Successful operation of healthcare facilities requires addressing and overcoming a myriad of unique challenges, many of which are rooted in providing protection for a population that includes occupants incapable of self-preservation. Patient well-being necessitates that 医疗保健系统s maintain appropriate levels of safety, 安全性和弹性.
的 医疗保健系统 is comprised of the patient, staff, physical environment and organization’s patient care strategy. Success in protecting the ecosystem is a trademark of High-Reliability Organizations (HROs), achieved through a holistic mindset that considers potential threats from/to the physical environment, 技术系统, 人力资本与组织运作.
HROs demonstrate consistent success in catastrophe avoidance in environments where day-to-day accidents are expected due to typical risk factors and system complexity. Successfully limiting the impact of such accidents positively affects an organization’s safety, 安全, and resiliency and helps maintain its ability to provide care and protect brand reputation.
To illustrate this, consider a hospital that is planning a new patient care tower. 接近设计, 建设, 作为人力资源主管的占用和操作, 将采取下列步骤.
设计与施工
患者安全, 访客及职员, 以及高效和弹性的设施功能, would be introduced as primary objectives early in the planning and design stages. 符合最低要求 建筑和消防规范 是必须的. But HROs set higher expectations and take a more comprehensive view.
- Safety concerns beyond the minimum code requirements are considered and addressed. 在设计烟室时, 例如, 隔间大小, travel distance and barrier 建设 are all regulated by prescriptive codes. 超越代码遵从性, configuration of those smoke compartments considers functional impacts, such as ensuring availability of direct fire department access or making sure compartments intended for high acuity patients (e.g., ICU) have adjacent compartments that can support those patients during an evacuation (e.g.(非商务办公占用).
- 在设计初期, 全面的安全风险评估, 包括一场灾难, 紧急情况和脆弱性评估, is conducted per FGI Guidelines to inform the building’s resiliency.
- Design and 建设 teams align on overall safety and functional objectives and have regular coordination throughout design and 建设 to ensure early recognition and prompt resolution of issues that arise. 讨论设计对操作的影响是关键, 包括独特的消防喷头设计, 火灾报警设计, 中庭烟雾控制系统, 安全特性, 发电机位置, 容量和病人激增空间.
- Understanding operational impacts beyond the physical facility, the HRO continues its holistic approach by also focusing on the technology, 人员和组织方面.
Pre-Occupancy准备
随着施工进度和入住日期的临近, the HRO expands focus to ensure staff are trained to conduct effective operations on day one. HRO制定单位特定的火灾响应程序, 对员工进行消防培训, 培训领导和消防反应小组. Surgical fire prevention programs and best practices for unique patient acuity (e.g., 减肥单位, NICU, behavioral health) are considered and proactive response plans are developed for emergency and catastrophic events. 相关问题包括:
- How would the organization manage a major patient surge event (e.g.(大规模伤亡、大流行病)?
- If full evacuation of the tower became necessary (例如, 由于主要的公用事业中断), 组织如何进行整栋楼的疏散?
- 以应对任何紧急事件, 组织如何提供指挥, 控制和协调(e ..g.、指挥中心、事故管理小组)?
占用和运营
的 HRO understands that building occupancy is not the end of the process but rather the beginning of the next phase. Continued readiness and commitment to regular procedural improvements are ingrained in the culture. 人力资源主管的关键特征包括尊重专业知识, 对失败的关注和对恢复力的承诺. 的se principles drive the organization to continuously develop or expand existing routine programs to monitor the newly occupied space. Programs that address the Enviroment of Care typically include:
- Safety and 安全, including operational 安全 and infrastructure.
- Hazardous materials protection and management, including response plans.
- 医疗设备项目, including routine preventive actions and failure investigation protocols, 帮助确定根本原因, learn from errors and make necessary adjustments to prevent them.
- 公用事业，包括管理和应急计划.
- 消防安全计划，包括应对计划和培训.
- Life Safety Code Assessments to ensure continued compliance and appropriate building maintenance.
- 应急准备训练、演练和演习.
结论
高可靠性意味着可持续发展, consistent excellence in quality and safety across all services provided. High Reliability Organizations are relentlessly aiming to protect what matters across their 医疗保健系统s. 皇家88账户注册 自豪地与医疗保健组织合作, providing solutions to help them navigate these complex matters and achieve their goals. 了解更多 about how the 皇家88账户注册 Healthcare Team can assist your organization to be a High-Reliability Organization.