Nightingale Community infirmary Root Cause solicit (RCA) for the Sentinel Event Report that happened on September 14 at 0900. 1)SENTINEL EVENT Tina, a 3 course of teaching old minor was admitted to the hospital OR for a double-faced myringotomy, an outpatient surgery, which was expected to last approximately 45 minutes. Following surgery, Tina would be transferred to recovery to be monitored for approximately 1 hour. Tinas micturate informed the pre-op nurse that she needed to run an errand involving Tinas onetime(a) blood relative and she would leave as soon as Tina was enlistn into surgery. The mother stated she would return in time to adjourn Tina up as soon as she was released from recovery. She provided her cell telephone set result and asked to be contacted if Tinas surgery was completed prior than expected. 2 ½ hours later, Tinas mother returned to pick her up and was extremely distraught to discover that her sister had been discharged 30 minu tes earlier. Hospital security was notified at 0900 and a Code pinkish (hospital-wide pip-squeak abduction alert) was initiated. Security notified the local police department to written hatch the accident. The hospital security officer noted Tinas parents were divorce and the mother had legal custody of her boorren.
Local law enforcement bushel Tina approximately 25 minutes after her mothers arrival to the hospital, in the care of her father. Tina was very happy when she aphorism her father. After waiting an additional 30 minutes, he offered to transport Tina home to wait for her mothers arri val. No charges were filed against the c! hilds father. The CEO of the hospital pledged to analyze the incidental and ensured Tinas mother processes would be put into place to jump this type of event from recurring. (Accreditation Audit Case Study - chore 2 Artifacts, 2012) 2)PERSONNEL Nightingales personnel played the following(a) roles during the sentinel event: a)Registrar Upon arriving, Tina and her mother went to the registrars desk to usher for...If you compulsion to get a full essay, order it on our website: OrderCustomPaper.com
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