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Accreditation Audit Case Study: Tracer Patient Task III

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Accreditation Audit Case Study: Tracer Patient Task III
Running head: ACCREDITATION AUDIT CASE STUDY/ TRACER PATIENT TASK

Accreditation Audit Case Study/ Tracer Patient Task III
Crystal Shanaman
WGU

Accreditation Audit Case Study/ Tracer Patient Task III

A1. At Nightingale Community Hospital, our value regarding safety is “we believe that excellence begins with providing a safe environment. We put our patients first as we seek to exceed the expectations of our customers with superior service, outstanding clinical care and unsurpassed responsiveness.” (Nightingale Community Hospital, 2007, p. 2) In order to achieve excellence in safety, we often preform safety checks. One of these checks recently preformed was of a 67 year old patient who presented for a hysterectomy. She ended up with complications and subsequent treatment for these complications, all care was provided by Nightingale Community Hospital. Mistakes were made with this patients care and corrective actions will be taken. It is cases like these we strive to correct, in order to become “the hospital of choice for patients, employees, physicians, volunteers, and the community.”
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Nightingale Community Hospital needs to repeat the steps taken to evaluate the tracer patient on a wider range of patients. They need to re-evaluate the care of at least 100 patients receiving general anesthesia and inpatient surgery within the last 60 days. This is an important step to take to make sure these mistakes were not made as an isolated incident and more as an over all hospital wide issue. Assuming these mistakes are typical to Nightingale Community Hospital, it should proceed with the following steps.

2. Nightingale Community Hospital will concentrate on two specific failures: medication range orders and communication during hand off process. These areas need to be a priority because they have the greatest consequences. Poor communication leads to almost all patient issues and medication dosage can quickly lead to

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