Final answer:
During an on-site survey, the surveyor evaluates compliance and performance in a hospital, including processes for responding to sentinel events. They may also review comprehensive systematic analysis and investigate sentinel events.
Step-by-step explanation:
During the on-site survey, the surveyor will evaluate the hospital's compliance and performance regarding applicable standards, National Patient Safety Goals (NPSGs), and Accreditation Participation Requirements (APRs). The surveyor may assess a hospital's processes for responding to sentinel events, which are unexpected occurrences involving death or serious physical or psychological injury to a patient.
Furthermore, the surveyor may review an actual comprehensive systematic analysis, which involves a thorough examination of the hospital's processes to identify areas for improvement and ensure patient safety. The surveyor may also search for or investigate sentinel events to determine if the hospital is effectively responding to such incidents.