Database of Downloadable Safety and Quality Tools & Resources

Becker's Operating Room Clinical Quality & Infection Control finds and is provided with a wide range of downloadable tools and resources designed to help healthcare providers improve the quality of care they can provide to their patients and ensure a safe working environment for their staff members.

We have organized the tools and resources by category and placed links to reports which include free, downloadable and adaptable tools you can use in your organization.

If you still do not find a tool or resource you had hoped would be here, please email your request to This e-mail address is being protected from spambots. You need JavaScript enabled to view it . If you would like to share a downloadable tool, either one developed by your organization or one you know is available on the web, please contact This e-mail address is being protected from spambots. You need JavaScript enabled to view it . We will be adding several new tools and resources weekly, so visit this page regularly.

Note: Tools provided for download are for educational purposes only. Please review your facility's policies, accreditation standards, and state and federal agency requirements before adapting and using these resources in your organization.

Category

Anesthesia
Emergency Drills & Response
Environmental Cleaning
Hand Hygiene
Infection Control/Prevention (General)
Malignant Hyperthermia
Medication Reconciliation/Safety
Misc.
MRSA
OSHA/Sharps Safety
Patient Falls
Patient Satisfaction/Education
Post-Op/Discharge
Sterile Processing
Surgical/OR Fires
Surgical Safety
Surgical Site Infection/Would Care
TB
Time-Out

 

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Anesthesia

Conscious Sedation Brochure From AANA
'Anesthesia, Your Anesthesiologist and You' Brochure From NAPA
Waste Anesthetic Gases Educational Brochure From NIOSH
Moderate Sedation Study Aid Poster From VA
Safe Site Recommendations for Anesthesia From Minnesota Hospital Association
'What If Your Child Needs Anesthesia?' Brochure From NAPA
Anesthesia Awareness Policy
Coloring & Activity Book for Children About Anesthesia and Surgery

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Emergency Drills & Response

Information Systems Downtime Drill
Job Action Cards for Radiological Incident From Gundersen Lutheran Health System
Infection Control Checklist When Reopening After Extensive Water and Wind Damage
Hospital Emergency Response Checklist From WHO

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Environmental Cleaning

OR/Procedure Room Cleaning Checklist
General Area Cleaning Checklist
Environmental Checklist for Monitoring Terminal Cleaning From CDC
Environmental Cleaning Evaluation Worksheet From CDC
Sample Environmental Cleaning Schedule for Ambulatory Surgery Centers
Environmental Cleaning Checklist Audit Tool

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Hand Hygiene

Hand Hygiene and Glove Use Monitoring Form
Hand Hygiene Knowledge Assessment Questionnaire
'This Is Your Hand Unwashed' Poster
CDC Hand Hygiene Video
Hand Hygiene Monitoring Tool
Additional Hand Hygiene Monitoring Tool
'My 5 Moments for Hand Hygiene' Poster
Hand Hygiene Observation Record
WHO Hand Washing and Hand Rubbing Posters Available for Download
Surgery Center Hand Washing Flier for Patients
10 Hand Hygiene Posters for Clinical Staff From the Department of Veteran Affairs
Hand Hygiene Questionnaire for Staff
Hand Hygiene Observation Form From Johns Hopkins Medicine
'How to Handrub/Handwash' Poster From WHO
'Clean Hands Save Lives' Poster From CDC
Two Hand Hygiene Videos
Hand Hygiene Screen Savers and Poster From 'High Five for Healthy New Hampshire'
'Clean Hands Save Lives' Flyer From APIC
Respiratory Hygiene Poster
Handwashing Poster for Kids
'Hand Hygiene Saves Lives' Patient Admission Video
Hand Hygiene Training Course From CDC
Hand Hygiene Observation Form From GOJO
Handwashing Reminder Door Sign
iPhone Hand Hygiene Compliance Monitoring Tool
Hand Hygiene Recognition Program
Sample Hospital Hand Hygiene Policies
'Patient's Guide to Hand Hygiene' Flyer
'C. the DIFFerence Handwashing Can Make' Brochure
Handwashing Statistics Poster
'Effective Disinfection: It's in Your Hands' Poster
Hand Hygiene/Glove Use Observation Tool
Glove Use Information Brochure
'Hand Hygiene for Healthcare Workers' Brochure
Novant Health Hand Hygiene Marketing Kit
PowerPoint Presentation for Hand Hygiene Education

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Infection Control/Prevention (General)

