Healthcare Safety Toolkit Library

This checklist is designed to serve as a practical tool to guide FQHC leadership, compliance officers, and risk managers through the key components of an effective Risk Management Plan.

This form is required by the Office of Workers’ Compensation within 10 days of the incident. Similar to the Employee Interview Form, the FROI form documents the information of the employer, carrier, employee, occurrence and injury.

This form assists the employer in documenting vital information as it relates to the employee’s injury. With questions specific to the incident, the injury and the employee, this form was designed to help create a clear understanding of the employee’s claim.

This form is required by the Office of Workers’ Compensation within 10 days of the incident. Similar to the Employee Interview Form, the FROI form documents the information of the employer, carrier, employee, occurrence and injury.

The Candence RX Pharmacy Card is provided to each injured worker for the convenience of obtaining prescriptions related to their work injury.

This form is required by all employees receiving workers’ compensation benefits in the state of Louisiana for supplemental earning benefit claims. The 1020 form should be submitted on a monthly basis to report the claimant’s previous month’s earnings.

The overdose of opioids can be fatal. The following attachments are provided to assess and treat patients at risk and prevent and reduce overdoses.

Due to the rise of opioid overdoses, it is vital to implement a plan to manage these circumstances. Strategies to prepare staff response, prevent overdose and attend to an overdose patient can be viewed below.

It is important to incorporate certain characteristics into your organization which are associated with improved outcomes in other industries where safety is paramount. This section is organized into the five key characteristics of highly reliable organizations and contains tools and other resources to help you strive toward incorporating these characteristics into your organization’s culture.

Focusing on the processes surrounding medication administration and identifying potential risks can reduce the risk of medication errors. These resources provide tips on how to reduce the risks.

Highly reliable organizations tend to display certain characteristics in their processes and systems that make them exceptionally successful in meeting goals and avoiding errors. This section provides more information on the key traits that these organizations share and how to set off on your organization's own jouney toward high reliability.

It is important to provide safe medication practices in order to avoid mistakes and serious medication errors. The following resources provide tips for healthcare providers, patients and pharmacists.