Healthcare Safety Toolkit Library

Disruptive physician behavior negatively impacts patient safety, staff satisfaction and increases the likelihood of medical malpractice claims. Disruptive behavior poses a challenge for leaders in healthcare to address and it is important for leaders to have a plan in place to handle them when they arise. This article from MGMA addresses how to confront physicians with behavioral issues and how to develop an organizational plan of handling disruptive behavior that will promote a change in culture.

This 2019 Joint Commission resource provides a description of regulatory requirements as related to Medical Staff processes and compliance strategies, discusses new standards impacting the Medical Staff, describes common survey findings and provides a description of a successful OPPE/FPPE program.

Provided below is a downloadable PowerPoint presentation on the responsibilities and related processes of the credentialing committee. This is a useful tool in the orientation and onboarding of new committee members, offering an overview of the expectations placed on the committee with regards to patient safety.

The information within the presentation should be used as a guide and edited as necessary to reflect your facility’s specific process.

This presentation provides information about OPPE/FPPE as it relates to a healthcare organization and the Joint Commission. It will:

• Review how different healthcare organizations manage OPPE/FPPE
• Discuss skills to implement policies, procedures and implementation tools

Healthcare providers and facility administrators can use this sample credentials file chart audit to ensure compliance with hospital standards and policy. The downloadable form provides a comprehensive checklist field including necessary elements of review to ensure credentialing documentation is in place for physicians on staff.

Through thorough assessment using this form, you can determine which physician files at your own facility are out of compliance with proper credentialing procedures, helping to safeguard against accidental oversights and room for liability.

The credentialing process is information-intensive, often requiring a multitude of components for completion. Staying organized and updated on what details you need is important in the successful implementation of the credentialing process.

To stay on target with your assessment process, use our Comprehensive Credentialing Checklist to ensure that all needed information has been verified prior to presenting for next level of approval or review.

Healthcare organizations should take the possiblity of an active shooter event occuring in their facility very seriously. These resources provide key tactics on managing violent and disruptive behavior as a risk reduction process.

Active shooter training is vital for all staff in a healthcare organization as they are the eyes and ears of the facility. These resources help ensure staff are trained and prepared to address violent/aggressive behavior/situations.

Prioritizing our Healthcare Workers: The importance of Addressing the Intersection of Workplace Violence and Mental Health and Wellbeing

It is essential to understand a security program. These resources help build and sustain a security program in healthcare. Sources delve further into risk considerations of law enforcement's presence in the emergency room and guidance to infant abductions.