Clinical

1. JCI KPIs

   1. Percentage of cases who received  prophylactic antibiotics within the time frame

   2. Compliance rate of appropriate use of prophylactic antimicrobials

   3. Restricted antibiotics usage compliance rate

   4. Empirical Antibiotics therapy compliance rate for high risk infections

2. Documents Required

ACC

2. 2. 1. COMMUNICABLE DISEASE TRIAGE SCREENING FORM

      2. AMBULANCE CLEANING CHECKLIST - FOLLOWING AN INFECTIOUS PATIENT TRANSPORT

AOP

1. DOCTORS ORDER SHEET

2. DR PROGRESS NOTES

2. 2. 3. PROGRESS NOTES

      4. LAB- TEST REQUEST FORM

      5. TRAUMA FORM

SPILL POPULATIONS

1. ASSESSMENT FORM FOR  IMMUNE SYSTEM COMPRAMIZED

2. ASSESSMENT OF   NURSING - COMMUNICABLE DISEASE

ASC

1. OPERATION SUMMARY

2. POST SURGICAL CARE PLAN - FORM

3. PRE-OPERATIVE CHECK LIST

COP

1. CHEMOTHERAPY DRUG CHART

2. MULTIDISCIPLINARY CARE PLAN

3. RAPID-RESPONSE-TEAM-RECORD-FORM (1)

4. DIALYSIS RECORD IP

TRANSPLANT

1. CLINICAL GUIDELINES FOR KIDNEY TRANSPLANTATION 2018

2. CLINICAL GUIDELINES FOR KIDNEY TRANSPLANTATION 2021

3. CLINICAL ELIGIBILITY CRITERIA(LIVER)

4. CLINICAL ELIGIBILITY CRITERIA(RENAL)

5. TRANSPLANT PATIENT FILE CHECKLIST

IPSG

1. CRIICAL VALUE, TELEPHONE, VERBAL ORDER RECEIVING FORM

2. CRTICAL VALUE REGISTER TEMPLATE

MMU

1. ADR MONITORING

2. ADVERSE REACTION REPORTING FORM

3. FORMULARY APPLICATION SUBMISSION FORM

4. MEDICATION ERROR FORM

5. MEDICATION ERROR MONITORING

6. MEDICATION PRESCRIPTON AND ADMINISTRATION RECORD

7. MEDICATION RECONCILIATION FORM

8. NEWLY ADDED DRUG EVALUATION FORM

9. NON-FORMULARY DRUG REQUEST FORM

10. PHARMACY INTERVENTION REPORT

11. PRESCRIPTION AUDIT FORM

12. RESTRICTED ANTIMICROBIAL USE JUSTIFICATION FORM

PCC

1. WAIVER FOR REFUSAL OF TREATMENT, MEDICATION, SERVICE

CONSENT FORMS

1. CHEMOTHERAPY CONSENT FORM

2. INFORMED CONSENT FOR HIGH RISK

MOI

1. COPY AND PASTE AUDIT TOOL 

MEDICAL RECORD AUDIT

1. MEDICAL RECORD REVIEW TOOL

2. CLOSEDS RECORD REVIEW AUDIT CRITERIA - DOCTORS 

PCI

1. HAI ROOT CAUSE ANALYSIS FORM

2. HAND HYGIENE COMPETENCY

3. HAND HYGIENE OBSERVATION TOOL

4. INFECTION CONTROL PROGRAM STAFFING PLAN UPDATED

5. NEEDLE STICK RECORD

6. POST SURGICAL FOLLOWUP FORM

7. SSI BUNDLE AUDIT TOOL

8. WASTE DISPOSAL AUDIT TOOL

BUNDLE CHECKLISTS

1. CAUTI BUNDLE CARE CHEKCK LIST

2. CENTRAL LINE HANDLING AND DRESSING CHECKLIST

3. NICU VAP BUNDLE CHECKLIST

4. PERIPHERAL IV LINE BUNDLE CHECKLIST

5. SEVERE-SEPSIS-CHECKLIST-SAMPLE

6. SURGICAL SITE INFECTION PREVENTION BUNDLE

7. VAE BUNDLE CARE CHECKLIST

EVENT FORM 

1. CAUTI EVENT FORM

2. CLABSI EVENT FORM

3. SSI EVENT FORM

4. VAP FORM

INFECTION CONTROL AUDIT CHECKLIST

1. AMBULANCE INFECTION CONTROL CHECKLIST

2. CSSD INFECTION CONTROL CHECKLIST

3. ENVIRONMENTAL IC AUDIT CHECKLIST

4. FOOD SERVICES INFECTION CONTROL

5. GENERAL INFECTION CONTROL CHECKLIST 1

6. HOUSEKEEPING INFECTION CONTROL CHECKLIST

7. LABORATORY INFECTION CONTROL CHECKLIST

8. LINEN SERVICES INFECTION CONTROL

9. OPERATING ROOM

10. PHARMACY INFECTION CONTROL CHECKLIST

11. RADIOLOGY INFECTION CONTROL CHECKLIST

QPS

1. INCIDENT REPORTING FORM 

2. ACTION PLAN FORM

3. RCA FRAME WORK 

4. RCA_FRAMEWORK  JCI

5. RISK ASSESSMENT TEMPLATE

SQE

1. DEPARTMENT ORIENTATION CHECKLIST

2. EMPLOYEE TRAINING CHECKLIST

3. TRAINING ATTENDANCE

4. FPPE FORM - JUNIOR DOCTOR

5. FPPE FORM

1. JCI KPIs

   1. Percentage of unplanned ventilation following anaesthesia

   2. Adverse anesthesia event rate

   3.  Procedural sedation Adverse events, complications rate

2. Document Required

ASC

1. ANESTHESIA - RECORD

2. IV INFUSION MEDICATION CHART (SEDATION & PARALYTICS)

3. OPERATION SUMMARY

4. PACU RECORD

5. POST OPERATIVE - DOCTORS HANDOVER FORM

6. POST SURGICAL CARE PLAN - FORM

7. PRE-ANESTHESIA CHECKUP CHART

8. PRE-OPERATIVE CHECK LIST

9. PROCEDURAL SEDATION FORM

IPSG

1. ALTRENATE SITE MARKING - BODY DIAGRAM

2. CRIICAL VALUE, TELEPHONE, VERBAL ORDER RECEIVING FORM

3. CRTICAL VALUE REGISTER TEMPLATE

4. DOCTORS HANDOVER FORM - REVISED

5. ICU CRITICAL CARE AREAS DOCTORS HANDOVER FORM - REVISED

6. NURSING HANDOVER FORM

7. NURSING SBAR

8. POST OPERATIVE - DOCTORS HANDOVER FORM

9. SURGICAL SAFETY CHECKLIST

10. TIME OUT FORM-OUTSIDE OT

11. DENTAL TIME OUT FORM

PCC

CONSENT FORMS

1. ANESTHESIA PROCEDURAL SEDATION CONSENT FORM

2. INFORMED CONSENT FOR HIGH RISK

3. INFORMED CONSENT FOR SURGERY OR SPECIAL PROCEDURE

4. BLOOD TRANSFUSION CONSENT

COP

1. BEHAVIOURAL PAIN SCALE

2. CARDIOPULMUNARY RESUSCITATION RECORD

3. CLINICAL ALARMS RESPONSE EVALUATION

4. CODE BLUE DRILL EVALUATION FORM

5. CPOT -PAIN SCREENING TOOL

6. CRASH CART DAILY CHECKLIST

7. FLACC TOOL

8. LASER SAFETY CHECKLIST

