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What are occurrences involving liability for injury or property loss called?
potentially compensable events
If a patient has surgery then subsequently developes an infection, what is this an example of?
a sentinel event
manpower, material, methods, and machinery are the 4 components to what type of diagram?
Fishbone diagram
Who is an individual permitted by law to provide healthcare services without the direction or
supervision within the scope of their licenses?
licensed independent practitioner
What tool provides significant data about a physicians performance to the credentials
committee to make decisions about reappointment to the medical staff
physician profile summary
Monitoring incidents of patients falls can be used to measure effectiveness of staff. What type
of measure is this?
clinical measure
Inadequate orientation and training account for what percent of sentinel events?
63%
What organization is measure and improve the quality, value, and outcomes of behavioral
health and rehabilitation programs?
Commission on Accreditation of Rehab Facilities
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, What organization accredits managed care organizations, behavioral health organizations, and
credentials verification for physician organizations?
National Committee for Quality Assurance
An accrediting agencys published rules are called?
accreditation standards
What is the act of granting approval for healthcare organizations to provide services to a specific
group of beneficiaries is called?
certification
What is the act of granting a healthcare organization or practitioner permission to provide
services?
licensure
What is the process of meeting a prescribed set of standards or regulations to maintain active
accreditation, licensure, or certification status>
compliance
What type of review is conducted at the request of the healthcare facility seeking accreditation?
voluntary review
What organization mobilizes employer purchasing power to promote healthcare safety, quality,
and customer value and recognizes improvements with rewards?
Leapfrog
What act requires providers to make significant investments in information systems to have a
positive impact on the care that they provide?
HITECH
What type of data collection pertains to the care services provided to each patient?
patient-specific
Who has categorized its performance measures into accountability and non-accountability
measures?
The Joint Commission
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