Q is for Quality
This group creates a partnership between patients/residents, former patients, families and the leadership team to improve quality of care and the patient experience
What is PFAC or Patient Family Advisory Committee?
AGH and CPDMH are aiming to achieve this rating for Accreditation.
What is Exemplary Standing?
To confirm that clients receive the service or procedure intended for them this policy is in place.
What is two client identifiers?
These are the 4 moments of hand hygiene.
What are:
Before patient, patient/environment contact
Before aseptic procedure
After body fluids exposure risk
After patient, patient/environment contact?
This is more common in health care settings than in many other occupations, can take many forms and can originate from patients or from co-workers.
What is Workplace Violence?
This group is ultimately accountable for the quality of care provided by their organizations.
What is the Board of Governors?
The method surveyors use to evaluate both clinical and administrative processes which involves observing and interacting with team members clients and families.
What is a tracer?
To evaluate and support the safe delivery of care the organization is required to have a preventive maintenance program for this type of equipment.
What is medical equipment?
This reporting done quarterly is mandated by the Ministry of Health and Long-Term Care.
What is Hand Hygiene Compliance and Infection Rates?
This activity is done monthly to keep the lines of communication with employees open.
What is rounding?
It provides a fair, step-by-step process to assist in the navigation and resolution of complex ethical issues that arise in the delivery of health care.
What is the Ethical Framework?
Essential practices that organizations must have in place to enhance patient safety and minimize risk are referred to as this.
What are ROPs or Required Organizational Practices?
Two of the four patient safety risks inherent in the patient population as outlined in the Risk Assessment ROP.
What are Falls; Pressure Ulcers; Suicide and Venous thromboembolism?
Where you would find information about strategies to protect clients/patients, staff and others from exposures to infections and to reduce the likelihood of hospital acquired infections.
What is the Infection Prevention and Control Manual?
or
Infection Prevention and Control (IPAC) Program?
This advisory committee is composed of worker and employer representatives who are committed to improving the health and safety conditions in the workplace.
What is the Joint Occupational Health and Safety Committee (JOHSC)?
AIDET stands for this.
What is Acknowledge; Introduce; Duration; Explanation; Thank You?
This instrument is a requirement for Accreditation and was distributed to all employees in November-December.
What is the Patient Safety Culture Survey Tool?
A shared responsibility between the patient, pharmacy, nursing and physicians.
What is Best Possible Medication History (BPMH)?
A full day is dedicated to this Infection Prevention and Control activity every year.
What is Hand Hygiene Day?
The tool used to document the status of any issues heard from internal customers during rounding.
What is the Spotlight Report?
A documented set of quality commitments made by a the organization to its patients, clients, residents, staff and community on an annual basis.
What is the Quality Improvement Plan?
Code ________ is an external disaster/state of emergency
What is orange?
It defines processes for managing ethical issues, dilemmas, and concerns
What is the Ethics Framework?
The accreditation surveyors will tour service areas including clinical areas, housekeeping, food preparation areas, and public areas (waiting rooms). They will assess the availability of these items name two_______; _______
What are?
Alcohol –based rubs at point of care
Sharps containers at point of care
These 90-day plans enhance communication and identify tasks and targets that support goal achievement.
What are LEM (Leader Evaluation Manager) goals?