received the H&P for the abdominal hysterectomy. In reviewing the Tracer document and other information, it became clear that there were three violations of Joint Commission Standards (JCS) for PC.01.02.03 which states: “The hospital assesses and reassesses the patient and his or her condition according to defined time frames.” (Joint Commission, 2014 August). The violations are as follows: 1) When bleeding was detected, the doctor made the determination that the less invasive laparoscopic hysterectomy
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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 that provides for proper care and emphasizes patient safety. NCH has shown to be 100% compliant with the majority of standards including:
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A1. Sentinel Event On the evening of September 14, 2011 a sentinel event occurred at Nightingale Hospital. According to Joint Commission, a sentinel event is characterized as an unexpected occurrence involving death or serious injury mother proceeded physical), or the risk thereof (http:www.jointcommission.org). A three year old child was accompanied by her mother for an outpatient procedure scheduled for September 1, 20111. The mother proceeded to register the child for the procedure and was provided
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Patient and Family Centered Care Kimberley Masterson WGU0713 Stacy Stratton-Mentor Practice Setting Wellington Regional Medical Center is located in Wellington, Florida. It is a 233-bed, acute-care hospital, owned by a subsidiary of Universal Health Services, Inc., a highly respected, healthcare management organization. Wellington Regional Medical Center is owned and operated by a subsidiary of Universal Health Services, Inc.(UHS), a King of Prussia, PA-based company, that is one of the largest
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Executive Summary Nightingale Community Hospital (NCH) is currently preparing for its triennial Joint Commission survey which is expected in approximately 13 months. The Joint Commission primary focus areas for NCH are Information Management, Medication Management, Communication, and Infection Control. The primary focus area outlined in this summary is Communication. The Joint Commission has three standards in which NCH is evaluated. Currently, NCH is non-compliant with standards UP.01.01
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patients, N.C.H gets the joint commission periodically to come in and rate all the departments as well as the quality of care that the hospital provides. This evaluation by the joint commission is important because its seal of endorsement on a hospital means that the hospital rates highly in all aspects of care. Patients and their families constantly look for that supreme seal of excellence. Therefore N.C.H wants to make sure its services measure up to the joint commission standards. The previous
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Barclay Memorial Hospital (BMH) has served its community since 1947 offering the best in health care and gaining the trust of the citizens in the community. A district board was set up to govern the hospital and direct it in a way that would allow the hospital to achieve their goals by bringing quality health care to the neighborhood. The district board was made up of five members who were elected by residents in the district to serve 3-year terms. Around 10 years ago, the board and the CEO decided
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hospital must meet medication management standards set forth by the hospital and the Joint Commission. Medication management often involves the efforts of multiple services and disciplines. It is part of Nightingale’s policy that a patient’s information is accessible to a physician, pharmacist or nurse in the management of a patient’s medication. Nightingale Hospital has all the policies in place that the Joint Commission looks for to keep the hospital accredited. A1. Plan for Compliance In reviewing
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Healthcare Quality, the Joint Commission, the Healthcare Facilities Accreditation Program, and Det Norske Veritas Healthcare Inc.,’s program (Thompson, 2013). Healthcare organizations must consider their needs when determining which nationally accredited organizations to enter into agreements with. Thompson (2013) states, “The Joint Commission dominates the field. In 2010–11, the report states, 90% of hospitals with so-called deemed status obtained it from the Joint Commission. The rest of the hospitals
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and Responsibilities of the Individual TS-Transplant Safety Trends of noncompliance within the healthcare system From the list of recorded finding there are several trends identified in which the hospital is will need to address to meet the Joint Commission (JC) standards. The list is divided into direct and indirect impact. There are 4 indirect impact issues that need to be addressed and 1 direct impact issue. Indirect Impact Trends Verbal Orders-Verbal orders are not being authenticated within
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