National Patient Safety Goals
Care, Treament, & Services
Rights & Responsibilities of the Individual
Environment & Safety
Mystery Category
100
Use two of these when providing care, treatment, and services
What are two patient identifiers?
100
These must be completed within 5 visits or one month; whichever is longer, and must be written behaviorally specific and measurable
What is the Individual Service Plan (ISP)
100

The Patient Advocate, The Joint Commission, OHFLAC, DHHR and Boards of Licensure to name a few

Where patients are notified they are able to file a complaint?

100
R.A.C.E.
What is the acronym used during a code red?
100

Completeness of clinical record, satisfaction surveys, outcome measures, and complaints are examples of these.

What are Performance Improvement Indicators

200

NPSG.03.05.01

What is take exta care with patients who take meds to thin their blood.

200

This is the organization's philosophy concerning seclusion and restraint

What is the least restrictive environment / striving for a restraint free environement

200

The ability to file a complaint without fear of retaliation, right to participate in one service, regardless of refusal of another service, communication is done in terms the patient can understand, and participate in the development of their treatment plan.

What are the patients rights?

200

Highland Hospital's Safety Officer

Who is Daniel Dew, DPO?

200

What was the topic of this year's FMEA, (Failure Mode and Effects Analysis)?

Contraband
300

Using hand sanitizer between patient contacts, washing hands when visibly soiled, cleaning equipment between each  use

What is NPSG Prevent Infection?

300

Making recommendations for identified pain, unexplained weight loss, or other medical ailments.

What is addressing variances in the treatment recommendations in a diagnostic assessment?

300

The client, parent/guardians (when applicable) and treatment providers

Who is involved in the development of a client's treatment plan?

300

Code Silver

What is the code for active shooter?

300
Used to document something "out of the ordinary" and includes Who, What, When, Where, Witnesses.

What is an Incident Report?

400

When given by the TJC it requires extensive work to correct the error

What is an RFI or ITL

400

Timely and accurate documentation, promptly return messages, and provide client centered care.

What are ways I contribute to Performance Improvement?

400

The process of establishing a mutual understanding between the client and the clinical staff about the care, treatment, and services and explains the risks and benefits of services

What is informed consent?

400
No more than 18 inches from the ceiling
What is how far items should be from the ceiling?
400

Visual Scorecard used by TJC Surveyors to identify deficiency/citation severity and includes levels for low, moderate, high and immediate threat to life.

What is the Safer Matrix?

500

NPSG 15.01.01

What is the National Patient Safety Goal entitled:

Identify Patient Safety Risks/Reduce Risk for Suicide

500

Incorporating client's own words and using quotes in the clinical record.

What is evidence that the client was an active participant in the development of the treatment plan?

500

Providing information about present complaints, past and current functioning, asking questions when they don't understand, following instructions for their plan of care, showing respect and consideration.

What are the patient's responsibilities?

500

Highland Hospital's Privacy Officer

Who is Melanie Ferrell, Director of HIM?

500

Can never be stored on the floor.

What are corrugated boxes.

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