9. MULTIDISCIPLINARY CARE PLAN

10. PAIN FLOW SHEET

11. RAPID-RESPONSE-TEAM-RECORD-FORM (1)

12. TELEPHONE VERBAL ORDER AND CRITICAL RESULT REPORTING FORM

EWS TOOL

1. ADULT EARLY WARNING SIGNS

2. MATERNITY EARLY WARNING SIGNS

3. MEWS

4. NEONATE EWS

5. PEAD EWS

MMU

1. ADR MONITORING

2. ADVERSE REACTION REPORTING FORM

3. CRASH CART DAILY MONTHLY CHECKLIST

4. FLOOR STOCK DAILY MEDICATION CHECKLIST

5. MEDICATION ERROR FORM

6. MEDICATION ERROR MONITORING

7. MEDICATION PRESCRIPTON AND ADMINISTRATION RECORD

8. MEDICATION RECONCILIATION FORM

9. NON-FORMULARY DRUG REQUEST FORM

10. PHARMACY INTERVENTION REPORT

11. PRESCRIPTION AUDIT FORM

12. RESTRICTED ANTIMICROBIAL USE JUSTIFICATION FORM

PCI 

1. HAND HYGIENE COMPETENCY

2. HAND HYGIENE OBSERVATION TOOL

3. NEEDLE STICK RECORD

4. PORTABLE SUCTION CHECKLIST

5. SSI BUNDLE AUDIT TOOL

6. TEMPERATURE AND HUMIDITY RECORD

BUNDLE CHECKLISTS

1. SURGICAL SITE INFECTION PREVENTION BUNDLE

INFECTION CONTROL AUDIT CHECKLIST

1. OPERATING ROOM

2. CSSD INFECTION CONTROL CHECKLIST

FMS

1. MEDICAL GAS MONITORING SHEET 

2. DIFFERENTIAL AIR PRESSURE MONITORING CHECKLIST 

3. TEMPERATURE AND HUMIDITY RECORD

4. EMERGENCY FIRE EXIT LED LIGHT CHECKLIST 

5. FIRE EXTINGUISHER INSPECTION CHECKLIST 

FMS PROGRAM RISK ASSESSMENT

1. FIRE SAFETY MANAGEMENT

2. MEDICAL EQUIPMENT RA

3. SAFETY MANAGEMENT RA

4. DISASTER MANAGEMENT

EMERGENCY CODE SCENERIO

1. CODE RED SCENARIO

DRILL EVALUATION FORMS 

1. CODE BLUE, DRILL EVALUATION LATEST

AOP

1. DOCTORS ORDER SHEET

2. DR PROGRESS NOTES

3. ER VITAL SIGNS MORNITORING

4. REQUEST FOR BLOOD

5. REQUISITION FOR HISTOPATHOLOGICAL EXAMINATION

6. TRAUMA FORM

NURSING ASSESSMENT, REASSESSMENT

1. DAYCARE, ENDOSCOPY, BRONCHOSCOPY ASSESSMENT FORM

2. GENERAL NURSING ADMISSION ASSESSMENT

3. GENERAL NURSING ADMISSION REASSESSMENT

4. PICU NSG ASSESSMENT

PHYSICIAN ADMISSION ASSESSMENT FORMS 

1. IP ADMISSION ASSESSMENT FORM DRS- GENERAL

SQE

1. DEPARTMENT ORIENTATION CHECKLIST

2. EMPLOYEE TRAINING CHECKLIST

3. FPPE FORM - JUNIOR DOCTOR

4. FPPE FORM

5. INITIAL EVALUATION FORM

6. NURSING STAFF CLINICAL PRACTICE EVALUATION

7. STAFF FILE COMPLETION CHECKLIST.

8. STAFFING PLAN TEMPLATE

9. TRAINING ATTENDANCE

HR FILE - CATEGORY WISE REQUIREMENTS

1. PROFESSIONAL WISE SQE REQUIREMENTS

QPS

1. RCA_FRAMEWORK  JC

2. INCIDENT REPORTING FORM 

3. ACTION PLAN FORM

4. INCIDENT EXCEL SHEET

5. RISK ASSESSMENT TEMPLATE

6. MINUTES OF MEETING 

7. RCA FRAME WORK 

MOI

1. DOCUMENT REQEST FORM

2. COPY AND PASTE AUDIT TOOL 

MEDICAL RECORD AUDIT 

1. MEDICAL RECORD REVIEW TOOL

2. CLOSEDS RECORD REVIEW AUDIT CRITERIA - DOCTORS 

1. JCI KPIs

   1. Rate of Rapid Response Team (RRT) Calls Leading to Code Blue in non critical area

   2. Timeliness of staff response to cardiac arrest 

   3. Timeliness of initiation of advanced cardiovascular life support (ACLS) within 5 Min

   4. Return of spontaneous circulation (ROSC) achieving rate

   5. Percentage of Code Blue events where Early Warning Sign (EWS) deterioration was unrecognized in non-clinical areas

2. Documents Required for JCI

   1. CARDIOPULMUNARY RESUSCITATION RECORD

   2. CODE BLUE DRILL EVALUATION FORM

   3. CRASH CART DAILY CHECKLIS

   4. RAPID-RESPONSE-TEAM-RECORD-FORM (1)

   5. TELEPHONE VERBAL ORDER AND CRITICAL RESULT REPORTING FORM

CLINICAL ALARM RISK ASSESSMENT

1. ALARM RISK ASSESSMENT FLOOR

2. ALARM RISK ASSESSMENT LDR

3. ALARM RISK ASSESSMENT OB CLINIC

4. ALARM RISK ASSESSMENT ORTHO OPD

5. ED ALARM RISK ASSESSMENT

6. ICU ALARM RISK ASSESSMENT

7. NICU ALARM RISK

EWS TOOL

1. ADULT EARLY WARNING SIGNS

2. MATERNITY EARLY WARNING SIGNS

3. MEWS

4. NEONATE EWS

5. PEAD EWS

1. JCI KPIs

   1. Number of re- intubations within 48 hours of Extubation 

   2. DVT Prophylaxis Compliance Rate

2. Documents Required

ACC

1. ADMISSION INTIMATION

2. DISCHARGE PLANNING FORM

3. DISCHARGE SUMMARY

4. EXTERNAL TRANSFER FORM

5. INTERNAL REFERRAL FORM

6. MONITORING PATIENT PROFILE

7. MONITORING TRANSFER AND TRANSPORTATION

8. PATIENT TRANSFER CONSENT FORM

AMBULANCE

1. AMBULANCE PATIENT CARE REPORT

2. DAILY ALS EMERGENCY BAG CHECKLIST

3. DAILY BLS EMERGENCY BAG CHECKLIST

4. DEFIBRILLATOR CHECKLIST

AOP

1. DOCTORS ORDER SHEET

2. DR PROGRESS NOTES

3. ER VITAL SIGNS MORNITORING

4. GLUCOMETER DAILY QC CHECKLIST

5. LAB- TEST REQUEST FORM

6. MODIFIED SGA FOR CHEMOTHERAPY

7. MODIFIED SGA FOR DIALYSIS

8. PATIENT SCREENING FOR  CONTRAST

9. PROGRESS NOTES

10. REQUEST FOR BLOOD

11. TRAUMA FORM

FALL SCREENING & ASSESSMENT

1. FALL RISK SCREENING

2. HUMPTY DUMPTY SCALE

3. MORSE FALL RISK ASSESSMENT FORM

NURSING ASSESSMENT, REASSESSMENT

1. GENERAL NURSING ADMISSION ASSESSMENT

