Regulatory
Any manipulation of a sterile or nonsterile product intended to produce a sterile final product.
What is sterile compounding?
A proven, research-based approach using selected pre, intra, and post-operative interventions in concert to optimize outcomes and patient experience.
What is ESR?
Which organization does not provide HLD instructional guidance for processing medical equipment, devices and supplies?
SGNA
AORN
CDC
AAMI
TJC
TJC
This program encourages hospitals to improve the quality, efficiency, patient experience and safety of care that Medicare beneficiaries receive during acute care inpatient stays by:
What is Hospital Value-Based Purchasing?
A patient safety event that results in death, permanent harm, or severe temporary harm.
What is a sentinel event?
Standardized, color coded, pediatric emergency measuring tape. This tape provides you with a rapid estimate of a child's weight based on their recumbent length.
What is a Broselow tape?
This program requires hospitals report their compliance with a multicomponent 3- and 6-hour treatment and resuscitation bundle for patients.
What is SEP-1?
What is the incubation period of B. pertussis?
2-3 days
3-5 days
7-10 days
>14 days
7-10 days
Most sophisticated and highly regarded overall measures of quality in health care, rating the benchmarked outcomes of cardiothoracic surgery programs in the U.S.
What is STS star rating?
The Facility Chief Executive Officer (CEO) or Administrator, in consultation with the Chief of the Medical Staff or Chief Medical Officer, has the primary responsibility to ensure that the patient/patient’s representative/family and/or support person is informed about the serious safety event.
What is disclosure?
Size of this unit cannot exceed 22,500 square feet maximum. This unit component includes rooms and corridors, and creates areas that may be accessed horizontally, which is the preferable method to rapidly move patients.
What is a smoke compartment?
Goal is to achieve 25% for this metric so as to improve maternal or newborn health outcomes.
What is NTSV C-section?
This negative outcome follows antimicrobial use, surely as night follows day.
What is antimicrobial resistance?
Assigned twice a year it uses more than 30 national performance measures.
What is the Leapfrog Hospital Safety Grade?
A member of nursing administration/management (e.g., nursing supervisor/manager, charge nurse, manager/director, CNO, etc.) will review the need for restraint or seclusion with the RN who has determined that the patient requires restraint or seclusion.
What is second tier review?
Has clearance for under the bottom of a door of 3/4” and clearance between door and frame is 1/8".
What is a fire door?
These goals are Specific, Measurable, Achievable, Realistic and anchored within a Time Frame.
What are SMART goals?
How often should propofol bottle and tubing be changed on patients who require this medication?
Every 12 hours.
This program measures PSI-90, CLABSI, CAUTI, C.Diff, MRSA, SSI-Colo and SSI-Hyst for value based purchasing.
What is the HAC reduction program?
Occurs immediately prior to incision and/or start of procedure and initiated by the surgeon.
What is a time-out?
Is able to be activated hands-free (arms are ok) and remain flowing without requiring the use of the hand.
What are the requirements for an an eye wash station?
Monthly review of progress towards the goals with Facility and Division leadership.
What is CEMOR?
Can grow either aerobically or in the absence of oxygen (anaerobic conditions), but they generally do better with oxygen.
What is an Obligate anaerobe?
Designed for consumers to use along with their healthcare provider to make decisions on where to receive care.
What is Overall Hospital Quality Star Rating?
A written or verbal complaint by a patient, or the patient’s representative, regarding the patient’s care, abuse or neglect.
What is a grievance?