Quality - General
This is the formal process for addressing patient complaints that cannot be resolved through service recovery.
What is the grievance process?
This intervention involves regularly checking on patients at risk for falls to anticipate their needs.
What is hourly rounding?
This IRIS category includes staff needle sticks, falls, splashes, and workplace violence events
What are Employee Injuries/Exposures?
This type of event is an employee interception of a potential safety event before harm occurs.
What is a good catch?
This state agency investigates complaints about the hospital and alleged violations of patient rights or other conditions of participations.
What is California Department of Public Health?
This is where I can find the Quality Management Department.
Where is the 6th floor of Russell.
This team should be consulted for new admissions with pressure injury wounds, other wounds of concern, or when a new wound is discovered.
What is the Wound Care Team?
This term refers to the agreement by a patient to undergo a procedure or treatment after receiving information about the risks, benefits, alternatives, and prognosis
What is Informed Consent
An award the Qualiity team presents to a department that has gone over a year without a patient or employee event.
What is the 365 Days of Patient Safety Award?
You give this to Quality during a survey, and NEVER a surveyor.
What is physical documentation? (Hard copies)
This is a quality measure that tracks the rate of readmissions for heart failure patients within a specific timeframe.
What is 7-day readmission rate
This is the term for the use of physical or chemical means to restrict a patient's freedom of movement.
What is a Restraint?
This is the deadline for the primary reviewer to complete their initial review of an IRIS report.
What is 7 days from the date the report was submitted?
A visual communication tool used to review important information, track progress on key metrics, and identify potential issues related to patient safety and care.
What are Huddle Boards?
The committee responsible for ensuring a safe environment for patients, staff, and visitors within the hospital.They conduct weekly rounds at MSJ.
What is the Environment of Care committee (EOC)?
The process where physicians evaluate the performance of their colleagues to ensure quality of patient care & to identify areas for improvement
What is peer review?
This is the most important activity to prevent transmission of microorganisms.
What is hand hygiene?
This is one type of event that is not related to patient safety but can be reported in IRIS, such as lost or damaged belongings.
What are "Complaints & Grievances" section in IRIS?
This type of recognition is for outstanding work done by staff as part of their routine care, where there are no deviations to care.
What is a Mercy Touch Award
The federal law that requires hospitals to provide a medical screening examination to anyone who seeks emergency care, regardless of their insurance status or ability to pay.
What is EMTALA? (The Emergency Medical Treatment and Labor Act)
This national organization focuses on driving improvements in patient safety and assigns A,B,C,D, & F grades to hospitals based on their patient safety performance.
What is Leapfrog?
Removing Foley catheters and lines when not medically necessary is a prevention strategy for these types of infections.
What are CAUTIs and CLABSIs?
This type of analysis is a limited investigation of a safety event that resulted in little to no harm
What is Apparent Cause Analysis (ACA)?
This month's focus for SafetyFirst is
Show HumanKindness
MSJ has the following: Advanced Perinatal, Stoke,
Chest Pain, Hip & Knee
What are The Joint Commission Program Certifications?