HospitalInspections.org
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FORBES HOSPITAL
PATIENT SAFETY
Tag No.: A0286
Based on review of facility policy, documentation, and staff interview (EMP), it was determined that the facility failed to implement planned corrective actions for one of three events reviewed.
Findings include:
Review of facility policy "Patient Safety Plan 2016," revealed, "... Goals and Objectives ... In order to achieve these goals, the program includes the following: ... 9. Create and implement necessary and appropriate corrective actions to improve the quality of patient care."
1. Review of facility documentation of event analysis completed on January 28, 2016, revealed, "Action Plan - Review policy with staff. Completion date: February 10, 2016." No documentation of the policy review was provided.
2. Interview with EMP5, on April 19, 2016 at 1:00 pm, revealed, "It [policy review] hasn't been done yet, the manager has been off."