Professional Documents
Culture Documents
OR - Riskassesment Chiclist
OR - Riskassesment Chiclist
OR - Riskassesment Chiclist
LEGEND: PT = Preparation Tool INT = Interview OBS = Observation MR = Medical Record O/I = Observation/Interview DR=Document
Review NM =Not met (Score = 0 when < 50 % compliance) PM = Partially met (Score=1 ≥ 50 to < 80 % compliance) FM = Fully met( Score= 2 when ≥
80 % compliance) NA = Not applicable(Cancelled Score )
RESULT
Points of measurement PT NM PM FM NA COMMENTS
0 1 2
1. The OR is directed and staffed according to the specific patient care needs and the DR
scope of services provided.
9. Crash cart checklist maintained daily & replenished after each code blue DR
10. Emergency medication tray checklist maintained DR
11. Lifting & moving techniques adhered to for patients handling & lifting items. O/I
12. Staffs are holding licenses and are displayed/available in their working areas. OBS
Page 1 of 7
KINGDOM OF SAUDI ARABIA المملكة العربية السعودية
MINISTRY OF HEALTH وزارة الصحة
QASSIM HEALTH CLUSTER التجمع الصحي بمنطقة القصيم
OQLA AL-SOQOUR HOSPITAL مستشفى عقلة الصقور العام
QUALITY AND PATIENT SAFETY قسم الجودة وسالمة المرضى
13. Consent MR
Is available for all admitted patients.
Informed consent is available for patients under going any special procedures or MR
surgery.
Consent is clearly written, signed and stamped. MR
14. Security OBS
All patients admitted have ID bands.
Signs posted in restricted areas OBS
Emergency door & exits are in good condition OBS
Medication cabinets, medication fridge, crash cart & Narcotic cabinets are locked OBS
securely
15. Equipment and Utilities OBS
All medical equipment and utilities are in good working condition and are available
at all times.
Emergency equipment are checked and documented daily. DR
Equipment/machinery limited to authorized persons only O/I
Medical equipments tagged with Bio-med stickers OBS
Emergency power outlets are identified & staff are familiarized O/I
Electrical cords/cables for medical equipment in good condition, not frayed. OBS
Sufficient oxygen flow meters to meet the ward requirements OBS
Reports and damages are reported promptly to Biomed/Facilities Engineering. DR
Page 2 of 7
KINGDOM OF SAUDI ARABIA المملكة العربية السعودية
MINISTRY OF HEALTH وزارة الصحة
QASSIM HEALTH CLUSTER التجمع الصحي بمنطقة القصيم
OQLA AL-SOQOUR HOSPITAL مستشفى عقلة الصقور العام
QUALITY AND PATIENT SAFETY قسم الجودة وسالمة المرضى
Page 3 of 7
KINGDOM OF SAUDI ARABIA المملكة العربية السعودية
MINISTRY OF HEALTH وزارة الصحة
QASSIM HEALTH CLUSTER التجمع الصحي بمنطقة القصيم
OQLA AL-SOQOUR HOSPITAL مستشفى عقلة الصقور العام
QUALITY AND PATIENT SAFETY قسم الجودة وسالمة المرضى
Items in the store room arranged correctly with heavy items on to the bottom of OBS
the shelf.
Evacuation plan map is posted in all rooms & coridoors indicating the evacuation OBS
route.
Corridors & passages free of obstruction OBS
Emergency exits are clearly labeled. OBS
Rooms are locked when not in use. OBS
Housekeepers use sign boards while mopping floors to prevent slips & falls. OBS
Utility rooms locked when unattended. OBS
Furniture in OR are safe, no broken wheels etc OBS
Rooms are clean, free of litters & debris. OBS
Page 4 of 7
KINGDOM OF SAUDI ARABIA المملكة العربية السعودية
MINISTRY OF HEALTH وزارة الصحة
QASSIM HEALTH CLUSTER التجمع الصحي بمنطقة القصيم
OQLA AL-SOQOUR HOSPITAL مستشفى عقلة الصقور العام
QUALITY AND PATIENT SAFETY قسم الجودة وسالمة المرضى
Page 5 of 7
KINGDOM OF SAUDI ARABIA المملكة العربية السعودية
MINISTRY OF HEALTH وزارة الصحة
QASSIM HEALTH CLUSTER التجمع الصحي بمنطقة القصيم
OQLA AL-SOQOUR HOSPITAL مستشفى عقلة الصقور العام
QUALITY AND PATIENT SAFETY قسم الجودة وسالمة المرضى
Page 6 of 7
KINGDOM OF SAUDI ARABIA المملكة العربية السعودية
MINISTRY OF HEALTH وزارة الصحة
QASSIM HEALTH CLUSTER التجمع الصحي بمنطقة القصيم
OQLA AL-SOQOUR HOSPITAL مستشفى عقلة الصقور العام
QUALITY AND PATIENT SAFETY قسم الجودة وسالمة المرضى
Page 7 of 7