Healthcare Safety Toolkit Library

Letter and form to be sent for reference of the applicant.

A request for peer review of a new applicant should include the following indicators: evaluation of the applicant’s experience, ability and current competence in the areas of medical/clinical knowledge, technical and clinical skills, clinical judgment, interpersonal skills, communication skills and professionalism.

Provided is a sample peer review request letter and evaluation form that you may use to quickly send and request assessments for new applicants to your facility. The download provides an introductory letter followed by an evaluation form to be completed by the selected peer.

The Governing Board is ultimately responsible for credentialing and privileging activities of the hospital. It’s best practice to provide them with a yearly report of all credentialing activities that occurred in order to sustain continued process oversight.

The downloadable document provided is a sample credentialing audit that can be performed and presented to the governing board of your facility. New applicant activity and medical staff roster counts are included within the audit to provide a broad overview of the department or facility for review.

In the healthcare setting, practitioners may request new privileges as needed. Provided below is a downloadable request form to be used by the practitioner, which ensures that all necessary information is collected and documented prior to presenting to the committee for review.

A matrix designed by The Joint Commission to identify specific areas that need to be investigated during a RCA of a sentinel event.

A quick reference to use when conducting an FMEA. This resources guides you through steps, probability and severity ranking and development of plans for improvement of a process.

Reducing the risk of encountering an active shooter situation is important to any business, especially healthcare. These resources provide tools on how to plan what to do in the event of an active shooter/violent situation.

Acitve shooter events are increasing more and more across the U.S. and the experts have developed tools to help the lay person identify a potential active shooter as a risk reduction strategy.

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.