Tina’s mother returned to pick her approximately 2 ½ hours later and found that Tina was discharged 30 minutes earlier. Tina’s mother was extremely distraught, security was called, and a “Code Pink” (hospital-wide child abduction alert) was activated. Local law enforcement was also contacted by hospital security. When the security officer interviewed the mother, she shared with him that she and Tina’s father were divorced and that she had full custody of Tina and her siblings. Tina was located within 30 minutes of her mother’s arrival, by local law enforcement, in the care of her father.
The Joint Commission list specific events that are considered reviewable. One of those events is the abduction of a patient On Thursday, September 24th, at approximately 12:30 p. m., a mother arrived to pick up her daughter from the hospital’s outpatient surgery department. The mother left 2 ½ hours earlier to run an errand. When the mother arrived, she was told that the child had been discharged. The child’s mother and father are divorced, and the mother has sole custody of the child.
Initially at registration, the parent or guardian information should have been asked and updated especially for a minor. This would have triggered the mother to respond about full custody issues that could be noted in the record. The next communication error occurred with the Pre-Op Nurse who wrote the mother’s cell phone in her personal notebook instead of the patient’s chart notes. She was the only nurse aware that the mother was leaving the hospital. Without her cell phone number in the chart notes, no other person was aware of the initial arrangements requested by the mother.
WGU Accreditation Audit RAFT Task 2: Root Cause Analysis of a sentinel event A Root Cause Analysis (RCA) of a sentinel event is completed to immediately investigate and respond to possible inductions involving the death or injury of a patient. (Joint commission, 2013). Purpose of this report - To execute a Root Cause Analysis for a Sentinel Event occurrence at Nightingale Hospital. Sentinel Event - Child Abduction Date of Issue/Incident – Thursday September 14, at 12:30 PM Background of Issue/Incident - A three year old female patient was brought to Nightingale Hospital by her mother for an outpatient surgical procedure. The mother asked the pre-op nurse how long the procedure would take, because she had to tend to another child and would need to leave for a short while.
RTT1 Organizational Systems Task 2 Jenene McDowell Western Governors University RTT1 Organizational Systems Task 2 The purpose of this paper is to analyze the unfortunate sentinel event of Mr. B, a sixty-seven-year-old patient presenting with severe left leg pain at the emergency room. A root cause analysis is necessary to investigate the causative factors that led to the sentinel event. The errors or hazards in care in the Mr. B scenario will be identified. Change theory will be utilized to develop an appropriate improvement plan to decrease the likelihood of a reoccurrence of the outcome of the Mr. B scenario. A Failure Modes and Effects Analysis (FMEA) will be used to project the likelihood that the suggested improvement plan would not fail.
Executive Summary Nightingale Community Hospital is a not-for-profit community hospital with a vision to be the hospital of choice for the members of the community. The hospital has a commitment to patient safety, the community, teamwork and accountability. The hospital is an acute care facility with advanced care service lines such as oncology, cardiology, neurosciences unit, obstetrics and a level II NICU. The hospital works to provide cost-effective, compassionate care in a healing environment. The Joint Commission (TJC) surveyed Nightingale Community Hospital two years ago.
Explain the organisation’s mission and purpose Mid Yorkshire Hospital’s mission and purpose is to provide medical care to the community in acute and specialist health circumstances to the Wakefield and Kirklees areas. The trust treats the diverse population without prejudice. The following statement is taken from the Mid Yorkshire Hospitals intranet: “In everything we do, our patients come first. And whether it is providing care and treatment, operating our IT systems or ensuring our environment is pleasant and welcoming for our patient’s, all our staff play a vital part in this.” This explains that patient care is the highest priority for the trust. Staff also have
The method of so-called therapy landed Andre McCollin in the hospital in a nonresponsive state for three days. Cheryl McCollin now has a civil suit against the Center for the damaging treatment against her son. Who is now diagnosed with acute stress disorder and to her will never be the same. Since the Center
She then began to cut causing harm to herself by cutting herself. In February of 2001, Andrea Yates father died and at that point Yates stopped talking, drinking liquids, nursing the baby, and began pulling out her hair. Andrea Yates was admitted into a hospital for the third time. Andrea Yates was started back on the antipsychotic drug therapy. More than one of the doctors that Andrea Yates has seen, sees a sick person which they view her.
The nurse asked the foster mother what happen, and she believe what the mother told her. She did not think there was anything to report to anyone. Especially since there was a social worker involved in the situation. A few days later, the child was at the emergency room again. This time the child did not make it.