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Based on medical record review and staff interviews, it was determined in 1 of 10 (Pt #1) medical records reviewed, the physician failed to ensure all abnormal lab results were accurately documented and addressed.
Findings include:

1. The medical record of Pt #1 was reviewed. It indicated Pt #1 presented to the Emergency Department (ED) on 7/18/12 at 9:20PM with the Chief Complaint of Suicidal Ideation and left at 11:40PM. Laboratory and toxicology testing were completed. Urinalysis laboratory results indicated the specimen was collected at 9:32PM, resulted at 9:52PM, and verified at 9:56PM. The results indicated the following abnormal findings: "WBC (White Blood Cell) - 5-10 (normal <5)... Bacteria - 3+, Comment: Trichomonas." Physician documentation indicated "Urinalysis normal." The ED discharge instructions were reviewed. There was no documentation to indicate treatment for and/or follow up Trichomonas was ordered.

2. A staff interview was conducted with the ED physician on 10/3/12 at 1:05 PM. When asked about the Urinalysis results and the presence of Trichomonas, it was verbalized that "if the results were back before the patient left the ED, I would have treated it."

3. A staff interview was conducted with the ED Director on 10/3/12 at 1:40 PM. The following was verbalized concerning laboratory and/or ED follow up of infectious processes. "If the Urinalysis results are reported while the patient is in the ED, the results considered as having been reviewed by the ED physician.