2. GENERAL NURSING ADMISSION REASSESSMENT

3. GERIATRIC ASSESSMENT FORM - NURSES

4. NICU ADMISSION ASSESSMENT

5. PEDIATRIC NSG ADMISSION ASSESSMENT FORM

6. PEDIATRIC NSG REASSESSMENT FORM

7. PICU NSG ASSESSMENT

NUTRITIONAL SCREENING & ASSESSMENT

1. NUTRITIONAL ASSESSMENT FORM

2. NUTRITIONAL SCREENING FORM

PHYSICIAN ADMISSION ASSESSMENT FORMS 

1. IP ADMISSION ASSESSMENT FORM DRS- GENERAL

2. PEDIATRIC ADMISSION REASSESSMENT FORM.DOC

3. PEDIATRIC ASSESSMENT FORM.DOCX

4. PEDIATRICS DRS ASSESSMENT.DOC

SPECIAL POPULATIONS

1. ASSESSMENT FORM FOR  IMMUNE SYSTEM COMPRAMIZED

2. ASSESSMENT OF   NURSING - COMMUNICABLE DISEASE

3. INITIAL ASSESSMENT FORM NURSING - FRAIL ELDERLYGERIATRIC

ASC

1. ANESTHESIA - RECORD

2. IV INFUSION MEDICATION CHART (SEDATION & PARALYTICS)

3. PACU RECORD

4. POST OPERATIVE - DOCTORS HANDOVER FORM

5. POST SURGICAL CARE PLAN - FORM

6. PRE-ANESTHESIA CHECKUP CHART

7. PROCEDURAL SEDATION FORM

COP

1. BEHAVIOURAL PAIN SCALE

2. BLOOD PRODUCTS TRANSFUSION MONITORING FORM

3. BLOOD TRANSFUSION REACTION FORM

4. BLOOD TRANSFUSION RECORD FORM

5. BRADEN_SCALE - FOR PRESSURE ULCERS

6. CARDIOPULMUNARY RESUSCITATION RECORD

7. CHEMOTHERAPY DRUG CHART

8. CLINICAL ALARMS RESPONSE EVALUATION

9. CODE BLUE DRILL EVALUATION FORM

10. CPOT -PAIN SCREENING TOOL

11. CRASH CART DAILY CHECKLIST

12. DIALYSIS RECORD IP

13. DVT

14. END OF LIFE CARE FORM(VERSION 1)

15. FLACC TOOL

16. MULTIDISCIPLINARY CARE PLAN

17. PAIN FLOW SHEET

18. PHYSICIAN ORDERS FOR END OF LIFE CARE

19. RAPID-RESPONSE-TEAM-RECORD-FORM (1)

20. RESTRAINT CONSENT FORM

21. RESTRAINT MONITORING FORM

22. TELEPHONE VERBAL ORDER AND CRITICAL RESULT REPORTING FORM

CLINICAL ALARM RISK ASSESSMENT

1. ED ALARM RISK ASSESSMENT

2. ICU ALARM RISK ASSESSMENT

3. NICU ALARM RISK

EWS TOOL

1. ADULT EARLY WARNING SIGNS

2. MEWS

3. NEONATE EWS

4. PEAD EWS

IPSG

1. CRIICAL VALUE, TELEPHONE, VERBAL ORDER RECEIVING FORM

2. CRTICAL VALUE REGISTER TEMPLATE

3. DOCTORS HANDOVER FORM - REVISED

4. DUTY RMO SHIFT CHANGE HANDOVER FORM

5. ICU CRITICAL CARE AREAS DOCTORS HANDOVER FORM - REVISED

6. NURSING HANDOVER FORM

7. NURSING SBAR

8. POST OPERATIVE - DOCTORS HANDOVER FORM

MMU

1. ADR MONITORING

2. ADVERSE REACTION REPORTING FORM

3. CRASH CART DAILY MONTHLY CHECKLIST

4. FLOOR STOCK DAILY MEDICATION CHECKLIST

5. MED STORAGE AREA AUDIT TOOL

6. MEDICATION ERROR FORM

7. MEDICATION ERROR MONITORING

8. MEDICATION PRESCRIPTON AND ADMINISTRATION RECORD

9. MEDICATION RECONCILIATION FORM

10. PATIENT OWN MEDICATION

11. PRESCRIPTION AUDIT FORM

12. REFRIGERATOR TEMP LOG

13. RESTRICTED ANTIMICROBIAL USE JUSTIFICATION FORM

PCC

1. CUSTOMER FEEDBACK, COMPLAINT FORM

2. INTERDISCIPILINARY PATIENT FAMILY EDUCATION RECORD

3. PATIENT EXPERIENCE SURVEY

4. WAIVER FOR REFUSAL OF TREATMENT, MEDICATION, SERVICE

CONSENT FORMS

1. ANESTHESIA PROCEDURAL SEDATION CONSENT FORM

2. BLOOD TRANSFUSION CONSENT

3. CHEMOTHERAPY CONSENT FORM

4. CONSENT FOR ADMISSION IN NICU

5. CONSENT FOR RELEASE OF INFORMATION

6. GENERAL CONSENT -ENG

7. INFORMED CONSENT FOR HIGH RISK

FMS

1. BLOOD SPILL KIT 

2. DIFFERENTIAL AIR PRESSURE MONITORING CHECKLIST 

3. EMERGENCY DG RESPONSE TEST REPORT 

4. MEDICAL GAS MONITORING SHEET 

5. NEGATIVE PRESSURE MONITORING - BY ENGINEERING TEAM

6. TEMPERATURE AND HUMIDITY RECORD

7. WHEELCHAIRS SAFETY CHECKLIST

DRILL EVALUATION FORMS 

1. CODE BLUE, DRILL EVALUATION LATEST

HCT

IT DOWNTIME 

1.PLANNED DRILL

1. IT DOWNTIME DRILL OBSERVATION OPD PLANNED

2.UNPLANNED DRILL

1. IT DOWNTIME DRILL EVALUATION FORM.

2. IT DOWNTIME UNPLANNED SCENERIO

PCI

1. BLOOD BODY FLUID EXPOSURE FORM

2. BLOOD SPILL KIT

3. HAND HYGIENE COMPETENCY

4. HAND HYGIENE OBSERVATION TOOL

5. NEEDLE STICK RECORD

6. PORTABLE SUCTION CHECKLIST

7. SSI BUNDLE AUDIT TOOL

8. TEMPERATURE AND HUMIDITY RECORD

9. WASTE DISPOSAL AUDIT TOOL

BUNDLE CHECKLISTS

1. CAUTI BUNDLE CARE CHEKCK LIST

2. CENTRAL LINE HANDLING AND DRESSING CHECKLIST

3. NICU VAP BUNDLE CHECKLIST

4. PERIPHERAL IV LINE BUNDLE CHECKLIST

5. SEVERE-SEPSIS-CHECKLIST-SAMPLE

6. VAE BUNDLE CARE CHECKLIST

EVENT FORM 

1. CAUTI EVENT FORM

2. CLABSI EVENT FORM

3. VAP FORM

HK CLEANING CHECKLIST

1. GENERAL DAILY HOUSEKEEPING CLEANING CHECKLIST

2. TERMINAL ROOM CLEANING CHECKLIST

INFECTION CONTROL AUDIT CHECKLIST

1. AMBULANCE INFECTION CONTROL CHECKLIST

2. ENVIRONMENTAL IC AUDIT CHECKLIST

3. GENERAL INFECTION CONTROL CHECKLIST 1

4. HOUSEKEEPING INFECTION CONTROL CHECKLIST

QPS

1. RCA_FRAMEWORK  JCI

2. INCIDENT REPORTING FORM 

3. ACTION PLAN FORM

4. INCIDENT EXCEL SHEET

5. RISK ASSESSMENT TEMPLATE

6. RCA FRAME WORK 

SQE

1. DEPARTMENT ORIENTATION CHECKLIST

