Template

JHHS SMH Procedure Area Tracer

by Robert Carter, from the Community

10+

This Joint Commission mock survey checklist helps hospitals audit procedure areas for compliance and patient safety. It covers informed consent and patient education, history and physical timing, anesthesia and sedation assessment, National Patient Safety Goals including patient identification, hand hygiene, hand-offs and medication labeling, pre-procedure verification, site marking, surgical time-out, immediate post-op notes, and proper documentation to support readiness for accreditation.

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With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

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This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
JCI Mock Survey Tools
Use these JCI mock survey tools to evaluate hospital readiness against Joint Commission International standards. The checklist covers International Patient Safety Goals, Access to Care and Continuity of Care, Patient and Family Rights, Assessment and Care of Patients, Patient and Family Education, and Management of Information. Verify patient identification, safe medication practices, hand hygiene, surgical safety, fall risk, consent, discharge, transfers, and documentation. Identify compliance gaps, standardize handovers, confirm critical results workflows, and ensure secure information management and record retention. Ideal for internal audits, staff training, and accreditation preparation.
by mohamed elgamal, from the Community
Downloads: 10+
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Template
JHHS SMH Staff Interview Tracer
Prepare staff for Joint Commission mock surveys at Sibley Memorial Hospital with this structured interview tracer. It covers environment of care, emergency management, information management, life safety, patient safety and national patient safety goals, performance improvement, provision of care, infection prevention, medication management, and patient rights. Use it to verify reporting processes, hand hygiene, SBAR handoffs, specimen labeling, equipment cleaning, waste disposal, and response protocols such as RACE, PASS, and Code Pink. Ideal for training, auditing, and continuous quality improvement.
by Robert Carter, from the Community
Downloads: 20+
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Template
JHH OR and Procedure Tracer
This document outlines comprehensive guidelines for surgical and procedural documentation in healthcare settings. It covers essential requirements for patient safety and medical record keeping, including pre-operative documentation, H&P updates, informed consent procedures, anesthesia protocols, and post-operative documentation standards. The guidelines detail specific timeframes for documentation completion, safety protocols such as site marking and time-out procedures, medication handling requirements, and post-anesthesia evaluation criteria. It also includes requirements for immediate and detailed post-operative notes, discharge documentation, and equipment handling procedures. These standards ensure compliance with healthcare regulations while maintaining patient safety and proper medical record documentation.
by Aileen Almario, from the Community
Downloads: 60+
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Template
Essential National Requirements for Patient Safety
This template helps hospitals comply with CBAHI ESR patient safety requirements. It covers credentialing and privileging, blood and blood product handling and consent, VTE screening and prophylaxis, correct patient identification, and surgical safety with verification, site marking, and time-out. It outlines anesthesia qualifications and sedation training, infection prevention and control governance and isolation rooms, high-alert and LASA medication safety, medication error reporting and analysis, blood bank infectious disease testing, plus radiation, fire protection, and medical gas system safety.
by Joven Bilbao, from the Community
Downloads: 30+
Get

JCI Mock Survey Tools

Use these JCI mock survey tools to evaluate hospital readiness against Joint Commission International standards. The checklist covers International Patient Safety Goals, Access to Care and Continuity of Care, Patient and Family Rights, Assessment and Care of Patients, Patient and Family Education, and Management of Information. Verify patient identification, safe medication practices, hand hygiene, surgical safety, fall risk, consent, discharge, transfers, and documentation. Identify compliance gaps, standardize handovers, confirm critical results workflows, and ensure secure information management and record retention. Ideal for internal audits, staff training, and accreditation preparation.

by mohamed elgamal, from the Community

10+

Get

Template

JHHS SMH Staff Interview Tracer

Prepare staff for Joint Commission mock surveys at Sibley Memorial Hospital with this structured interview tracer. It covers environment of care, emergency management, information management, life safety, patient safety and national patient safety goals, performance improvement, provision of care, infection prevention, medication management, and patient rights. Use it to verify reporting processes, hand hygiene, SBAR handoffs, specimen labeling, equipment cleaning, waste disposal, and response protocols such as RACE, PASS, and Code Pink. Ideal for training, auditing, and continuous quality improvement.

by Robert Carter, from the Community

20+

Get

Template

JHH OR and Procedure Tracer

This document outlines comprehensive guidelines for surgical and procedural documentation in healthcare settings. It covers essential requirements for patient safety and medical record keeping, including pre-operative documentation, H&P updates, informed consent procedures, anesthesia protocols, and post-operative documentation standards. The guidelines detail specific timeframes for documentation completion, safety protocols such as site marking and time-out procedures, medication handling requirements, and post-anesthesia evaluation criteria. It also includes requirements for immediate and detailed post-operative notes, discharge documentation, and equipment handling procedures. These standards ensure compliance with healthcare regulations while maintaining patient safety and proper medical record documentation.

by Aileen Almario, from the Community

60+

Get

Template

Essential National Requirements for Patient Safety

This template helps hospitals comply with CBAHI ESR patient safety requirements. It covers credentialing and privileging, blood and blood product handling and consent, VTE screening and prophylaxis, correct patient identification, and surgical safety with verification, site marking, and time-out. It outlines anesthesia qualifications and sedation training, infection prevention and control governance and isolation rooms, high-alert and LASA medication safety, medication error reporting and analysis, blood bank infectious disease testing, plus radiation, fire protection, and medical gas system safety.

by Joven Bilbao, from the Community

30+

Get

JHHS SMH Procedure Area Tracer

About author

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JCI Mock Survey Tools

JHHS SMH Staff Interview Tracer

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Essential National Requirements for Patient Safety

You might also like

JCI Mock Survey Tools

JHHS SMH Staff Interview Tracer

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Essential National Requirements for Patient Safety