Leadership
Regulatory Survey of a Hospital Medication and Patient Safety Plan.
What is GACH survey?
A formal process to investigate potential quality of care issues
What is Quality review or Peer/Dept Review?
Professional Staff Officer role that has oversight and is in charge of all Professional Staff in a department.
What is a Chief of Staff?
Frequency when Professional Staff and Allied Health Practitioners are reappointed to the hospital and requested privileges.
What happens biannually?
Only KP hospital in 15 hospitals across the United States with Leapfrog straight A's since 2012.
What is Kaiser Permanente Anaheim Medical Center?
This alert is called for a team to first assess patients with suspected onset of stroke symptoms.
What is Code Stroke?
Capital of Canada.
What is Ottowa?
How many players are playing defense on the field in a baseball game?
What is 9 players?
Before and after: patient room, bodily fluids, touch surroundings, aseptic task
When is Hand Hygiene performed at a patient room?
Professional Staff membership that a Physician Chair must be in order to be considered a voting member and chair of a Professional Staff Committee
What is Active Staff?
Number 1 readmission andmortality diagnosis in KP Orange County
What is Sepsis?
Procedures in which a physician orders narcotics & sedatives requiring competent monitoring.
What is Procedure Sedation?
TJC Surveyor observes an open sterile package or syringe with medication pre-procedure or a used suction cannister on a crash cart.
What is an Infection Control Survey Finding?
Isolation used for Tb, Measles, Shingles
What is Airborne Isolation?
Continuous Readiness Inspection Tool
What does a Manager use to round on their units during TJC and GACH surveys?
Leadership, Communication, Mutual Support, Situation Monitoring
What is TeamSTEPPS?
Reviews every hospital medication before 1st use
Who is a Pharmacist
Appoints Physician to a be chair of a Professional Staff Committee
What is the Executive Committee?
What sport were women allowed to play in the Olympics for the first time?
What is Tennis?
Michael Jackson debuted his trademark moonwalk during which song in 1983?
What is Billie Jean?
Assigned to round on units during TJC & GACH Surveys.
What is the role of the DA, ADA?
A SCAL composite scorecard that tracks and compares hospital quality metric performance at the medical center level.
What is the Hospital Quality Composite (HQC)?
Wrong Site RFO Attempted Suicide
Name a few Sentinel Events?
Checking for removable cords, ties & sharps; safe trays, visitors, visibility of patient hands and face.
What is a Suicide Environment Risk Assessment Checklist?
Manager and employee on completion of annual competency.
Whose signatures are required to verify competencies?