2. EMPLOYEE TRAINING CHECKLIST

3. INITIAL EVALUATION FORM

4. NEW HIRE ORIENTATION CHECKLIST

5. NURSING STAFF CLINICAL PRACTICE EVALUATION

6. STAFFING PLAN TEMPLATE

7. TRAINING ATTENDANCE

1. JCI KPIs

   1. Rate of babies started with breast feeding

   2. Rate of Low birth weight babies

2. Documents Required

   1. BEHAVIOURAL PAIN SCALE

   2. BLOOD PRODUCTS TRANSFUSION MONITORING FORM

   3. BLOOD TRANSFUSION REACTION FORM

   4. BLOOD TRANSFUSION RECORD FORM

   5. BRADEN_SCALE - FOR PRESSURE ULCERS

   6. CARDIOPULMUNARY RESUSCITATION RECORD

   7. CHEMOTHERAPY DRUG CHART

   8. CLINICAL ALARMS RESPONSE EVALUATION

   9. CODE BLUE DRILL EVALUATION FORM

   10. CPOT -PAIN SCREENING TOOL

   11. CRASH CART DAILY CHECKLIST

   12. CSSRS_SCREENVERSION

   13. DIALYSIS RECORD IP

   14. DVT

   15. END OF LIFE CARE FORM(VERSION 1)

   16. ENVIRONMENTAL_RISKS_FOR_SUICIDE_ASSESSMENT_CHECKLIST

   17. FLACC TOOL

   18. LASER SAFETY CHECKLIST

   19. MULTIDISCIPLINARY CARE PLAN

   20. PAIN FLOW SHEET

   21. PHYSICIAN ORDERS FOR END OF LIFE CARE

   22. RAPID-RESPONSE-TEAM-RECORD-FORM (1)

   23. RESTRAINT CONSENT FORM

   24. RESTRAINT MONITORING FORM

   25. SUICIDE RISK SCREENING TOOL

   26. TELEPHONE VERBAL ORDER AND CRITICAL RESULT REPORTING FORM

CLINICAL ALARM RISK ASSESSMENT

1. ALARM RISK ASSESSMENT FLOOR

2. ALARM RISK ASSESSMENT LDR

3. ALARM RISK ASSESSMENT OB CLINIC

4. ICU ALARM RISK ASSESSMENT

5. NICU ALARM RISK

EWS TOOL

1. ADULT EARLY WARNING SIGNS

2. MATERNITY EARLY WARNING SIGNS

3. MEWS

4. NEONATE EWS

5. PEAD EWS

1. JCI KPIs

   1. Rate of return to ER within 72 Hours

   2. % of complaints received during transportation

   3. Safe Ambulance Transportation compliance rate

   4. Safe transfer process compliance rate

2. Documents Required for JCI

   1.  ADMISSION AND DISCHARGE CRITERIA - LABOUR AND DELIVERY

   2. ADMISSION AND DISCHARGE CRITERIA NICU-FINAL

   3. ADMISSION AND DISCHARGE CRITERIA NICU

   4. ADMISSION INTIMATION

   5. DISCHARGE PLANNING FORM

   6. DISCHARGE SUMMARY

   7. EXTERNAL TRANSFER FORM

   8. INTERNAL REFERRAL FORM

   9. MONITORING PATIENT PROFILE

   10. MONITORING TRANSFER AND TRANSPORTATION

   11. OUT ON PASS CONSENT FORM

   12. PATIENT EXTERNAL REFERRAL FORM

   13. PATIENT REGISTRATION FORM 

   14. PATIENT TRANSFER CONSENT FORM

   15. WAITING TIME NOTIFICATION FORM

   16. ED ALARM RISK ASSESSMENT

AMBULANCE FORMS

1. AMBULANCE CLEANING CHECKLIST - FOLLOWING AN INFECTIOUS PATIENT TRANSPORT

2. AMBULANCE PATIENT CARE REPORT

3. DAILY ALS EMERGENCY BAG CHECKLIST

4. DAILY AMBULANCE CHECKLIST FORM

5. DAILY AMBULANCE ELECTRIC CHARGING LOG SHEET

6. DAILY BLS EMERGENCY BAG CHECKLIST

7. DEFIBRILLATOR CHECKLIST

8. MEDICAL DRILL OBSERVATION CHECKLIST

TRIAGE FORMS

1. COMMUNICABLE DISEASE TRIAGE SCREENING FORM

2. EMERGENCY DEPARTMENT TRIAGE FORM

3. EMERGENCY ROOM TRIAGE FORM ADULT-PEDIATRIC

4. OBSTETRIC TRIAGE ASSESSMENT FORM

5. TRIAGE ASSESSMENT FORM (PEDIATRIC)

1. JCI KPIs

   1. Adenoma Detection Rate

   2. Endoscopy Post procedure Complication Rate 

2. Documents Required

ACC

1. ADMISSION INTIMATION

2. DISCHARGE PLANNING FORM

3. DISCHARGE SUMMARY

4. EXTERNAL TRANSFER FORM

5. INTERNAL REFERRAL FORM

6. MONITORING PATIENT PROFILE

7. MONITORING TRANSFER AND TRANSPORTATION

8. PATIENT EXTERNAL REFERRAL FORM

9. PATIENT REGISTRATION FORM 

10. PATIENT TRANSFER CONSENT FORM

11. WAITING TIME NOTIFICATION FORM

AMBULANCE

1. DAILY ALS EMERGENCY BAG CHECKLIST

2. DAILY BLS EMERGENCY BAG CHECKLIST

3. DEFIBRILLATOR CHECKLIST

4. MEDICAL DRILL OBSERVATION CHECKLIST

AOP 

1. DOCTORS ORDER SHEET

2. DR PROGRESS NOTES

3. ER VITAL SIGNS MORNITORING

4. GLUCOMETER DAILY QC CHECKLIST

5. LAB- TEST REQUEST FORM

6. PROGRESS NOTES

7. REQUEST FOR BLOOD

8. REQUISITION FOR HISTOPATHOLOGICAL EXAMINATION

FALL SCREENING & ASSESSMENT

1. FALL RISK SCREENING

2. MORSE FALL RISK ASSESSMENT FORM

NURSING ASSESSMENT, REASSESSMENT

1. DAYCARE, ENDOSCOPY, BRONCHOSCOPY ASSESSMENT FORM

2. GENERAL NURSING ADMISSION ASSESSMENT

3. GENERAL NURSING ADMISSION REASSESSMENT

4. GERIATRIC ASSESSMENT FORM - NURSES

NUTRITIONAL SCREENING & ASSESSMENT

1. NUTRITIONAL ASSESSMENT FORM

2. NUTRITIONAL SCREENING FORM

3. SCREENING TOOL OPD -MST

PHYSICIAN ADMISSION ASSESSMENT FORMS 

1. IP ADMISSION ASSESSMENT FORM DRS- GENERAL

SPECIAL POPULATIONS

1. ASSESSMENT FORM FOR  IMMUNE SYSTEM COMPRAMIZED

2. ASSESSMENT OF   NURSING - COMMUNICABLE DISEASE

3. INITIAL ASSESSMENT FORM NURSING - FRAIL ELDERLYGERIATRIC

ASC

1. ANESTHESIA - RECORD

2. IV INFUSION MEDICATION CHART (SEDATION & PARALYTICS)

3. OPERATION SUMMARY

4. PACU RECORD

5. POST OPERATIVE - DOCTORS HANDOVER FORM

