Domain | Scope and example | |
---|---|---|
1. | Staff assignment | Staff assigned to the division of patient safety or infection control to be in charge of their activities |
2. | Meetings and conferences | Meetings and conferences held for patient safety and infection control (e.g. supreme decision-making board committee, medical accident investigation committee, regular staff meetings, infection control committee, etc.) |
3. | Internal review and walk rounds | Internal check for patient safety or infection control (e.g. review for adherence to manual, clinical chart review, and clinical conferences, etc.) |
4. | Internal education and training | Education and training program set up and run inside hospitals (e.g. orientation for new comers, seminars of patient safety or infection control, etc.) |
5. | External education and training | Education and training program set up and run outside hospitals (e.g. seminars conducted by government and professional organization, etc.) |
6. | Standard manual development | Standardization of processes and manual preparation and revision aimed for patient safety or infection control (e.g. management code and handbook for patient safety or in – hospital infection control, etc.) |
7. | Incident reporting | Data collection/analysis as well as measurements of incident reports, adverse events and near misses to assure patient safety |
8. | External audit | Third-party evaluation to continuously improve the safety and quality of care (e.g. the Japan Council for Quality Health Care, the International Organization for Standardization, etc.) |
9. | Maintenance of medical equipment | Maintenance to prevent medical accidents (e.g. check and repair of medical equipment, etc.) |
10. | Management of medications | Management to prevent medical accidents (e.g. medication history management, drug information service, and dispensing instruction, etc.) |
11. | Infection surveillance | Data collection, analysis, and measurements of in-hospital infection (e.g. review of medical charts and bacteriologic examination of surgical site infections and catheter-related infections, etc.) |
12. | Other activities | Other activities related to patient safety and infection control and not categorized as above activities (e.g. campaigns, issues of public relations, newspapers related patient safety or infection control, etc) |