NURS 304: Exam 2 Study Guide
questions with verified complete
solutions
a voluntary survey process used by various non-governmental, independent agencies to assess
the extent of healthcare organizations' compliance with applicable established performance
standards set by the agency - correct answer ✔✔Accreditation: definition
improve the systems and processes of care and, in so doing, improve patient outcomes. -
correct answer ✔✔Accreditation Purpose
1. True commitment to improve the quality of patient care and services.
2. Willingness to be held accountable/to be compared to like organizations.
3. Enhance confidence of the public /consumers
4. Condition of payment for US federal [programs
5. Requirement for contracting and to provide services and receive reimbursement.
6. Requirement of residency programs and in academic medical centers - correct answer
✔✔Motivations to participate:
1. Det Norske Veritas, Inc. (DNV)
2. Healthcare Facilities Accreditation Program (HFAP)
3. The Joint Commission. - correct answer ✔✔For these reasons, most hospitals hold
accreditation status from at least one of the following accrediting agencies:
a Joint Commission recommendation, in which everyone is encouraged to report problems or
near misses, without any stigma or blame attached. - correct answer ✔✔Accreditation Survey
Readiness: The Speak Up program
, multidisciplinary teams perform unscheduled rounds in a collaborative and nonthreatening way
to "look under the hood" and see what is going on in each department. - correct answer
✔✔Accreditation Survey Readiness: Environment of Care Rounds
staff learn from the bedside what works and what does not when it comes to improving hand-
offs and preventing falls. - correct answer ✔✔Accreditation Survey Readiness: Unit Practice
Councils
managers meet and go over any safety concerns from the last 24 hours, fostering a blame-free
atmosphere and asking: How can we change our processes so staff is supported and patients
are safer? - correct answer ✔✔Accreditation Survey Readiness: Daily. Safety Huddles
is a global driver of quality improvement and patient safety in health care. It was founded in
1951, An independent, not-for-profit organization, The Joint Commission is the nation#39;s
oldest and largest standards- setting and accrediting body in health care. - correct answer
✔✔The Joint Commission enterprise:
accredits and certifies more than 22,000 health care organizations and programs in the United
States, including hospitals and health care organizations that provide ambulatory and office-
based surgery, behavioral health, home health care, laboratory, and nursing care center
services. - correct answer ✔✔The Joint Commission:
Achieving certification - correct answer ✔✔____________________________ provides you
with a framework to standardize your disease-specific program to help you reduce variation and
risk and improve care.
National Patient Safety Goals (NPSGs) program. - correct answer ✔✔In 2002, The Joint
Commission established its _____________________
January 1, 2003. - correct answer ✔✔The first set of NPSGs was effective _________________.
questions with verified complete
solutions
a voluntary survey process used by various non-governmental, independent agencies to assess
the extent of healthcare organizations' compliance with applicable established performance
standards set by the agency - correct answer ✔✔Accreditation: definition
improve the systems and processes of care and, in so doing, improve patient outcomes. -
correct answer ✔✔Accreditation Purpose
1. True commitment to improve the quality of patient care and services.
2. Willingness to be held accountable/to be compared to like organizations.
3. Enhance confidence of the public /consumers
4. Condition of payment for US federal [programs
5. Requirement for contracting and to provide services and receive reimbursement.
6. Requirement of residency programs and in academic medical centers - correct answer
✔✔Motivations to participate:
1. Det Norske Veritas, Inc. (DNV)
2. Healthcare Facilities Accreditation Program (HFAP)
3. The Joint Commission. - correct answer ✔✔For these reasons, most hospitals hold
accreditation status from at least one of the following accrediting agencies:
a Joint Commission recommendation, in which everyone is encouraged to report problems or
near misses, without any stigma or blame attached. - correct answer ✔✔Accreditation Survey
Readiness: The Speak Up program
, multidisciplinary teams perform unscheduled rounds in a collaborative and nonthreatening way
to "look under the hood" and see what is going on in each department. - correct answer
✔✔Accreditation Survey Readiness: Environment of Care Rounds
staff learn from the bedside what works and what does not when it comes to improving hand-
offs and preventing falls. - correct answer ✔✔Accreditation Survey Readiness: Unit Practice
Councils
managers meet and go over any safety concerns from the last 24 hours, fostering a blame-free
atmosphere and asking: How can we change our processes so staff is supported and patients
are safer? - correct answer ✔✔Accreditation Survey Readiness: Daily. Safety Huddles
is a global driver of quality improvement and patient safety in health care. It was founded in
1951, An independent, not-for-profit organization, The Joint Commission is the nation#39;s
oldest and largest standards- setting and accrediting body in health care. - correct answer
✔✔The Joint Commission enterprise:
accredits and certifies more than 22,000 health care organizations and programs in the United
States, including hospitals and health care organizations that provide ambulatory and office-
based surgery, behavioral health, home health care, laboratory, and nursing care center
services. - correct answer ✔✔The Joint Commission:
Achieving certification - correct answer ✔✔____________________________ provides you
with a framework to standardize your disease-specific program to help you reduce variation and
risk and improve care.
National Patient Safety Goals (NPSGs) program. - correct answer ✔✔In 2002, The Joint
Commission established its _____________________
January 1, 2003. - correct answer ✔✔The first set of NPSGs was effective _________________.