6. POST SURGICAL CARE PLAN - FORM

7. PRE-ANESTHESIA CHECKUP CHART

8. PRE-OPERATIVE CHECK LIST

9. PROCEDURAL SEDATION FORM

COP

1. BEHAVIOURAL PAIN SCALE

2. BLOOD PRODUCTS TRANSFUSION MONITORING FORM

3. BLOOD TRANSFUSION REACTION FORM

4. BLOOD TRANSFUSION RECORD FORM

5. CARDIOPULMUNARY RESUSCITATION RECORD

6. CLINICAL ALARMS RESPONSE EVALUATION

7. CODE BLUE DRILL EVALUATION FORM

8. CPOT -PAIN SCREENING TOOL

9. CRASH CART DAILY CHECKLIST

10. DVT

11. FLACC TOOL

12. MULTIDISCIPLINARY CARE PLAN

13. PAIN FLOW SHEET

14. RAPID-RESPONSE-TEAM-RECORD-FORM (1)

15. RESTRAINT CONSENT FORM

16. RESTRAINT MONITORING FORM

17. TELEPHONE VERBAL ORDER AND CRITICAL RESULT REPORTING FORM

CLINICAL ALARM RISK ASSESSMENT

1. ALARM RISK ASSESSMENT FLOOR

2. ED ALARM RISK ASSESSMENT

EWS TOOL

1. ADULT EARLY WARNING SIGNS

2. MEWS

IPSG

1. CRIICAL VALUE, TELEPHONE, VERBAL ORDER RECEIVING FORM

2. CRTICAL VALUE REGISTER TEMPLATE

3. DOCTORS HANDOVER FORM - REVISED

4. DUTY RMO SHIFT CHANGE HANDOVER FORM

5. NURSING HANDOVER FORM

6. NURSING SBAR

7. POST OPERATIVE - DOCTORS HANDOVER FORM

8. SURGICAL SAFETY CHECKLIST

9. TIME OUT FORM-OUTSIDE OT

MMU 

1. ADR MONITORING

2. ADVERSE REACTION REPORTING FORM

3. CRASH CART DAILY MONTHLY CHECKLIST

4. DECLARATION OF NEAR EXPIRY, RECALLED OR DAMAGED MEDICATIONS

5. DRUG RECALL FORM

6. FLOOR STOCK DAILY MEDICATION CHECKLIST

7. MED STORAGE AREA AUDIT TOOL

8. MEDICATION ERROR FORM

9. MEDICATION ERROR MONITORING

10. MEDICATION PRESCRIPTON AND ADMINISTRATION RECORD

11. MEDICATION RECONCILIATION FORM

12. PATIENT OWN MEDICATION

13. PHARMACY INTERVENTION REPORT

14. PRESCRIPTION AUDIT FORM

15. REFRIGERATOR TEMP LOG

PCC

1. CUSTOMER FEEDBACK, COMPLAINT FORM

2. INTERDISCIPILINARY PATIENT FAMILY EDUCATION RECORD

3. PATIENT EXPERIENCE SURVEY

4. PATIENTS BILL OF RIGHTS-ENGLISH(MODEL)

5. WAIVER FOR REFUSAL OF TREATMENT, MEDICATION, SERVICE

CONSENT FORMS

1. ANESTHESIA PROCEDURAL SEDATION CONSENT FORM

2. BLOOD TRANSFUSION CONSENT

3. CONSENT FOR PHOTOGRAPHY

4. CONSENT FOR RELEASE OF INFORMATION

5. GENERAL CONSENT -ENG

6. INFORMED CONSENT FOR HIGH RISK

7. INFORMED CONSENT FOR SURGERY OR SPECIAL PROCEDURE

FMS

1. BLOOD SPILL KIT 

2. CHECKING EMERGENCY LIGHTS 

3. CHECKING FIRE HOSE REELS 

4. CHECKING FIRE HYDRANT SYSTEM  

5. CHEMICAL SPILL KIT CHECKLIST 

6. DIFFERENTIAL AIR PRESSURE MONITORING CHECKLIST 

7. EMERGENCY FIRE EXIT LED LIGHT CHECKLIST 

8. EQUIPMENT INVENTORY 

9. FACILITY ROUNDS CHECKLIST - TEMPLATE 

10. FIRE EXTINGUISHER INSPECTION CHECKLIST 

11. FIRE SPRINKLER INSPECTION CHECKLIST 

12. MAINTENANCE LOG 

13. MEDICAL GAS MONITORING SHEET 

14. MEDICAL WASTE COLLECTION RECORDS

15. SECURITY CHECKLIST

16. TEMPERATURE AND HUMIDITY RECORD

17. UTILITY EQUIPMENT INVENTORY

18. WHEELCHAIRS SAFETY CHECKLIST

DRILL EVALUATION FORMS 

1. CODE RED, GREEN DRILL EVALUATION

2. CODE BLUE, DRILL EVALUATION LATEST

3. EXTERNAL DISASTER DRILL EVALUATION FORM

4. HAZMAT SPILLAGE EVALUATION FORM

FMS PROGRAM RISK ASSESSMENT

1. FIRE SAFETY MANAGEMENT

2. MEDICAL EQUIPMENT RA

3. SAFETY MANAGEMENT RA

4. DISASTER MANAGEMENT

GLD

1. 4. ETHICAL DILEMMAS LOG SHEET 

CULTURE OF SAFETY

1. SAFETY CULTURE SURVEY SAMPLE PPT

HCT

1. 1. 1. DRILL SCENARIO 

      2. DRILL EVALUATION 

1.PLANNED DRILL

1. IT DOWNTIME DRILL OBSERVATION OPD PLANNED

2. IT DOWNTIME PLANNED 

2.UNPLANNED DRILL

1. IT DOWNTIME DRILL EVALUATION FORM.

2. IT DOWNTIME UNPLANNED SCENERIO

MOI

1. AUTHOIRIZATION FOR RELEASE OF MEDICAL RECORDS

2. DOCUMENT REQEST FORM

3. COPY AND PASTE AUDIT TOOL 

MEDICAL RECORD AUDIT 

1. MEDICAL RECORD REVIEW TOOL

2. CLOSEDS RECORD REVIEW AUDIT CRITERIA -  NURSES

3. CLOSEDS RECORD REVIEW AUDIT CRITERIA - DOCTORS 

PCI 

1. BLOOD BODY FLUID EXPOSURE FORM

2. BLOOD SPILL DRILL EVALN

3. BLOOD SPILL KIT

4. HAND HYGIENE COMPETENCY

5. HAND HYGIENE OBSERVATION TOOL

6. NEEDLE STICK RECORD

7. PORTABLE SUCTION CHECKLIST

8. SSI BUNDLE AUDIT TOOL

9. TEMPERATURE AND HUMIDITY RECORD

10. WASTE DISPOSAL AUDIT TOOL

BUNDLE CHECKLISTS

1. CENTRAL LINE HANDLING AND DRESSING CHECKLIST

2. PERIPHERAL IV LINE BUNDLE CHECKLIST

3. SURGICAL SITE INFECTION PREVENTION BUNDLE

HK CLEANING CHECKLIST

1. GENERAL CSSD CLEANING CHECKLIST

2. GENERAL DAILY HOUSEKEEPING CLEANING CHECKLIST

3. TERMINAL ROOM CLEANING CHECKLIST

INFECTION CONTROL AUDIT CHECKLIST

1. CSSD INFECTION CONTROL CHECKLIST

2. ENVIRONMENTAL IC AUDIT CHECKLIST

3. GENERAL INFECTION CONTROL CHECKLIST 1

4. HOUSEKEEPING INFECTION CONTROL CHECKLIST

5. OPERATING ROOM

QPS

1. RCA_FRAMEWORK  JCI

2. INCIDENT REPORTING FORM 

3. ACTION PLAN FORM

4. INCIDENT EXCEL SHEET

5. RISK ASSESSMENT TEMPLATE

6. MINUTES OF MEETING 

7. RCA FRAME WORK 

SQE

