Patient Safety/Quality

BETA HEART Communication References

JOLT

Resources

• Joint Commission Standards via The Joint Commission E-dition
• Joint Commission Standards via VERGE
• Weekly Department Compliance Assessment via VERGE
• MSDS Safety Data Sheets
• oneSource – (IFU) Instruction For Use Documents
• Physician Privileges
• Policy Manager
• Survey Checklist (PDF)
• Nutrition Care Manual
  Pediatric Nutrition Care Manual
  Natividad’s Diet Manual
• Pharmacy Formulary
• CDPH GACH Regulations with Survey Procedures
• Natividad Performance Improvement Projects
• Drug References
• Big Book of Tracers
• Big Book of More Tracer Questions
• Joint Commission and CMS Crosswalk
• Department Complaince Assessment
• Joint Commission Standards via The Joint Commission E-dition
• Joint Commission Standards via VERGE
• MSDS Safety Data Sheets
• National Patient Safety Goals 2020
• oneSource – (IFU) Instruction For Use Documents
• Physician Privileges
• Policy Manager
• Hospital Survey Preparation Guide
• Joint Commission Big Book of Checklists
• (TJC) Environment of Care Crosswalk
• (TJC) Environment of Care Essentials for Health Care
• (TJC) Front Line of Defense:  The Role of Nursing in Preventing Sentinel Events
• (TJC) Hospital Compliance Assessment Workbook
• Joint Commission Big Book of Checklists for Infection Prevention and Control
• Joint Commission Big Book of Performance Improvement Tools and Templates
• Root Cause Analysis in Health Care:  A Joint Commission Guide to Analysis and Corrective Action of Sentinel and Adverse Events
• FY2020 Natividad Fact Sheet
• CIHQ – Center for Improvement in Healthcare Quality Username: Natividad / Password: ALERT Team20

Videos

HIPAA Hints

Know Your Patient

National Safety Patient Goals – 2021

National Patient Safety Goals – 2021 PDF

Your 5 Moments for Hand Hygiene

Hand Hygiene – When & How Brochure PDF

GACH Relicensing Survey (GACHRLS) Resources

• Relicensing Survey Overview
• General Entrance List
• Medication Pass Worksheet
• CDPH GACH Regulations with Survey Procedures
• Process Guidance
• Pharmacy Entrance List
• Relicensing Evaluation Form
• Regulations with Survey Procedures
• Survey Activity Schedule

Natividad’s Tracer Worksheets

• Survey Response Checklist – Patient Care Areas – NEW (Print PDF)
• Natividad (Joint Commission) Tracer Staff Interview via VERGE
• Natividad (Joint Commission) Tracer Staff Interview (Print PDF)
• Weekly Department Compliance Assessment via VERGE
• Weekly Department Compliance Assessment (Print PDF)

oneSource Training Video

oneSource Tutorial Handout PDF

Staff Handbooks

Tips & Tools