Accreditation Audit (AFT2) Task 2
Sentinel Event
Western Governors University
Accreditation Audit (AFT2) Task 2
Sentinel Event
A1. Sentinel Event Summary
This sentinel event is directly associated with a child abduction at Nightingale Community Hospital. A 3 year old patient was having surgery at Nightingale Community Hospital on Thursday, September 14. The patient’s mother accompanied the patient before surgery and completed all consent form. An estimated time of 1 hour 45 minutes was given as the time to complete surgery and recovery. The mother informed the pre-op nurse that she would be off campus during the surgery and would return to pick up the patient in the time frame given. She also provided a phone number to…show more content… This will improve communication throughout the process and ensure a physical identification can be matched upon discharge. * The registrar should also be granted access to the surgeon’s office notes to review any demographic information. This will ensure consistency and identification of information that may not have been documented during the surgical check-in process. * Pre-Op Nurse: The pre-op nurse is the second person in the process to interact with the patient and their family. The pre-op nurse is responsible for all pre-surgical workups for the patient. This includes medical and family related activities. The pre-op nurse communicates with the family the specific expectations for the patient’s surgery and associated timeframes. * Personnel Issues: One of the key barriers to effective interaction for the pre-op nurses is that they are not getting any information from the registrar or the surgeon related to the patients unique circumstances. There is not a communication process in place for the pre-op nurse to actively communicate with the surgeon or his office regarding a patient’s care during their day of surgery. An additional factor in this situation was the pre-op nurse documented the mother’s contact information in her notepad, but not on the
Accreditation Audit
4 June 2015
Contents
A. Sentinel Event 3
A2. Personnel Involved 4
A3. Personnel Issues 6
Interactions improvement 6
A4. Quality Improvement 7
B1. Risk Management Program 8
Resources 9
Works Cited 10
A. Sentinel Event
This sentinel event involves child abduction from the surgical unit of Nightingale Community Hospital on Thursday, September 14, 2014 at approximately 1230hrs. The patient, a three-year old female, arrived accompanied by her mother, for an
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
Continuous Accreditation Compliance - Task 4
AFT2 Accreditation Audit
October 31st, 2014
Continuous Accreditation Compliance - Task 4
Nightingale Community Hospital (NCH), like many other health care facilities, uses a Periodic Performance Review (PPR) as an assessment tool that assists in examining performance on a consistent basis to ensure compliance with Joint Commission standards. A PPR concentrates attention on procedures, methods, and processes that contribute an environment