1. ANNUAL STAFF PERFORMANCE APPRAISAL FORM

2. DEPARTMENT ORIENTATION CHECKLIST

3. EMPLOYEE TRAINING CHECKLIST

4. FPPE FORM

5. INITIAL EVALUATION FORM

6. NEW HIRE ORIENTATION CHECKLIST

7. NURSING STAFF CLINICAL PRACTICE EVALUATION

8. PRIMARY SOURCE VERIFICATION TEMPLATE

9. STAFF FILE COMPLETION CHECKLIST.

10. STAFFING PLAN TEMPLATE

11. TRAINING ATTENDANCE

MPE

1. MPE HR File Requirment

1. JCI KPIs

   1. Compliance to hand hygiene practice

   2. SSI Care Bundle compliance Rate

   3. CLABSI Bundle Compliance Rate

   4. CAUTI Bundle Compliance Rate

   5. VAP Bundle Compliance Rate

   6. Medical waste segregation compliance rate

   7. Surgical site infection rate

   8. Central Line Associated Blood stream infection rate

   9. Ventilator Associated Pneumonia rate

   10. Catheter Associated Urinary tract infection rate

   11. Incidence of  blood & body fluid exposure - IPD

   12. Incidence of  blood & body fluid exposure  - OPD

   13. PCI Training Compliance Rate

   14. Adverse Events Related to Single-Use Devices (SUDs)

   15. Environmental cleaning & disinfection Compliance rate

2. Documents required for JCI

   1. BLOOD BODY FLUID EXPOSURE FORM

   2. BLOOD SPILL DRILL EVALN

   3. BLOOD SPILL KIT

   4. EPIDEMIC DISASTER DRILL EXERCISE REPORT

   5. EPIDEMIC DISASTER MEMBERS DUTIES AND RESPONSIBILITIES

   6. EPIDEMIC DRILL EVALUATION FORM FINAL

   7. EXTERNAL KITCHEN AUDIT CHECKLIST (2)

   8. EXTERNAL LAUNDRY IC CHECKLIST

   9. HAI ROOT CAUSE ANALYSIS FORM

   10. HAND HYGIENE COMPETENCY

   11. HAND HYGIENE OBSERVATION TOOL

   12. HEPATITIS B VACCINATION RECORD

   13. ICRA CHECKLIST AND PERMIT CONSTRUCTION; RENOVATION; DEMOLITION

   14. INFECTION CONTROL PROGRAM STAFFING PLAN UPDATED

   15. NEEDLE STICK RECORD

   16. PORTABLE SUCTION CHECKLIST

   17. POST SURGICAL FOLLOWUP FORM

   18. SSI BUNDLE AUDIT TOOL

   19. TEMPERATURE AND HUMIDITY RECORD

   20. TRAINING ATTENDANCE

   21. VACCINATION TRACKER

   22. WASTE DISPOSAL AUDIT TOOL

BUNDLE CHECKLISTS

1. CAUTI BUNDLE CARE CHEKCK LIST

2. CENTRAL LINE HANDLING AND DRESSING CHECKLIST

3. NICU VAP BUNDLE CHECKLIST

4. PERIPHERAL IV LINE BUNDLE CHECKLIST

5. SEVERE-SEPSIS-CHECKLIST-SAMPLE

6. SURGICAL SITE INFECTION PREVENTION BUNDLE

7. VAE BUNDLE CARE CHECKLIST

EVENT FORM 

1. CAUTI EVENT FORM

2. CLABSI EVENT FORM

3. SSI EVENT FORM

4. VAP FORM

HK CLEANING CHECKLIST

1. GENERAL CSSD CLEANING CHECKLIST

2. GENERAL DAILY HOUSEKEEPING CLEANING CHECKLIST

3. TERMINAL ROOM CLEANING CHECKLIST

INFECTION CONTROL AUDIT CHECKLIST

1. AMBULANCE INFECTION CONTROL CHECKLIST

2. CENTRAL SUPPLY SERVICES

3. CSSD INFECTION CONTROL CHECKLIST

4. ENVIRONMENTAL IC AUDIT CHECKLIST

5. FOOD SERVICES INFECTION CONTROL

6. GENERAL INFECTION CONTROL CHECKLIST 1

7. HOUSEKEEPING INFECTION CONTROL CHECKLIST

8. LABORATORY INFECTION CONTROL CHECKLIST

9. LINEN SERVICES INFECTION CONTROL

10. OPERATING ROOM

11. PHARMACY INFECTION CONTROL CHECKLIST

12. RADIOLOGY INFECTION CONTROL CHECKLIST

1. JCI KPIs

   1. Post partum hemorrhage rate

2. Document Required

ACC

1.  ADMISSION AND DISCHARGE CRITERIA - LABOUR AND DELIVERY

TRIAGE FORMS

1. OBSTETRIC TRIAGE ASSESSMENT FORM

AOP

NURSING ASSESSMENT, REASSESSMENT

1. LABOUR AND DELIVERY ANTENATAL ASSESSMENT FORM

2. LABOUR AND DELIVERY ANTENATAL REASSESSMENT FORM

3. LABOUR AND DELIVERY NURSING ASSESSMENT

4. NEWBORN AT BIRTH NURSING ASSESSMENT FORM

5. NEWBORN INITIAL ASSESSMENT FORM

FALL SCREENING & ASSESSMENT

1. MATERNAL FALL RISK ASSESSMENT SCALE

NUTRITIONAL SCREENING & ASSESSMENT

1. MATERNAL NUTRITION FORM

OPD DR SPECIALTY WISE ASSESSMENT FORMS

1. OBG-GYNAECOLOGICAL RECORD

2. OBG-MATERNITY RECORD- ANTENATAL

ASC

1. ANESTHESIA - RECORD

2. IV INFUSION MEDICATION CHART (SEDATION & PARALYTICS)

3. OPERATION SUMMARY

4. PACU RECORD

5. POST OPERATIVE - DOCTORS HANDOVER FORM

6. POST SURGICAL CARE PLAN - FORM

7. PRE-ANESTHESIA CHECKUP CHART

8. PRE-OPERATIVE CHECK LIST

9. PROCEDURAL SEDATION FORM

COP

1. BLOOD PRODUCTS TRANSFUSION MONITORING FORM

2. BLOOD TRANSFUSION REACTION FORM

3. BLOOD TRANSFUSION RECORD FORM

4. CARDIOPULMUNARY RESUSCITATION RECORD

5. CRASH CART DAILY CHECKLIST

6. PAIN FLOW SHEET

7. RAPID-RESPONSE-TEAM-RECORD-FORM (1)

CLINICAL ALARM RISK ASSESSMENT

1. ALARM RISK ASSESSMENT LDR

EWS TOOL

1. MATERNITY EARLY WARNING SIGNS

IPSG

1. DOCTORS HANDOVER FORM - REVISED

2. NURSING HANDOVER FORM

3. NURSING SBAR

4. POST OPERATIVE - DOCTORS HANDOVER FORM

5. SURGICAL SAFETY CHECKLIST

6. TIME OUT FORM-OUTSIDE OT

MMU 

1. CRASH CART DAILY MONTHLY CHECKLIST

2. FLOOR STOCK DAILY MEDICATION CHECKLIST

3. MEDICATION PRESCRIPTON AND ADMINISTRATION RECORD

4. MEDICATION RECONCILIATION FORM

