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ARTICLES IN Healthcare Safety Leader - VOLUME 30 ISSUE 2 - PRINT FULL ISSUE

Healthcare Safety Leader

- Volume

Issue

TJC providing surveyors with more training on IJ investigations, EC and LS requirements

September 19, 2023

Accreditation & Survey Preparation

At the urging of CMS, The Joint Commission has been providing surveyors with extra training on procedures related to investigating possible immediate jeopardy situations, as well as the use of open-en...

Healthcare Safety Leader

- Volume

Issue

Book excerpt: Miscellaneous aspects of the Life Safety Code

September 26, 2023

Accreditation & Survey Preparation

Important aspects of Life Safety Code® compliance that are important to be aware of come survey time. ...

Healthcare Safety Leader

- Volume

Issue

Time to review policy on holiday decorations and educate staff

December 17, 2025

Accreditation & Survey Preparation

Halloween is almost upon us, followed by a two-month holiday season starting with Thanksgiving and going through New Year’s. That means it’s time to review your holiday decorating policy, update it as...

Healthcare Safety Leader

- Volume

Issue

Executive Briefing 2023: Top EC, LS findings offer insight to common survey problems

December 17, 2025

Accreditation & Survey Preparation, Environment and Facilities, Physical environment

Safety problems identified within the physical environment account for 60%–70% of deficiencies scored by The Joint Commission (TJC) during surveys, according to TJC statistics. However, in the first s...

Healthcare Safety Leader

- Volume

Issue

CMS lowers initial training requirement to get surveyors in the field more quickly

December 17, 2025

Accreditation & Survey Preparation, Fire & Life Safety

Facilities might start seeing more CMS surveys soon as the agency lowers the initial level of certification for its own Life Safety Code® (LSC) surveyor candidates. ...

Healthcare Safety Leader

- Volume

Issue

Lessons learned: Planning key to dealing with extreme winter weather

December 17, 2025

Environment and Facilities, Physical environment

Extreme winter forecasts can be met with fear or confidence. Being prepared for extreme cold along with snow and ice is a major concern for the safety of both patients and staff. Worried about the cos...

Healthcare Safety Leader

- Volume

Issue

The burning issue: TJC's new Sentinel Event Alert on surgical fire safety

December 17, 2025

Accreditation & Survey Preparation

Best estimates from The Joint Commission (TJC) suggest that 90-100 surgical fires occur annually in the United States, creating safety hazards for patients, surgical teams, and the operating room (OR)...

Healthcare Safety Leader

- Volume

Issue

Analyzing the hospital life safety survey: The roof and penthouse equipment rooms

December 17, 2025

Environment and Facilities, Physical environment, Fire & Life Safety

The whole purpose of the building tour is to determine if your facility is in compliance with the Life Safety Code® (LSC). The surveyor will most likely start at the top of your building inspecting me...

Healthcare Safety Leader

- Volume

Issue

Create on-the-go disaster kits for staff in an emergency

October 30, 2023

Natural & Manmade Disasters, Workplace safety

Sometimes disasters mean being on the go while evacuating the hospital. Sometimes staff and patients have to shelter in place. That is why it is important to create easy to store and quick to move dis...

Healthcare Safety Leader

- Volume

Issue

CDC encourages hospitals to evaluate HVAC systems to ensure effective infection control

December 17, 2025

Environment and Facilities, Physical environment

As cases of COVID-19 and respiratory syncytial virus (RSV) continue to persist and influenza season picks up, the CDC is urging hospitals to check the efficiency of their heating, ventilation, and air...

TJC providing surveyors with more training on IJ investigations, EC and LS requirements

Book excerpt: Miscellaneous aspects of the Life Safety Code

Time to review policy on holiday decorations and educate staff

Executive Briefing 2023: Top EC, LS findings offer insight to common survey problems

CMS lowers initial training requirement to get surveyors in the field more quickly

Lessons learned: Planning key to dealing with extreme winter weather

The burning issue: TJC's new Sentinel Event Alert on surgical fire safety

Analyzing the hospital life safety survey: The roof and penthouse equipment rooms

Create on-the-go disaster kits for staff in an emergency

CDC encourages hospitals to evaluate HVAC systems to ensure effective infection control

Resource/w tools selected

STET CMS & tools

OSHA Dental Facilities Update - November 2023

OSHA Medical Facilities Update - November 2023

Tab 2, Medical Facilities OSHA Manual- August 2023

Tab 2, Dental Facility OSHA Manual- August 2023

Chapter 2: Chapter Format and Tracer Planning