Oakley J
Columbia West Anaheim Medical Center, CA, USA.
Radiol Manage. 1997 Jan-Feb;19(1):33-41.
In 1995, the JCAHO introduced a new chapter for its manual called "Management of the Environment of Care (EC)." The chapter provides a common-sense organization to a department by grouping similar subjects around the common goals of safety, security, hazardous materials, emergency preparedness, life safety, medical equipment and utility systems. Its focus always remains on patient care. Forty-five individual standards are listed in the EC chapter under four categories: design, implementation, measuring outcomes and implementation, and social environment. Follow the step-by-step instructions to determine the policies and procedures you'll need to generate in your own organizational plan. Teaching becomes critical and requires nearly an almost continuous effort to maintain competency and ensure safety--no one can afford to take chances and put either patients or staff in jeopardy. For each of the standards in the design section, the JCAHO manual identifies exactly what to teach. Regarding medical equipment, the EC chapter indicates what to measure, along with the necessary steps for maintaining an information collection and evaluation system. When you design your quality improvement plans, evaluate how your medical equipment might improve the quality of patient care or staff safety. Evaluate your medical equipment plan (or policies) annually by asking your staff if it works.
1995年，联合委员会认证医院组织（JCAHO）在其手册中新增了一章，名为“医疗环境管理（EC）”。该章通过围绕安全、安保、危险材料、应急准备、生命安全、医疗设备和公用系统等共同目标对类似主题进行分组，为一个部门提供了一种符合常识的组织架构。其重点始终放在患者护理上。在“医疗环境管理”章中，45项单独标准被列为四类：设计、实施、测量结果与实施以及社会环境。按照分步说明来确定你在自己的组织计划中需要制定的政策和程序。培训变得至关重要，并且几乎需要持续不断的努力来保持能力和确保安全——没有人能够冒险让患者或工作人员处于危险之中。对于设计部分的每一项标准，JCAHO手册都明确指出了要培训的内容。关于医疗设备，“医疗环境管理”章指明了要测量的内容以及维护信息收集和评估系统的必要步骤。当你制定质量改进计划时，评估你的医疗设备如何能够提高患者护理质量或工作人员安全。通过询问你的员工该计划是否有效，每年对你的医疗设备计划（或政策）进行评估。
