To whomsoever it may may concern concern
T hi h i s i s t o i nf n f or o r m t he h e c on o n ce c e rn r n ed e d p eo e o pl p l e t ha h a t a “ Sa S a fe f e ty t y M an a n ag a g em e m en en t committee ” o f t h e h o s p i t a l h a s b e e n r e f o r m e d w . e . f _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ u n d er e r t h e c h a i r ma m a n s hi h i p o f … … … …… … … … … … t h e m e m be be r s o f t h e c o m m i tt tt e e along with other information is mentioned below: Members: S.R. No.
Name of The Responsible Person
Designation in Committee
Designation in ospital
"
MD
#
C!
$
MD"C#$
Signat!re
Superintendent %.
#DM"%"STT! &
& 'uality Manager ' (r. Manager
()ministrative *nformation: + ) #t least *+, of the scheduled scheduled members should be present for the committees committees to stablish 'uorum or else the business of the committee for the scheduled day would be dissol-ed. The minutes of the meeting would be circulated circulated among the members members of the committee committee after the meeting under the signature of the chairman and member secretary. / "ncase "ncase re0uir re0uired ed the chairm chairman1 an1mem member ber secreta secretary ry may in-ite in-ite a person person not among among the scheduled member for the meeting howe-er the presence of the same person would not considered while deciding. 2 %otice %otice for all scheduling scheduling committee committee meeting meeting would be circulate circulated d at least least 2 hrs prior to the scheduled time and should information pertaining to the agenda of the meeting. "n case of mergency Short notice may be made by the chairman1member Secretary of the Committee Stating the reason for the same.
Chairman
Terms of Reference ,T-R S(/0T1 M(N(20M0NT C-MM*TT00 ,SMC (. P!rpose: The purpose of the Safety Management Committee 3SMC4 is to ensure a pr ogressi-e patient safety program to pro-ide safe and effecti-e care to the patient of the (ospital by creating an en-ironment conduci-e to the following: ). . /. 2. *.
#n organi5ati organi5ation on culture culture focused focused on safety safety and and pre-ention pre-ention of of errors. errors. Staff that that is aware aware of and educated educated about safety safety66 ris7s ris7s and error pre-enti pre-ention. on. "nternal "nternal reporting reporting of errors6 near misses misses and and ris7s ris7s to safe safe care. 8ocus 8ocus on proces process s impro-em impro-ement ent rather rather than than aiming aiming blame. blame. ffecti-e ffecti-e collecti collection6 on6 analysis analysis and applicat application ion of data to further further impro-e on patient patient safety 9. Collaborat Collaboration ion and communicat communication ion among department departments6 s6 teams and indi-idua indi-iduals. ls. . ducation ducation of patient patients s 1 families families about about their role role in patient patient safety. safety. ;. To ad-ise impro-ement initiati-es for code blues in the hospital.
3. Scope an) f!nction:
•
To monitor and trac7 response to all code blue cases in the hospital
•
#id impro-e response time and easy access to emergency medical e0uipment including crash cart
•
Decide upon the composition and responsibilities of each member of the code blue team
•
&eco &ecomm mmen end d spec specia iall trai traini ning ng init initia iatiti-es es for for the the co code de blue blue team team members.
3. Scope: The scope of the SMC encompasses the following: ). . /. 2. *. 9. . ;.
"ntegratio "ntegration n and participati participation on by all hospital hospital department departments s and medical medical ser-ices. ser-ices. Staf Stafff duc ducat atio ion. n.
aud audit itin ing. g. "ntern "nternal al and and e?ter e?ternal nal reporti reporting. ng. (andl (andlin ing g of ad-e ad-ers rse e unan unanti tici cipa pate ted d pati patien entt outc outcom omes es66 incl includ udin ing g disc disclo losu sure re to patient@s families. A. Staf Stafff cou couns nsel elin ing g and and )+.
D. /re4!ency of the meetings: 'uarterly1 or as when re0uired
2. Members:+ S.R. No.
Name of The Responsible Person
Designation in Committee
Designation in ospital
"
MD
#
C!
$
MD"C#$
Signat!re
Superintendent %. %
#DM"%"STT!& 'uality Manager
& (r. Manager
CIRCULAR SAFETY MANAGEMENT COMMITTEE
This is to inform inform to the concerned people people of Safety Management Committee that the rst meeting of the committee is scheduled to be held on _______________________ ________________________________. _________. All the members of the committee are requested requested to attend the meeting to fulll the requirement requirement of committee.
For any kind of clarication please contact the designated.
Thanking you
Chairman
MINUTES OF MEETING SAFETY MANAGEMENT COMMITTEE Venue:
!ate" Time: Agenda: • • • •
•
Formation of Safety Committee. Confirming the teroms ofreference of the afety commitee Evaluating the training status of the risk management system in the organization.
!iscuss the guideline for uniform resuscitation resuscitation of patient throughout the organi#ation. $lood transfusion practice e%aluation and monitoring
• •
Members were presente) in the meeting:+
S.R. No.
Name of The Responsible Person
Designation in Committee
"
Chairman
#
Secretary
$ %
Member
Designation in ospital
Signat!re
Member & Member
Discussion: &ntroduction of Committee members has been done and 'orks related to safety committee has been discussed. A S() 'as designed incorporating the follo'ing points" &dentication of all possible situations in the hospital 'ere people *patient sta+ %isitors etc. may be e,posed to in-ury infection or disease. ole / responsibilities of key personnel in%ol%ed in the pre%ention of risk in the hospital en%ironment. To To de%elop a system for reporting reporting and analy#ing ha#ard ha#ard in the hospital. Training Training of sta+ to carry carry out %arious practices practices the minimi#e risk and educating them on safety measures in case of any ha#ard. 0lectric safety 'as re%ie'ed. Fire !etection unit 'ere found adequate but sta+ training 'as not adequate so training ad%ised •
•
• •
Formaion o! C"R Team Team
•
• •
• • • •
Evaluation of CPR Forms and format and training need of staff in CPR Blood transfusion practices were reviewed Spill kits were required to be checked and staff retraining on hazmat handling required azmat team members to be reidentified reidentified and trained !lternate sources of water and electricit"#o$"gen being tested but documentation also required %ualit" assurance of $ ra" to be done Calibration status of equipment to be updated !mc s to be renewed &raining of equipment management to be again repeated
•
Chairman
CIRCULAR SAFETY MANAGEMENT COMMITTEE This is to inform inform to the concerned people people of Safety Management Committee that the meeting of the committee is scheduled to be held on _______________________ _______________________________. ________. All the members of the committee are requested requested to attend the meeting to fulll the requirement requirement of committee.
For any kind of clarication please contact the designated.
Thanking you
Chairman