ASC Quality Collaboration's Infection Prevention Toolkits for Surgery Centers
Infection Control Competency Quiz and Staff Questions
Infection Control Environmental Review Form
Infection Control Program Flow Chart
Infection Control Program Cleaning Checklists
Infection Control Information Sheet and Education Checklist for Physicians
4 Sample Surgery Center Infection Control Tools
Infection Control Risk Assessment
Central Line Test Questions
Central Line Insertion Care Team Checklist Developed by Johns Hopkins Medicine
Infection Prevention Checklist for Outpatient Settings From CDC
Computer-Based, Video-Simulation Training Program on Infection Control Practices From HHS
10 Influenza Posters From the Department of Veteran Affairs
Hospital Pandemic Influenza Planning Checklist From CDC
Testing for C. Diff Video
Sample Infection Control Risk Assessment for Ambulatory Surgery Centers
Clostridium Difficile FAQs Poster
Clostridium Difficile Patient Information Sheet
8 Seasonal Flu Buttons and Stickers From the Department of Veteran Affairs
Personal Protective Equipment Posters
'Cover Your Cough' Poster & Flyer
Clostridium Difficile Environmental Cleaning Checklist
FAQs About CAUTIs Poster
'Love the Glove' HAI Prevention Poster and Brochure
Patient's and Parent's Guide to Influenza Prevention Flyer
Interactive Infection Risk Assessment Worksheet
'Get the Flu Vaccine, Not the Flu' Poster From CMS
Infection Control Assessment Tool for Hospitals
Quality Infection Control Toolkits From the North Carolina Center for Hospital Quality and Patient Safety

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Malignant Hyperthermia

Surgery Checklists for Patient Safety From MHAUS

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Medication Reconciliation/Safety

Medication Safety Checklist From AMA
SCIP 'Stop Antibiotics' Poster
Table of Standard Concentrations of Neonatal Drug Infusions
Medication Reconciliation Form
FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters
AHRQ Pamphlet for Reducing Medication Errors
Amerinet Safe Handling of Hazardous Drugs Toolkit
Medication History/Discharge Order/Patient Instructions Form From Kearney County Health Services
Spanish Language Medication Tracking Tool
'Do Not Crush' List (Oral Dosage Forms That Should Not be Crushed)
'Check Your Medicines"' Checklist Poster
Medical Error Education Video for Patients From AHRQ
'Drug Interactions: What You Should Know' Brochure
Medication Safety Reconciliation Toolkit
Medication Safety Best Practices Guide for Ambulatory Care Use
Medication Risks Poster
10 Tips to Prevent Accidental Medicine Overdose
Medications at Transitions and Clinical Handoffs Toolkit for Medication Reconciliation

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Misc.

Survey for Staff on Patient Safety
Joint Commission's 'Do Not Use' List of Abbreviations
Medical Chart Peer Review Evaluation Form
Warming Cabinet Temperature Checklist
Additions to ASC Approved Procedures List Policy
Code of Conduct for ASCs
Patient Handover Toolkit From the Royal College of Physicians
Patient Handoff Policy & Form From Morehouse School of Medicine
ISMP's List of Error-Prone Abbreviations, Symbols and Dose Designations
Outpatient Medical Office Survey on Patient Safety Culture From ARHQ
'Know Where to Throw' Waste Management Poster
Red Bag Waste Sticker
Preventive Services Patient Data Collection Form
6 Colorectal Cancer Screening Posters
'Pain Relief During Labor and Delivery' Brochure From NAPA
Error-Prone Abbreviations Poster
'Strategies to Improve Monitor Alarm Safety' Poster
Professional Conduct Toolkit
Ambulatory Patient Safety Toolkit
10 Patient Handoff Communications Tools
Patient Flow Worksheet for Surgery Centers
Safe Patient Handling Tip Sheet
6 Fact Sheets Developed by the Institute for Healthcare Improvement
Toolkit for Making Written Material Clear and Effective From CMS
Healthcare Waste Auditing Tool
PowerPoint Education on Plain Language
AHRQ's Starter Set for Ambulatory Care Quality Measures
Language Services Toolkit
AACN's SBAR Hand-Off Communication Tool
Nebraska Hospital Association's Sample Patient Discharge Instruction Form


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MRSA

10 Common Questions and Answers About MRSA
Free MRSA Posters and Brochures
MRSA Policy
MRSA Evaluation and Treatment Guide
'FAQs About MRSA' Poster From CDC
'Helpful Reminders About MRSA Infection' Brochure

