©BRIGHSTARS 2024/2025 ALL RIGHTS RESERVED.
Joint Commission Prep Questions With
Correct Answers.
Code Pink - Answer✔Infant or child abduction
Who is the hospital safety officer? - Answer✔Ken McDowell
Where are the fire alarm pull stations? - Answer✔Pull stations are located near exits, stairwells,
main corridor doors, and in major corridors, make sure to know where they all are on your unit
or department.
What can be kept under the sink in patient care areas? - Answer✔nothing
What is Quality Assurance (QA)? - Answer✔Quality Assurance is defined as a program that
guarantees quality patient care, by tracking the outcomes through scheduled audits. QA included
appropriateness, applicability and timeliness of patient care.
What is Performance Improvement (PI)? - Answer✔The continuous study and adaptation of the
functions and processes of a healthcare organization to increase the probability of achieving
desired outcomes and to better meet the needs of patients.
What is a sentinel event? - Answer✔is a patient safety event that results in death, permanent
harm, or severe temporary harm.
What are some examples of a sentinel event? - Answer✔unexpected death, abduction of an
infant, rape while in the facility, hemolytic transfusion reaction, surgery on the wrong body part
or patient. And many many more.
True or False. It is critical to maintain/set aside/ save any equipment or tubing involved in a
sentinel event. - Answer✔TRUE.
How are Patients/ Families informed of their rights and responsibilities? - Answer✔Patient
registration gives them a copy, Patient Rights and Responsibilities are posted throughout patient
care areas.
How do we protect private health information? - Answer✔All requests for medical information
goes through HIM
1|Page
, ©BRIGHSTARS 2024/2025 ALL RIGHTS RESERVED.
We do not discuss patient information in the hallways ,cafeteria or other public areas.
We lock our computers when we step away.
We secure an authorization to release Information before sending out records.
What are some phrases to avoid when you are answering a surveyor's question? -
Answer✔Avoid saying things like "I think we mostly do it this way "We're supposed to" "On my
shift" "I usually do"
What should you do if you do not know a question the surveyor asks? - Answer✔STAY CALM,
say something like I know where to find the answer (please be able to find it) or Ask a friend
other staff can help, phone a friend (don't literally phone a friend)
Why is TJC accreditation important? - Answer✔Because TJC surveys us on behalf of the federal
government, Centers for Medicare and Medicaid.
Accreditation allows us to recieve Medicare and Medicaid reimbursment form our patients.
Also accreditation means we are working towards a goal of zero harm
What does R.A.C.E stand for? (hint it is on your badge) - Answer✔Rescue, Alarm, Contain,
Extinguish
Is it ever acceptable for fire doors to be held open with, ties, wedges, or other objects or to tape a
door or latch? - Answer✔NO!
How can you identify emergency power outlets? - Answer✔They are RED
What is elopement? - Answer✔It is when a patient is observed leaving an inpatient unit without
having been discharged and has no intention of returning.
Where would you find the Emergency Policy and procedural manual? - Answer✔On our intranet
set under the Policy and procedures tab at the top of the page
Why is it mandatory that we keep hallways clear? - Answer✔So that we can safely and quickly
evacuate patients and personnel in the event of a fire or other emergency requiring evacuation
What are some examples of internal systems that directly impact the quality and safety of patient
care? - Answer✔- medication usage
- Infection control
- Surgery and anesthesia
- Transfusions
- Restraints and seclusion
- Staffing and staff compliance
2|Page
Joint Commission Prep Questions With
Correct Answers.
Code Pink - Answer✔Infant or child abduction
Who is the hospital safety officer? - Answer✔Ken McDowell
Where are the fire alarm pull stations? - Answer✔Pull stations are located near exits, stairwells,
main corridor doors, and in major corridors, make sure to know where they all are on your unit
or department.
What can be kept under the sink in patient care areas? - Answer✔nothing
What is Quality Assurance (QA)? - Answer✔Quality Assurance is defined as a program that
guarantees quality patient care, by tracking the outcomes through scheduled audits. QA included
appropriateness, applicability and timeliness of patient care.
What is Performance Improvement (PI)? - Answer✔The continuous study and adaptation of the
functions and processes of a healthcare organization to increase the probability of achieving
desired outcomes and to better meet the needs of patients.
What is a sentinel event? - Answer✔is a patient safety event that results in death, permanent
harm, or severe temporary harm.
What are some examples of a sentinel event? - Answer✔unexpected death, abduction of an
infant, rape while in the facility, hemolytic transfusion reaction, surgery on the wrong body part
or patient. And many many more.
True or False. It is critical to maintain/set aside/ save any equipment or tubing involved in a
sentinel event. - Answer✔TRUE.
How are Patients/ Families informed of their rights and responsibilities? - Answer✔Patient
registration gives them a copy, Patient Rights and Responsibilities are posted throughout patient
care areas.
How do we protect private health information? - Answer✔All requests for medical information
goes through HIM
1|Page
, ©BRIGHSTARS 2024/2025 ALL RIGHTS RESERVED.
We do not discuss patient information in the hallways ,cafeteria or other public areas.
We lock our computers when we step away.
We secure an authorization to release Information before sending out records.
What are some phrases to avoid when you are answering a surveyor's question? -
Answer✔Avoid saying things like "I think we mostly do it this way "We're supposed to" "On my
shift" "I usually do"
What should you do if you do not know a question the surveyor asks? - Answer✔STAY CALM,
say something like I know where to find the answer (please be able to find it) or Ask a friend
other staff can help, phone a friend (don't literally phone a friend)
Why is TJC accreditation important? - Answer✔Because TJC surveys us on behalf of the federal
government, Centers for Medicare and Medicaid.
Accreditation allows us to recieve Medicare and Medicaid reimbursment form our patients.
Also accreditation means we are working towards a goal of zero harm
What does R.A.C.E stand for? (hint it is on your badge) - Answer✔Rescue, Alarm, Contain,
Extinguish
Is it ever acceptable for fire doors to be held open with, ties, wedges, or other objects or to tape a
door or latch? - Answer✔NO!
How can you identify emergency power outlets? - Answer✔They are RED
What is elopement? - Answer✔It is when a patient is observed leaving an inpatient unit without
having been discharged and has no intention of returning.
Where would you find the Emergency Policy and procedural manual? - Answer✔On our intranet
set under the Policy and procedures tab at the top of the page
Why is it mandatory that we keep hallways clear? - Answer✔So that we can safely and quickly
evacuate patients and personnel in the event of a fire or other emergency requiring evacuation
What are some examples of internal systems that directly impact the quality and safety of patient
care? - Answer✔- medication usage
- Infection control
- Surgery and anesthesia
- Transfusions
- Restraints and seclusion
- Staffing and staff compliance
2|Page
