On Thursday September 14th at around 12:30 pm the hospital had a sentinel event which involved a missing child. The event details are as follows: Tina was scheduled for same day surgery and was brought to the hospital by her Mother. Her Mother was informed that the surgery would take approximately 45 minutes and that Tina would be in recovery at least 1 hour. Tina’s Mother informed the pre-op nurse that she had an errand to run involving Tina’s older sibling. Tina’s mother left the pre-op nurse
Premium Nursing Nurse Florence Nightingale
A1. Sentinel Event Review of the medical record for the specified patient (SP) was completed 09/16/12. The medical record revealed that the SP was a minor child with a diagnosis of history of frequent and recurrent tonsillitis and was scheduled to have the tonsils and adenoids removed 09/14/12 at 10:30 AM as an outpatient procedure. Review of the medical record for the day of 09/14/12 revealed that the SP was admitted to the pre-admission testing area at 9:00 AM. At 10:00 AM the SP was in
Premium Medical record Anesthesia Surgery
NIGHTINGALE COMMUNITY HOSPITAL. RCA (ROOT CAUSE ANALYSIS) FOR THE SENTINEL EVENT REPORT HAPPENED ON MAY 14‚ THURSDAY AT 9:00 AM. 1. SENTINEL EVENT DESCRIPTION. The pre-op nurse told the mother that once Tina (The patient)‚ a 3 years old child‚ went to the OR‚ her surgery would take about 45 minutes and then she would go to recovery and she would be there at least one hour
Premium Nursing Nurse Florence Nightingale
Running head: NIGHTINGALE COMMUNITY HOSPITAL SENTINEL EVENT Sentinel Event: Child Abduction Nightingale Community Hospital Greer Elizabeth Unruh Western Governors University 2 2 Communication is the be all and end all in a successful corporation. Nightingale Community Hospital was unfortunately lacking in this department when Tina‚ a child who was about to be discharged‚ was thought to have been abducted from the vicinity. The personnel in charge of Tina’s wellbeing at that time all gave
Premium Hospital Management Medicine
References: The Joint Commission. (2010‚ 11 23). Sentinel event statistics as of September 30‚ 2010. Retrieved from http://www.jointcommission.org/assets/1/18/Stats_with_all_fields_hidden30September2010_(2).pdf Mulloy‚ D. F.‚ & Hughes‚ R. G. (2008). Patient safety & quality: an evidence-based handbook for nurses. Rockville‚ MD: Agency for Healthcare Research and Quality. Retrieved
Premium Hospital Hospital accreditation Patient
A1. Sentinel Event: Nightingale Community Hospital‚ a not-for-profit hospital‚ prides itself as a leader in high quality health services and envisions itself as the hospital of choice for patients‚ employees‚ physicians‚ volunteers‚ and the community. In order to achieve its mission of creating a healing environment with a passionate commitment to healthcare excellence‚ Nightingale Community Hospital takes the safety and well-being of all its patients seriously. The hospital board and senior management
Premium Hospital Hospital accreditation Joint Commission
Western Governors University Joint Commission Compliance Audit Task 2 AFT2 Accreditation Audit By Cricket Besse 055895 Nightingale Community Hospital Sentinel Event Registrar‚ registered child (3 year old patient)‚ obtained insurance card and entered demographics. She was then taken to pre-op where the nurse told mother that once in the OR the surgery would take about 45 minutes and then she would go to recovery. The mother informed the pre-op nurse that once her daughter went
Premium Patient Nurse Security guard
Characteristics Sentinel Event of Monitoring System There are several methods for monitoring adverse events in the healthcare system‚ characterized by strengths and weaknesses. The correct choice should be appropriate to achieve their goals. Compared to other methods‚ such as population studies based on review of medical records or the analysis of administrative data‚ the communication system does not provide data on prevalence and incidence of adverse events because many factors can influence
Premium Medicine Health care Health care provider
With all of the possible problems that could occur during surgery‚ a wrong-site‚ wrong-patient mistake is one that should never arise. Nightingale Community Hospital (NCH) fully understands the importance of doing away with these errors and has set up protocol to work towards this goal. While the protocol is in place‚ it is not fully compliant with Joint Commission (JC) standards. Standard: UP.01.01.01: Conduct a preprocedure verification process. Nightingale Community Hospital has a Site Identification
Premium Surgery Hospital Patient
ROOT CAUSE ANALYSIS OF A SENTINEL EVENT Diane Swintek Western Governors University Root Cause Analysis of a Sentinel Event A root cause analysis (RCA) is a method by which we can examine a serious adverse event and identify the cause‚ or causes‚ that led up to the event. Although personnel are involved in these events‚ the primary purpose of the RCA is to identify the cause‚ not to assign blame (Agency for Healthcare Research and Quality‚ 2014). It is through identifying a cause‚ or
Premium Anesthesia Patient Nursing