Patient Safety
Which organization developed the National Patient Safety Goals?
What is the Joint Commission
Performing this action is the number one method to prevent the spread of infection
What is hand hygiene
What does PDSA stand for?
Which federal agency oversees Medicare and Medicaid compliance in healthcare facilities?
What is CMS (Centers for Medicare & Medicaid Services)
How often does The Joint Commission typically conduct full accreditation hospital surveys?
What is every three years
What are the two patient identifiers used when verifying a patient's identity prior to performing treatments or testing?
What does MRSA stand for?
What is Methicillin-resistant Staphylococcus aureus
Which healthcare organization sets national priorities for quality improvement in the U.S.?
What is the National Quality Forum (NQF)
What does IPFQR stand for?
What is Inpatient Psychiatric Facility Quality Reporting
How should clean and dirty items be stored in patient care areas?
what is clearly separated to prevent cross-contamination
What does SBAR stand for?
What is situation, background, assessment, and recommendation
According to the WHO’s “Five Moments for Hand Hygiene,” when should healthcare workers clean their hands?
What is 1. Before touching a patient, 2. Before clean or aseptic procedures, 3. After body fluid exposure, 4. After touching a patient, 5. After touching patient surroundings
Which tool is used to identify and organize potential causes of a problem?
What is a Fishbone diagram
Which CMS program focuses specifically on hospital-acquired conditions and patient safety indicators?
What is the HAC Reduction Program
How often are fire drills required in most healthcare facilities?
What is Quarterly on each shift
Which type of culture encourages reporting of errors without fear of punishment?
What is a Just Culture
Which type of isolation is used for patients with TB?
What is Airborne Precautions
What does a “run chart” display?
What is data over a period of time to detect trends or shifts
What is the highest weighted section that contributes to the Leapfrog Hospital Safety Grade?
What is PSI-90 composite score
What must be labeled on all medications that are not immediately administered?
What are medication name, dose, date/time prepared, and expiration time
What is a “sentinel event”?
What is a serious, unexpected event that results in death or serious physical or psychological injury
What type of personal protective equipment (PPE) should staff wear when handling high-level disinfectants?
What are gloves, gown, eye protection, and mask or face shield
What is the systematic, proactive method for evaluating a process to identify the steps with the highest risk of failure?
What is a FMEA
What is an example one of the eCQM hybrid measures that are reported to CMS?
What is Hospital Wide Readmissions (HWR) or Hospital Wide Mortality (HWM)
Which document outlines the standards used by The Joint Commission to evaluate organizations?
What is the Comprehensive Accreditation Manual (CAM)