Question 1
Question
The use of actual patients and processes as the framework for asscessing standards compliance
Answer
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Tracer Methodology
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Unannounced Survey
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Announced Survey
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Accreditation Process
Question 2
Question
Join Communion surveys are unannounced and can occur ____ after the previous unannounced survey
Answer
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3 to 6 months
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6 to 18 months
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18 to 39 months
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24 to 48 months
Question 3
Question
A root cause analysis focuses primarily on
Answer
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Systems and processes
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Individual Performance
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Equipment Malfunction
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Standards Compliance
Question 4
Answer
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Recommendation for Improvement
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Requirement For Improvement
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Regulation For Improvement
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Registration For Improvement
Question 5
Question
Any unexpected occurrence involving death or serious physical of psychological injury
Question 6
Question
A process for identifying the basic and causal factors that underline variation in performance, including the occurrence or possible occurrence of a sentinel event is
Question 7
Question
Hospitals seek Joint Commission accreditation for all the reasons below EXCEPT
Answer
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To strengthen community confidence in the quality and safety of care
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To lower their operating costs by becoming eligible for discounts
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To improve risk management and strengthen patient safety efforts
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To provide Medicare certification and recognition by insurers
Question 8
Question
The Joint Commission survey team can include one or more health care professionals, including all of the following except
Answer
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A physician
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A nurse
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A hospital administrator
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A maintenance engineer
Question 9
Question
An initiative established by the Joint Commission to help accredited organizations address specific areas of concern regarding patient safety
Question 10
Question
The Joint Commission has been accrediting hospitals for
Answer
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less than 25 years
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More than 50 years
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More than 75 years
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More than 100 years