Case Study In The Tracer Patient

A1. Nightingale Community hospital is preparing for audit with joint commission, and it’s going to prepare an action plan to recent finding in the tracer patient. This tracer patient is one kind of method where by you select one patient care and track from the admission to discharge, the organization is able to review the system and determine whether the care provided to the patient is meeting the joint commission standard quality of care. There are several error identified by the tracer patient during the survey conducted at Nightingale Community Hospital. The tracer method will allow is to go through the flow of the system and evaluate the effectiveness of the process flow.

One patient identified as our tracer, 67 year old female who presented

According to The Joint Commission mandates, “PC.01.02.03 is a provision of care which requires assessment and reassessment of the patient condition according to hospital defined time frames. The history and physical should be completed within 24 hours of admission but in this case the history and physical was completed more than 72 hours of admission. Although the assessment was performed later this is an indication of timeliness and not lack of skills. The history and physical needed to be done before any procedure is done. The history and physical is considered in compliance if documented 30 days prior to procedure done as long as there is no change in

History and physical is important step in determining the patient problems. One is able to establish the actual problem based on the history alone. Patient medical condition, the proposed procedure is able to determine the type of anesthesia needed for the next procedure. But one of the major reason why history and physical is required is to provide the doctor reviewing the patient an opportunity to review patient’s health status and any other concerns. It gives the doctor condition of the patient he or she can’t do on the patient which might result to death. If a situation where it’s an emergency then the history and physical obtain can be used.

Action Plan:

1. The hospital will identify the person responsible for assessing the patient immediately and submit the documentation to the nurse on duty to make sure it’s done and put in patient chart. This will identify the accountable parties.

2. Training will be provided to all the staff and explain the importance of history and physical. They will then sign an MOU stating they understand the importance and put in everyone’s file.

3. Print a copy of the policy and hang it in the nurse’s