Patient Safety Event Review Audit

This Patient Safety Event Review Audit ensures thorough verification and compliance with Joint Commission SE, CMS QAPI, PSO requirements. Designed for Patient Safety Officers, this checklist provides 27+ detailed inspection points across 6 sections. Applicable across US markets with local regulatory considerations.

  • Industry: Healthcare
  • Frequency: Monthly
  • Estimated Time: 30-60 minutes
  • Role: Patient Safety Officer
  • Total Items: 32
  • Compliance: Joint Commission SE, CMS QAPI, PSO

Pre-Audit Preparation

Initial setup, documentation review, and preparation activities.

  • Audit scope clearly defined?
  • Previous audit findings reviewed?
  • Required documentation available?
  • Relevant personnel notified and available?
  • Audit tools and checklists prepared?

Documentation and Records Review

Verify documentation completeness, accuracy, and compliance.

  • Policies and procedures current?
  • Required records complete and legible?
  • Record retention requirements met?
  • Training documentation current?
  • Licenses and certifications valid?
  • Change control processes followed?

Process Observation and Verification

Direct observation of operations and processes.

  • Staff following written procedures?
  • Equipment properly maintained?
  • Safety protocols being followed?
  • Environmental controls adequate?
  • Process controls in place and effective?

Regulatory Compliance Verification

Verify compliance with Joint Commission SE, CMS QAPI, PSO requirements.

  • Regulatory requirements understood?
  • Compliance monitoring in place?
  • Corrective action process effective?
  • Regulatory updates communicated?
  • External audit findings addressed?

Risk Assessment and Controls

Evaluate risk management and control effectiveness.

  • Key risks identified and documented?
  • Risk controls effective?
  • Risk monitoring adequate?
  • Incidents reviewed and addressed?

Findings and Corrective Actions

Document findings, recommendations, and follow-up actions.

  • All findings documented?
  • Findings classified by severity?
  • Root cause analysis initiated for significant findings?
  • Corrective actions assigned with due dates?
  • Follow-up verification scheduled?
  • Overall Compliance Rating
  • Executive Summary

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