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
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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
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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
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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
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Executive Summary Nightingale Community Hospital prides itself on their values‚ such as safety‚ community‚ teamwork and accountability. Yet‚ we now understand the more has to be done to provide a safer place for our patients. Nationwide‚ hospitals are trying to find innovative ways to provide safer care and less complication for their employees. Establishing and encouraging standard practices within the infrastructure of the hospital will reduce chances of human error. With so many physician
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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
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Nightingale Community Hospital: Patient Tracer Summary Western Governors University Nightingale Community Hospital: Patient Tracer Summary Nightingale Community Hospital utilizes a tracer methodology adapted from The Joint Commission to review patient charts weekly. The tracer method provides a precise appraisal of programs and methods for delivery of care and services. A thorough review of current services will help identify possible deficiencies. Patient 453355 medical record
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Nightingale Community Hospital Memo To: From: Date: Re: Executive Management‚ Nightingale Community Hospital Brittany Amon‚ Senior Audit Administration September 29‚ 2012 Compliance Status of Nightingale Community Hospital: Information Management The following pages will provide a summary of the current compliance status of Nightingale Community Hospital based on the Information Management Priority Focus Area. From the information provided by Nightingale Community Hospital [the hospital]
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A1. Status Preparing for The Joint Commission‚ Nightingale Community Hospital reviews areas of compliance and non-compliance. A periodic performance review‚ which is a self-evaluation‚ is utilized by Nightingale Community Hospital‚ to prepare for The Joint Commission. The Joint Commission has eighteen accreditation requirements. (Commission‚ 2013) The periodic performance review found the hospital to be compliant and non- compliant in the following areas: Compliant: Emergency Management
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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
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