5. REFRIGERATOR TEMP LOG

PCC

1. WAIVER FOR REFUSAL OF TREATMENT, MEDICATION, SERVICE

CONSENT FORMS

1. ANESTHESIA PROCEDURAL SEDATION CONSENT FORM

2. BLOOD TRANSFUSION CONSENT

3. GENERAL CONSENT -ENG

4. INFORMED CONSENT FOR HIGH RISK

5. INFORMED CONSENT FOR SURGERY OR SPECIAL PROCEDURE

FMS

1. MEDICAL GAS MONITORING SHEET 

2. TEMPERATURE AND HUMIDITY RECORD

3. WHEELCHAIRS SAFETY CHECKLIST

DRILL EVALUATION FORMS

1. CODE BLUE, DRILL EVALUATION LATEST

PCI

1. HAND HYGIENE OBSERVATION TOOL

2. PORTABLE SUCTION CHECKLIST

3. TEMPERATURE AND HUMIDITY RECORD

BUNDLE CHECKLISTS

1. CAUTI BUNDLE CARE CHEKCK LIST

2. PERIPHERAL IV LINE BUNDLE CHECKLIST

3. SEVERE-SEPSIS-CHECKLIST-SAMPLE

HK CLEANING CHECKLIST

1. TERMINAL ROOM CLEANING CHECKLIST

INFECTION CONTROL AUDIT CHECKLIST

1. HOUSEKEEPING INFECTION CONTROL CHECKLIST

2. OPERATING ROOM

QPS

1. INCIDENT REPORTING FORM 

2. ACTION PLAN FORM

3. RISK ASSESSMENT TEMPLATE

4. RCA FRAME WORK 

SQE

1. DEPARTMENT ORIENTATION CHECKLIST

2. EMPLOYEE TRAINING CHECKLIST

3. TRAINING ATTENDANCE

1. JCI KPIs

   1. Correct Patient Identification Compliance Rate 

   2. Critical Value Result Reporting Compliance Rate 

   3. Glucometer Critical Value Result Reporting compliance Rate (POCT)

   4. Timeliness of Physician responding to Critical Results 

   5. Incident of Patient Fall

   6. Fall Risk Assessment Completion Rate - IP

   7. Fall Risk Screening Completion Rate - OP

   8. Incidence of  pressure ulcer (Bed sore per 1000 patient days)

   9. Handover Communication Compliance Rate

2. Documents Required

   1. BEHAVIOURAL PAIN SCALE

   2. BLOOD PRODUCTS TRANSFUSION MONITORING FORM

   3. BLOOD TRANSFUSION REACTION FORM

   4. BLOOD TRANSFUSION RECORD FORM

   5. BRADEN_SCALE - FOR PRESSURE ULCERS

   6. CARDIOPULMUNARY RESUSCITATION RECORD

   7. CHEMOTHERAPY DRUG CHART

   8. CLINICAL ALARMS RESPONSE EVALUATION

   9. CODE BLUE DRILL EVALUATION FORM

   10. CPOT -PAIN SCREENING TOOL

   11. CRASH CART DAILY CHECKLIST

   12. CSSRS_SCREENVERSION

   13. DIALYSIS RECORD IP

   14. DVT

   15. END OF LIFE CARE FORM(VERSION 1)

   16. ENVIRONMENTAL_RISKS_FOR_SUICIDE_ASSESSMENT_CHECKLIST

   17. FLACC TOOL

   18. LASER SAFETY CHECKLIST

   19. MULTIDISCIPLINARY CARE PLAN

   20. PAIN FLOW SHEET

   21. PHYSICIAN ORDERS FOR END OF LIFE CARE

   22. RAPID-RESPONSE-TEAM-RECORD-FORM (1)

   23. RESTRAINT CONSENT FORM

   24. RESTRAINT MONITORING FORM

   25. SUICIDE RISK SCREENING TOOL

   26. TELEPHONE VERBAL ORDER AND CRITICAL RESULT REPORTING FORM

CLINICAL ALARM RISK ASSESSMENT

1. ALARM RISK ASSESSMENT FLOOR

2. ALARM RISK ASSESSMENT LDR

3. ALARM RISK ASSESSMENT OB CLINIC

4. ALARM RISK ASSESSMENT ORTHO OPD

5. ED ALARM RISK ASSESSMENT

6. ICU ALARM RISK ASSESSMENT

7. NICU ALARM RISK

EWS TOOL

1. ADULT EARLY WARNING SIGNS

2. MATERNITY EARLY WARNING SIGNS

3. MEWS

4. NEONATE EWS

5. PEAD EWS

TRANSPLANT

1. CLINICAL GUIDELINES FOR KIDNEY TRANSPLANTATION 2018

2. COMPOSITION OF MDT

3. TRANSPLANTATION IMPROVEMENT PROJECT

4. FLOW CHART CADAVER RETRIEVAL

5. CLINICAL ELIGIBILITY CRITERIA(LIVER)

6. CLINICAL ELIGIBILITY CRITERIA(RENAL)

7. CLINICAL GUIDELINES FOR KIDNEY TRANSPLANTATION 2021

8. FLOW CHART KIDNEY LIVE(1)

9. FLOW CHART LIVER LIVE(1)

10. JD TRANSPLANT LEADER(1)

11. KIDNEY RECIPIENT CONSENT ENGL(1)

12. KIDNEY TRANSPLANTAION RECIPIENT ENGL

13. LIVER DONOR CONSENT FORM - 242-I1

14. LIVER RECIPIENT CONSENT FORM - 243-I1

15. RENAL TRANSPLANT DONOR CONSENT FORM (1)

16. TOR - TRANSPLANT AUTHORIZATION COMMITTEE- V1

17. TRANSPLANT CANDIDATE PSYCHOLOGICAL EVALUATION FORM

18. TRANSPLANT PATIENT FILE CHECKLIST

CORNEA TRANSPLANT

1. CONSENT - CORNEAL GRAFT SURGERY

2. IC CORNEA TRANSPLANT V02

3. IC INTRASTROMAL CORNEAL RING SEGMENTS

1. JCI KPIs

   1. Site marking compliance rate

   2. Time out compliance rate in OT

   3. Percentage of re-scheduling of surgeries   

   4. OT Utilisation rate 

   5. Rate of Major Patient Safety Events or Errors Related to Surgical Procedures

   6. Rate of major discrepancies between preoperative and postoperative diagnoses;

2. Document Required

ACC

1. INTERNAL REFERRAL FORM

2. MONITORING PATIENT PROFILE

3. PATIENT TRANSFER CONSENT FORM

AOP

1. DOCTORS ORDER SHEET

2. DR PROGRESS NOTES

3. INFORMED CONSENT FOR CONTRAST

4. LAB- TEST REQUEST FORM

5. PROGRESS NOTES

6. RADIOLOGY DECLARATION

7. RADIOLOGY-REQUEST-FORM

8. REQUEST FOR BLOOD

9. REQUISITION FOR HISTOPATHOLOGICAL EXAMINATION

10. TRAUMA FORM

11. PATIENT SCREENING FOR  CONTRAST

FALL SCREENING & ASSESSMENT

1. FALL RISK SCREENING

2. MORSE FALL RISK ASSESSMENT FORM

NURSING ASSESSMENT, REASSESSMENT

1. DAYCARE, ENDOSCOPY, BRONCHOSCOPY ASSESSMENT FORM

