Hospital Policy & Management System Package

The documents in this system reference the JCI Accreditation Standards for Hospitals and cover twelve clinical domains: patient admission and discharge, clinical care, nursing care, medication safety, infection prevention and control, surgical safety, blood transfusion, medical records, patient identification, patient rights, clinical risk management and emergency preparedness. Where external guidance already defines good practice it is named — WHO hand-hygiene guidance for infection control, and CDC/NHSN surveillance definitions for how infections are counted. The coverage is clinical: a full accreditation survey also examines areas outside this set, such as facility management and staff qualifications.

What makes it usable at ward level is that the structured clinical tools sit inside the requirements instead of being appended to them: SBAR for handover, early-warning escalation for the deteriorating patient, and the time-out before surgery. Care plans, consent and incident forms travel with the domains they belong to, records indexes set retention, and each domain carries its own safety and quality indicators and a scored clinical risk register. All of it is editable, so the wording can be matched to your facility and your licensing authority.