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Accreditation Insider Patient Safety Monitor Insider
Accreditation Insider
AHAP is a community in which survey coordinators and other accreditation specialists share the latest tested tips, tools, and strategies to implement successful accreditation programs and achieve professional growth. In this e-newsletter, you'll read helpful tips and timely news items related to accreditation and survey-readiness improvement. Plus, train your staff and yourself with our weekly quiz questions included with clickable answers.
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2003
Issue 49, December 30, 2008
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Patient identification
According to NPSG.01.01.03, concerning patient identification related to transfusions, if you are...
Issue 48, December 23, 2008
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Patient flow
Which of the following groups are responsible for improving the flow of patients throughout the...
Issue 47, December 16, 2008
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Medication labeling
True or false: When unlabeled medications are found, it is safe to use them if you can compare the...
Issue 46, December 9, 2008
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NPSG.01.03.01
New for 2009, Goal #01.03.01 focuses on reducing the number of transfusion errors related to...
Issue 45, December 2, 2008
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NPSG.07.04.01
True of false: Peripherally inserted central catheters are excluded from NPSG.07.04.01. True...
Issue 44, November 25, 2008
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Effective communication
Lack of good, effective communication is cited as one of the most frequently occurring root causes...
Issue 43, November 11, 2008
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Environment of Care
HVA stands for which of the following? . . -
Discharge planning
True or false: The Joint Commission requires hospitals to provide patients with clear and...
Issue 42, November 4, 2008
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NPSG # 2
Goal #02.03.01 requires the hospital to define which tests are “_____ tests.”  ...
Issue 41, October 28, 2008
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Patient rights
True or false: Patients have a right to refuse care. True False
Issue 40, October 21, 2008
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Patient identification
According to the 2009 National Patient Safety Goals, patient identifiers must be used...
Issue 39, October 14, 2008
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Patient Injuries
What is one of the most frequently occurring causes of patient injuries? Patients falling...
Issue 38, October 7, 2008
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Medication management
When a patient receives the first dose of a new medication, it is __________ to evaluate and...
Issue 37, September 30, 2008
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Emergency management
What are four aspects of managing an emergency? System analysis, expert advice, emergency handling...
Issue 36, September 23, 2008
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Infection Control
Note: Last week’s AHAP Staff Challenge (9/16/2008) contained an error. I apologize for the... -
Clarification of last week's Staff Challenge
Note: Last week’s AHAP Staff Challenge (9/16/2008) contained an error. I apologize for the...
Issue 34, September 9, 2008
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Patients' Rights
True or False: Patients have a right to refuse care. True False
Issue 33, September 2, 2008
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Discharge Planning
The reason for discharge or transfer should be based on which of the following: (Click on an...
Issue 32, August 26, 2008
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2009 National Patient Safety Goals
Goal #07.04.01 is a phase-in goal. That means hospitals have which of the following: A one...
Issue 31, August 19, 2008
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Suicide Risk Assessment
True or False: When the organization identifies a person to be a risk for suicide, it is important...
Issue 30, August 12, 2008
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Licensure and Certification
True or False: Licenses and certifications must be verified at the time of hire and: (click on an...
Issue 29, August 5, 2008
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Medication Labeling
If a staff member finds an unlabeled medication container containing a clear solution, he or she...
Issue 28, July 29, 2008
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Plan of Care
The plan of care should reflect care and treatment provided by: (click on an answer) nursing...
Issue 27, July 22, 2008
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Patient handoff communication
Interruptions during patient handoff communication should be limited as much as possible in order...
Issue 26, July 15, 2008
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HIPAA violation
Which of the following would be a HIPAA violation: Click on an answer Leaving a computer...
Issue 25, July 8, 2008
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Final verification
Where should the final verification occur? Click on an answer At the location where the...
Issue 24, July 1, 2008
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Patient information
True or False: Patients have the right to "opt out" of general census/directory...
Issue 23, June 24, 2008
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Patient rights
Which of the following violates the Patient Bill of Rights? Click on an answer Patients may...
Issue 22, June 17, 2008
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Plan of care
True or False: The patient’s plan of care should not be an interdisciplinary tool True...
Issue 21, June 10, 2008
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Answering tracer questions
When answering tracer questions, staff should: Click on an answer Answer only the questions...
Issue 20, June 3, 2008
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Not acceptable identification
Which of the following should never be used as a patient identifier? Click on an answer  ...
Issue 19, May 27, 2008
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Patient flow
True or False: The Joint Commission Leadership Standard addressing patient flow expects that the...
Issue 18, May 20, 2008
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Sedation evaluation
Which of the following is untrue? A patient receiving moderate to deep sedation must: Click on an...
Issue 17, May 13, 2008
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Critical results reporting
True or False: Organizations are required to collect data on the timeliness of critical results...
Issue 16, May 6, 2008
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Infection Control- Hand Gels
When is it appropriate to use hand gels or foams? Click on an answer When hands are not...
Issue 15, April 29, 2008
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Suicide Risk
Which of the following is a true statement? Click on an answer Patient suicide is not a major...
Issue 14, April 22, 2008
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Organ donation and procurement
True or False: Leadership in conjunction with the medical staff is responsible for establishing...
Issue 13, April 1, 2008
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Initial Assessment
Within how many hours of admission should the initial nursing assessment take place? 12 24 36 48 -
Anticoagulant Therapy
Which of the following is the strongest reason that patients being treated...
Issue 12, March 18, 2008
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Patient Falls
The Joint Commission requires hospitals to measure the success of their falls reduction program in... -
Patient Assessment
During admission, which of the following should not be included as part of the patient...
Issue 11, March 4, 2008
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Medication Reconciliation
True or False: If you obtain a list of the patient's home medications upon admission, there is no...
Issue 10, February 19, 2008
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Look-alike/ sound-alike drugs
How often does an organization's list of look-alike/ sound-alike drugs need to be reviewed?
Issue 9, February 5, 2008
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Verbal Orders
According to CMS, within how many hours should verbal orders be signed?
Issue 8, January 22, 2008
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Patient Identification
Containers for blood or specimen collection should be labeled: (Click on an answer)
Issue 7, January 8, 2008
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New National Patient Safety Goals
The two new NPSGs for 2008 involve which of the following? Improving communication during a handoff...