tweedy

CRC Press

606 pages | 9 B/W Illus.

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pub: 2014-03-12
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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

About the Author

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.

Subject Categories

BISAC Subject Codes/Headings:
BUS053000
BUSINESS & ECONOMICS / Quality Control
BUS070080
BUSINESS & ECONOMICS / Industries / Service Industries
MED002000
MEDICAL / Administration
SCI026000
SCIENCE / Environmental Science
TEC017000
TECHNOLOGY & ENGINEERING / Industrial Health & Safety