Accreditation 101
This is the set of practices that are considered requirements for health organizations by Accreditation Canada
What is an ROP (required organizational practice)?
This is where any staff member can find their applicable Emergency Preparedness plans, guides and policies.
What is NS Health Intranet and/or OP3?
This is where one reports patient safety incidents.
What is SIMS (Safety Information Management System)?
This Monday in October 2022 is the first day of site visits week for Nova Scotia Health.
What is October 17?
A mock tracer is a "dress rehearsal" for this key component of accreditation.
What is a site visit?
This is the primary method by which Accreditation Canada evaluates health organizations against their requirements and standards.
What are site visits?
This concept refers to the importance of fairly balancing an understanding of system failure with professional accountability, and is based on behaving according to what is morally right and fair.
What is a just culture?
This everyday practice greatly helps prevent and reduce healthcare-associated infections.
What is hand hygiene?
This is the best response if a surveyor asks you a question to which you do not know the answer.
What is "I don't know"?
These types of initiatives are often supported by data generated from audits and evaluations.
What is quality improvement?
This is the primary method by which Nova Scotia Health is able to internally track how our practices match up with standards prescribed by Accreditation Canada.
What is standards compliance evidence?
These are the four moments of hand hygiene.
What is 1) before patient contact, 2) after patient contact, 3) prior to aseptic procedure, 4) following exposure to bodily fluids
This is the word for communicating with patients/families following a patient safety incident.
What is disclosure?
These are the staff members who accreditation surveyors are allowed to speak with as part of their assessment.
Anyone and everyone.
Worklife/Workforce ROPs include client flow, preventive maintenance and workplace ________ prevention.
What is violence?
There are 16 standards that break down into subsets of criteria. This is the term applied to the most important of these criteria.
What is HPC (high priority criteria)?
This virtual education system enables annual training for all staff members on key topics relating to standards and ROPs.
What is LMS (Learning Module System)?
Narcotics, heparin, and concentrated electrolytes are some examples of these types of medications requiring safe storage and administration practices per an Accreditation Canada ROP.
What are high alert medications?
This is when sites should be prepared for a site visit.
What is always?
This ROP concerns ensuring our tools/machines/devices/equipment are in good working order.
What is preventative maintenance?
Of Accreditation Canada's four levels of awards: Not Accredited, Accredited, Accredited with Commendation, and Accredited with Exemplary Standing, Nova Scotia Health received this level of accreditation in 2017.
What is Accredited?
This established process to evaluate each team member is a key aspect of continuous improvement in health care settings.
What is performance appraisal?
Date of birth and health card number are examples of these, of which two are required to ensure the correct patient receives the service or procedure intended for them.
What are client identifiers?
These were the three sites that were visited by surveyors during Nova Scotia Health's 2017 accreditation site visits.
Only need one to answer.
What are Newcomer Health Clinic, Hants Community Hospital, and Heart in Motion?
This is the service staff can use to communicate with patients & families who do not speak or understand English.
What is language line?