Chapter PFE
Strong

Patient and family education

Assesses hospital governance, standardized clinical protocols, staff adherence, and documented evidentiary compliance for patient and family education.

Standard Weight: 5x•Total Requirements: 14•Open Findings: 0
0%Readiness

Trend Direction

up (+1%)

Requirements & Measurable Elements

14 total requirements
Requirement
Standard text (paraphrased)
Criticality
Measurable Elements
Status
PFE.2

Patient and family education — control 2: documented process, responsible owner and evidence of practice (paraphrased)

policyaudit
medium
5 of 6 met84%
Partial
PFE.3

Patient and family education — control 3: documented process, responsible owner and evidence of practice (paraphrased)

policyaudit
medium
5 of 6 met78%
Partial
PFE.4

Patient and family education — control 4: documented process, responsible owner and evidence of practice (paraphrased)

policyaudit
critical
4 of 6 met69%
Partial
PFE.5

Patient and family education — control 5: documented process, responsible owner and evidence of practice (paraphrased)

policyaudit
critical
4 of 4 met88%
Met
PFE.6

Patient and family education — control 6: documented process, responsible owner and evidence of practice (paraphrased)

policyaudit
medium
5 of 6 met87%
Met
PFE.7

Patient and family education — control 7: documented process, responsible owner and evidence of practice (paraphrased)

policyaudit
medium
3 of 3 met97%
Met
PFE.8

Patient and family education — control 8: documented process, responsible owner and evidence of practice (paraphrased)

policyaudit
medium
3 of 4 met85%
Met
PFE.9

Patient and family education — control 9: documented process, responsible owner and evidence of practice (paraphrased)

policyaudit
high
2 of 3 met80%
Partial
PFE.10

Patient and family education — control 10: documented process, responsible owner and evidence of practice (paraphrased)

policyaudit
critical
5 of 6 met82%
Partial
PFE.11

Patient and family education — control 11: documented process, responsible owner and evidence of practice (paraphrased)

policyaudit
high
4 of 5 met88%
Met
PFE.12

Patient and family education — control 12: documented process, responsible owner and evidence of practice (paraphrased)

policyaudit
high
4 of 5 met83%
Partial
PFE.13

Patient and family education — control 13: documented process, responsible owner and evidence of practice (paraphrased)

policyaudit
low
3 of 4 met77%
Partial
PFE.14

Patient and family education — control 14: documented process, responsible owner and evidence of practice (paraphrased)

policyaudit
low
5 of 5 met99%
Met
PFE.15

Patient and family education — control 15: documented process, responsible owner and evidence of practice (paraphrased)

policyaudit
high
5 of 5 met99%
Met

Demonstration output from synthetic data. This is decision support for your quality team, not an accreditation determination.