JCAHO
National Patient Safety Goals
Info
Answering surveyor ?'s
AHS
100

This is what JCAHO stands for. 

What is Joint Commission of Healthcare Organizations?

100

How to identify patients correctly.

What is using at least two patient identifiers? 

100

This is when to where your employee badge.

What is whenever you are working?

100

What to say if you do not know the answers to the question.

What is “I am not sure, but I check with my supervisor/coordinator/manager?”

100

AHS Vision

What is "Improving lives, empowering communities through health, hope and healing."

200

This is JCAHO accreditation.

What is Gold Seal of Approval, which indicates a hospital meets high patient safety and performance standards?

200

This is a safety goal identifying individuals served.

What is reducing the risk for suicide? 

200

 The process for reporting suspicious email.

What is mark it as "phishing?"  

200

How you answer the question "How long have you  worked here?"

What is the number of years? (or if you are new, talk about recent orientation both hospital-wide and site orientation)

200

AHS Shared Values

What is PRIDE?

300

This is the tracer methodology.

The process by which surveyors select patients who have gone through a variety of services? (They "trace" compliance along the patient's treatment journey) 

300

This is how to protect patient's privacy while using EMR.

What is using screen protectors and logging off when not in use?  

300

This is what PII stands for.

What is Patient Identifying Information?

300

Where to find policies.

What is Policy binder?

300

AHS Mission

What is "Designing and delivering high quality, innovative and personalized health care, to build healthier communities and improve lives for patients, consumers, and caregivers."

400

The 4 National Patient Safety Goal for Behavioral Health for 2023. 

What are... 

Patient identification (identifying individuals served correctly)

Hand hygiene (using CDC and WHO standards)

Reduce the risk for suicide

Correct information about a medicines 

400

How to protect patient privacy while discussing patients. 

What is being aware of surroundings when discussing patients? (close your door)

400

This is where to dispose of papers with PII.

What is shredding?

400

How you talk about a patient.

What is tell a unique story? (convey how you know the patient)

400

 Must be completed annually by all AHS employees. 

What are the annual education requirements?

500

These are the 7 JCAHO priorities. 

What are ...

- infection prevention

- emergency management

- suicide prevention

- workplace violence

- healthcare equity

- sustainability

- the healthcare workforce ?

500

This is who is responsible for ensuring a safe environment for patients, visitors, and team members. 

 Who are all AHS employees? 

500
This is the process a patient can take to file a complaint.

What is the grievance procedure? 

500

How to present to a surveyor. 

What is calm, relaxed, and be yourself? 

500

This is where to find AHS-related information, policies, training, and answers to many questions. 

What is the compass? (aka- the intranet)