2. GENERAL NURSING ADMISSION ASSESSMENT

3. GENERAL NURSING ADMISSION REASSESSMENT

OPD DR SPECIALTY WISE ASSESSMENT FORMS

1. CARDIOTHORACIC

2. GENERAL SURGERY

3. NEUROSURGERY

4. OBG-GYNAECOLOGICAL RECORD

5. OPHTHALMOLOGY

6. ORTHOPEADICS

7. PLASTIC SURGERY

8. SURGICAL ONCOLOGY

9. UROLOGY

10. ENT

PHYSICIAN ADMISSION ASSESSMENT FORMS 

1. IP ADMISSION ASSESSMENT FORM DRS- GENERAL

ASC

1. ANESTHESIA - RECORD

2. ATTENDANCE SHEET FOR COMPANY REPRESENTATIVES_IMPLANTS[1]

3. IMPLANT TRACKING REGISTER.DOCX

4. IV INFUSION MEDICATION CHART (SEDATION & PARALYTICS)

5. OPERATION SUMMARY

6. PACU RECORD

7. POST OPERATIVE - DOCTORS HANDOVER FORM

8. POST SURGICAL CARE PLAN - FORM

9. PRE-ANESTHESIA CHECKUP CHART

10. PRE-OPERATIVE CHECK LIST

11. PROCEDURAL SEDATION FORM

COP

1. BLOOD PRODUCTS TRANSFUSION MONITORING FORM

2. BLOOD TRANSFUSION REACTION FORM

3. BLOOD TRANSFUSION RECORD FORM

4. CARDIOPULMUNARY RESUSCITATION RECORD

5. CLINICAL ALARMS RESPONSE EVALUATION

6. CODE BLUE DRILL EVALUATION FORM

7. CRASH CART DAILY CHECKLIST

8. DVT

9. LASER SAFETY CHECKLIST

10. MULTIDISCIPLINARY CARE PLAN

11. RAPID-RESPONSE-TEAM-RECORD-FORM (1)

12. TELEPHONE VERBAL ORDER AND CRITICAL RESULT REPORTING FORM

CLINICAL ALARM RISK ASSESSMENT

1. ICU ALARM RISK ASSESSMENT

EWS TOOL

1. ADULT EARLY WARNING SIGNS

2. MEWS

TRANSPLANT

1. KIDNEY RECIPIENT CONSENT ENGL(1)

2. KIDNEY TRANSPLANTAION RECIPIENT ENGL

3. LIVER DONOR CONSENT FORM - 242-I1

4. LIVER RECIPIENT CONSENT FORM - 243-I1

5. RENAL TRANSPLANT DONOR CONSENT FORM (1)

6. TRANSPLANT PATIENT FILE CHECKLIST

CORNEA TRANSPLANT

1. CONSENT - CORNEAL GRAFT SURGERY

2. IC CORNEA TRANSPLANT V02

3. IC INTRASTROMAL CORNEAL RING SEGMENTS V02

IPSG

1. ALTRENATE SITE MARKING - BODY DIAGRAM

2. CRIICAL VALUE, TELEPHONE, VERBAL ORDER RECEIVING FORM

3. CRTICAL VALUE REGISTER TEMPLATE

4. DENTAL TIME OUT FORM

5. DOCTORS HANDOVER FORM - REVISED

6. ICU CRITICAL CARE AREAS DOCTORS HANDOVER FORM - REVISED

7. NURSING HANDOVER FORM

8. NURSING SBAR

9. POST OPERATIVE - DOCTORS HANDOVER FORM

10. SURGICAL SAFETY CHECKLIST

11. TIME OUT FORM-OUTSIDE OT

MMU

1. ADR MONITORING

2. ADVERSE REACTION REPORTING FORM

3. CONTRAST MEDIA ORDER

4. CRASH CART DAILY MONTHLY CHECKLIST

5. FLOOR STOCK DAILY MEDICATION CHECKLIST

6. MEDICATION ERROR FORM

7. MEDICATION ERROR MONITORING

8. MEDICATION PRESCRIPTON AND ADMINISTRATION RECORD

9. MEDICATION RECONCILIATION FORM

10. NON-FORMULARY DRUG REQUEST FORM

11. PRESCRIPTION AUDIT FORM

12. RESTRICTED ANTIMICROBIAL USE JUSTIFICATION FORM

PCC

CONSENT FORMS

1. ANESTHESIA PROCEDURAL SEDATION CONSENT FORM

2. BLOOD TRANSFUSION CONSENT

3. CHEMOTHERAPY CONSENT FORM

4. CONSENT - CORNEAL GRAFT SURGERYR

5. CONSENT FOR PHOTOGRAPHY

6. CONSENT FOR RELEASE OF INFORMATION

7. GENERAL CONSENT -ENG

8. IC CORNEA TRANSPLANT V02

9. IC INTRASTROMAL CORNEAL RING SEGMENTS V02

10. INFORMED CONSENT FOR HIGH RISK

11. INFORMED CONSENT FOR SURGERY OR SPECIAL PROCEDURE

FMS

1. DIFFERENTIAL AIR PRESSURE MONITORING CHECKLIST 

2. EMERGENCY FIRE EXIT LED LIGHT CHECKLIST 

3. EQUIPMENT INVENTORY 

4. MAINTENANCE LOG 

5. MEDICAL GAS MONITORING SHEET 

6. NEGATIVE PRESSURE MONITORING - BY ENGINEERING TEAM

7. TEMPERATURE AND HUMIDITY RECORD

8. UTILITY EQUIPMENT INVENTORY

DRILL EVALUATION FORMS 

1. CODE BLUE, DRILL EVALUATION LATEST

FMS PROGRAM RISK ASSESSMENT

1. MEDICAL EQUIPMENT RA

2. UTILITY SYSTEM RA

3. SAFETY MANAGEMENT RA

HCT

1. NEW SOFTWARE ASSESEMENT CHECKLIST 

2. IT NEW TECHNOLOGY EVALUATION 

MOI

1. AUTHOIRIZATION FOR RELEASE OF MEDICAL RECORDS

2. COPY AND PASTE AUDIT TOOL 

MEDICAL RECORD AUDIT 

1. MEDICAL RECORD REVIEW TOOL

2. CLOSEDS RECORD REVIEW AUDIT CRITERIA -  NURSES

3. CLOSEDS RECORD REVIEW AUDIT CRITERIA - DOCTORS 

PCI

1. BLOOD BODY FLUID EXPOSURE FORM

2. BLOOD SPILL KIT

3. NEEDLE STICK RECORD

4. POST SURGICAL FOLLOWUP FORM

5. SSI BUNDLE AUDIT TOOL

6. TEMPERATURE AND HUMIDITY RECORD

BUNDLE CHECKLISTS

1. CENTRAL LINE HANDLING AND DRESSING CHECKLIST

2. SURGICAL SITE INFECTION PREVENTION BUNDLE

EVENT FORM 

1. SSI EVENT FORM

HK CLEANING CHECKLIST

1. GENERAL CSSD CLEANING CHECKLIST

2. TERMINAL ROOM CLEANING CHECKLIST

INFECTION CONTROL AUDIT CHECKLIST

1. CENTRAL SUPPLY SERVICES

2. CSSD INFECTION CONTROL CHECKLIST

3. OPERATING ROOM

4. RADIOLOGY INFECTION CONTROL CHECKLIST

QPS

1. RCA_FRAMEWORK  JCI

2. INCIDENT REPORTING FORM 

3. ACTION PLAN FORM

4. RISK ASSESSMENT TEMPLATE

5. RCA FRAME WORK 

SQE

1. DEPARTMENT ORIENTATION CHECKLIST

2. EMPLOYEE TRAINING CHECKLIST

3. NURSING STAFF CLINICAL PRACTICE EVALUATION

4. TRAINING ATTENDANCE

HR FILE - CATEGORY WISE REQUIREMENTS

1. PROFESSIONAL WISE SQE REQUIREMENTS