Healthcare Safety Toolkit Library

This Ambulatory Surgery Center (ASC) Risk Management Plan Checklist is designed to support the development, implementation, and ongoing evaluation of a comprehensive risk management program within ASC settings.

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 section of the toolkit consists of many tools related to pain management safety covering standards, patient agreement forms, screenings, practices, safety interventions and oversedation risks related to post administration of opioid therapy.

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

Louisiana requires consent for a physician to prescribe medical marijuana. This formal process involves the physician explaining information regarding cannabis. The following serves as a guide for outlining information on medical marijuana related to the diagnosis being treated.

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.