Fire & Life Safety | .accreditationqualitycenter

Mac's Safety Space

- Volume

Issue

Mac’s Safety Space: Safety first: Managing surgical fire risks in the operating room

February 11, 2026

Accreditation & Survey Preparation, Fire & Life Safety

In general, I think it can be rather instructive when (and to what degree) our friends in Chicago modify an existing Sentinel Event Alert, particularly one that relates to the management of risks in t...

Medical Environment Update

- Volume

Issue

Fall laboratory safety 2023

February 11, 2026

Laboratory Safety, Leadership & Finance, Fire & Life Safety

Summer is officially over, and the clocks will fall back an hour this upcoming weekend. It’s a time of transition as people bring out their fall clothes, enjoy spiced drinks, and ready themselves for ...

Healthcare Safety Leader

- Volume

Issue

It's always a good time to review your fire safety plans

October 23, 2023

Natural & Manmade Disasters, Environment and Facilities, Patient Safety, Fire & Life Safety

OSHA addresses fire safety under the General Industry Standards (29CFR1910). Facilities under construction should consult the edition of the of the National Fire Protection Agency (NFPA) Life Safety C...

Inside Accreditation & Quality

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Issue

Be Ready for the Unannounced Survey Process

October 30, 2023

Accreditation & Survey Preparation, Fire & Life Safety, Physical environment

As the result of a CMS directive, unannounced surveys for organizations started in 2006. If you are undergoing a deemed status survey, your visit will be unannounced except in certain circumstances, s...

Healthcare Safety Leader

- Volume

Issue

Work with staff in patient care areas to find storage space that meets NFPA requirements

February 11, 2026

Fire & Life Safety

Finding extra storage space in a hospital is always a challenge. But staff should be reminded that using stairwells, the ends of corridors, unused patient rooms or bathrooms, and empty offices for sto...

Mac's Safety Space

- Volume

Issue

Mac’s Safety Space: Egress and the art of mobility

September 25, 2023

Environment and Facilities, Fire & Life Safety

Thoughts on the introduction of technology as a function of mobile units (CT, PET MRI, etc.) and how those arrangements might come into play as a function of fire response plans, egress and any other ...

Healthcare Safety Leader

- Volume

Issue

Book excerpt: Fire pump assemblies and visual inspections

August 22, 2023

Environment and Facilities, Fire & Life Safety

Your facility may or may not be required to have a fire pump. But if you have one as a life safety feature, the surveyor will perform an inspection. ...

Healthcare Safety Leader

- Volume

Issue

Survey readiness: Double check hand sanitizer policies and placement post-COVID

August 15, 2023

Environment and Facilities, Laboratory Safety, Fire & Life Safety

Before your next survey, remember to double check your hand sanitizer policies and placement for post-COVID requirements. ...

Mac's Safety Space

- Volume

Issue

Mac’s Safety Space: ASHE 2023 – San Antonio rose to the occasion

August 14, 2023

Environment and Facilities, Fire & Life Safety, Physical environment

Some thoughts and lessons learned from the 2023 ASHE Conference, held in San Antonio, Texas. ...

Mac's Safety Space

- Volume

Issue

Mac's Safety Space: Healthcare electrical fires – more to them than you might think

July 31, 2023

Environment and Facilities, Fire & Life Safety

There seems to be a recurring theme of electrical fires in hospitals this year. ...

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Mac’s Safety Space: Safety first: Managing surgical fire risks in the operating room

Fall laboratory safety 2023

It's always a good time to review your fire safety plans

Be Ready for the Unannounced Survey Process

Work with staff in patient care areas to find storage space that meets NFPA requirements

Mac’s Safety Space: Egress and the art of mobility

Book excerpt: Fire pump assemblies and visual inspections

Survey readiness: Double check hand sanitizer policies and placement post-COVID

Mac’s Safety Space: ASHE 2023 – San Antonio rose to the occasion

Mac's Safety Space: Healthcare electrical fires – more to them than you might think

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