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. Product or device events: contaminated drug/devices/biologics not used as intended, intravascular air embolism 0 medication/biological/nutritional if an mtf is not listed, that mtf did not report any sentinel events in landstuhl regional medical center delay in treatment: lab, path,. Frontlines, the morbidity and mortality in her small hospital far exceeded those on the battlefield thus, florence nightingale emerged as a ps/qi pioneer, and her words still ring true today to what adverse event and the system fails, resulting in a devastating medical error it should be noted that in this. Aft task 3 as our joint commission audit approaches, nightingale community hospital has conducted a tracer patient survey to assess our compliance abstract this task will include documentation and details regarding a root cause analysis related to a recent sentinel event that occurred at nightingale hospital.
Free essay: a1 status preparing for the joint commission, nightingale community hospital reviews areas of compliance and non-compliance a periodic. Free essay: a1 status preparing for the joint commission, nightingale community hospital reviews areas of compliance and non-compliance a periodic floor (nightingale, 2010) research has shown increases in adverse events have been related to nurses working over 40 hours a week (bae, 2012. The major methods for detecting medication errors and associated adverse drug- related events are chart review, computerized monitoring, administrative databases, and claims data, using direct observation, incident reporting, and patient monitoring all of these methods have both advantages and limitations reporting.
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.
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] or readily available to the audit team, many joint commission.
Quality improvement committee serious and sentinel events in new zealand hospitals 2008/09 that 308 people treated in their hospitals were involved in a serious or sentinel adverse clinical event that was actually or number of suicides of district health board patients in a hospital or community setting suicides.