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OSHA/Sharps Safety

Bloodborne Pathogen Program Assessment
Standards Employee Checklist
Fact Sheet on Proper Handling of Contaminated Sharps
Sharps Safety Educational Brochure
CDC Sharps Safety Posters
Survey of Device Use for Sharps Injury Prevention Program
Baseline Assessment Worksheet for Sharps Injury Prevention Program
Sample Form for Performing a Simple Root Cause Analysis of a Sharps Injury or Near Miss Event
Sharps Safety 'Reporting = Prevention' Poster
Sharps Safety 'Passing and Loading' Poster
OSHA Respiratory Protection Video
Checklist for Bloodborne Pathogen Exposure Prevention
Needlestick Injury Response Poster
'What are Bloodborne Pathogens' Presentation
'Needlestick Injuries – A Nurse's Story' Video
Sample Worksheet for Estimating the Annual and Average Cost of Needlesticks and Other Sharps-Related Injuries
Display Board of Sharps Devices
Inventory List of Sharps Devices
Evaluation Form for Safety Needle/Syringe
'Exposure to Blood: What Healthcare Personnel Need to Know' Brochure
Checklist for Sharps Injury Prevention
Needlestick Injury Prevention Assessment Tool
'DOs and DON'Ts of Proper Sharps Disposal' Poster
Preventing Needlestick Injuries Checklist
Use Sharps With Safety Features Poster

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Patient Falls

Falls Prevention Checklist From CNA HealthPro
Home Fall Prevention Checklist From CDC
Fall Prevention Policies
Simple Patient Falls Prevention Poster

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Patient Satisfaction/Education

HCAHPS Mail and Telephone Patient Surveys
HRSA Patient Satisfaction Survey
3 Sample Data Gathering Tools: Immediate Post-Op Telephone Call, 30-Day Post-Op Telephone Call and Office Follow-Up Information
ASC Patient Satisfaction Survey
ASC Call Script for Patients Prior to Surgery
'Having Surgery? What You Need to Know' Brochure From AHRQ
Home Healthcare Medical Devices Checklist
'Be More Involved in Your Health Care' Brochure
3 'Speak Up' Posters From Joint Commission
'Preventing Infections in the Hospital: What You Can Do' Brochure
'Being Involved in Your Surgical Procedure' Brochure
Consumer Healthcare Tips in Spanish
Rand Health's Patient Satisfaction Questionnaire
Rand Health's Visit-Specific Satisfaction Instrument
AHRQ's Questions Card and Questions Builder
Speak Up Posters in English and Spanish From The Joint Commission

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Post-Op/Discharge

Guide for Patients When Leaving Your Facility
ASC Discharge Criteria Policy
ASC Adult PONV/PDNV Policy
Discharge Instructions for Peripheral Nerve Block Patients
Patient Discharge Planning Checklist From CMS
Model Transfer Form for Nursing Facility to Emergency Department/Hospital
Transitions of Care Checklist
Surgery Center Preop and Postop Documentation Tools Collection
AHRQ's "Taking Care of Myself" Brochure

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Sterile Processing

Sterile Processing Department Testing and Load Form and QI Worksheet
Incomplete Biological Result Form
Sterile Processing Checklist
Sterilization Audit Checklist
Cleaning, Disinfection and Sterilization Policy and Procedures

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Surgical/OR Fires

Universal Protocol & Fire Risk Assessment for Bedside Procedure
Surgical Fire Prevention Poster
Extinguishing a Surgical Fire Poster

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Surgical Safety

Surgical Safety Checklist and Toolkit for Download From BCBS
Surgical Safety Checklists Used Worldwide
WHO Surgical Safety Checklist
'Ensuring Correct Surgery' Pamphlet From the Department of Veteran Affairs
Ambulatory Surgery Pre- & Post-Operative Checklists
Instructional Videos on Surgical Safety Checklist Use
Ambulatory Surgery Surgical Checklist
Checklist for Checklist Development
Surgical Safety Checklist for CEOs

Sample Safe Surgery Checklist From Oregon Patient Safety Commission

Daily ICU Checklist from Kansas University

 

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Surgical Site Infection/Wound Care

'CATS' Poster for Surgical Site Infection Intervention
'BEAGLES' Poster for Surgical Site Infection Prevention
APIC's Guide to the Elimination of Orthopedic Surgical SSIs
Surgical Wound Classification Form
Guidelines and Procedures for Surgical Site Infections
Form for Documentation of Wound Infections
Wound Infection/Unexpected Outcome Report
FAQs About Surgical Site Infections Poster
Pressure Ulcer Pocket Card
SSI Cost of Infection Savings Calculator

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TB

Annual Tuberculosis Risk Assessment Worksheet
'Stop Tuberculosis' Poster From CDC
'Think TB!' Poster

 

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Time-Out

ASC Time-Out Policy and Procedure
'Safe Site' Poster From Minnesota Hospital Association
Time-Out Script Example From Minnesota Hospital Association
Universal Protocol Poster From Joint Commission
'Ensuring Correct Surgery' Poster From the Department of Veteran Affairs
Surgical/Procedural Verification Protocol

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Note: Tools provided for download are for educational purposes only. Please review your facility's policies, accreditation standards, and state and federal agency requirements before adapting and using these resources in your organization.

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