Leadership
Documentation
Patient Safety
Infection Control
Miscellaneous
1

Regulatory Survey of a Hospital Medication and Patient Safety Plan.  

What is GACH survey?

1

A formal process to investigate potential quality of care issues

What is Quality review or  Peer/Dept Review?

1

Professional Staff Officer role that has oversight and is  in charge of all Professional Staff in a department.

What is a Chief of Staff?

1

Frequency when Professional Staff and Allied Health Practitioners are reappointed to the hospital and requested privileges.

What happens biannually?

1

Only KP hospital in 15 hospitals across the United States with Leapfrog straight A's since 2012.

What is Kaiser Permanente Anaheim Medical Center? 

2

This alert is called for a team to first assess patients with suspected onset of stroke symptoms.

What is Code Stroke?

2

Capital of Canada. 

What is Ottowa?

2

How many players are playing defense on the field in a baseball game?

What is 9 players?

2

Before and after: patient room, bodily fluids, touch surroundings, aseptic task

When is Hand Hygiene performed at a patient room?

2

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?

3

Number 1 readmission andmortality diagnosis in KP Orange County

What is Sepsis?

3

Procedures in which a physician orders narcotics & sedatives requiring competent monitoring. 

What is Procedure Sedation?

3

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?  

3

Isolation used for Tb, Measles, Shingles

What is Airborne Isolation?

3

Continuous Readiness Inspection Tool

What does a Manager use to round on their units during TJC and GACH surveys?

4

Leadership, Communication, Mutual Support, Situation Monitoring 

   What is TeamSTEPPS?

4

Reviews every hospital medication before 1st use  

Who is a Pharmacist

4

Appoints Physician to a be chair of a Professional Staff Committee

What is the Executive Committee?

4

What sport were women allowed to play in the Olympics for the first time?

What is Tennis? 

4

Michael Jackson debuted his trademark moonwalk during which song in 1983?

What is Billie Jean?

5

Assigned to round on units during TJC & GACH Surveys.  

What is the role of the DA, ADA?

5

A SCAL composite scorecard that tracks and compares hospital quality metric performance at the medical center level.

What is the  Hospital Quality Composite (HQC)?

5

Wrong Site     RFO    Attempted Suicide

Name a few Sentinel Events?

5

Checking for removable cords, ties & sharps;  safe trays,  visitors, visibility of patient hands and face.

What is a Suicide Environment Risk Assessment Checklist?

5

Manager and employee on completion of annual competency.   

Whose signatures are required to verify  competencies?

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