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SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT
No Description Available
Tag No.: A0276
Based on record review and interviews with hospital staff, the hospital does not ensure that quality indicators tracked as part of the hospital's QAPI program identify opportunities for improvement and changes that will lead to improvement. Minutes from QAPI meetings, Pharmacy and Therapeutics, Infection Control did not include analysis and actions to be taken to improve performance. This finding was verified with Staff G on the afternoon of 6/25/2012.
QUALITY IMPROVEMENT ACTIVITIES
Tag No.: A0283
Based on record review and interviews with hospital staff, the hospital does not ensure that quality indicators tracked as part of the hospital's QAPI program identify opportunities for improvement and changes that will lead to improvement. Minutes from QAPI meetings, Pharmacy and Therapeutics, Infection Control did not include analysis and actions to be taken to improve performance. This finding was verified with Staff G on the afternoon of 6/25/2012.