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DOCTORS HOSPITAL
PATIENT RIGHTS: GRIEVANCES
Tag No.: A0118
Based on observation, interview, and record review the facility failed to have the State of Georgia complaint information on the forms given to and posted for the patients and/or their representatives.
Findings include:
Review of the information packet of the outpatient women's diagnostic center revealed that the correct name of the State agency "Department of Community Health" was not listed and the address was incorrect for the Department.
On 3/17/15 at 9:00 AM interview with the Quality Assurance representative confirmed the above.
Review of the policy #1169868 entitled "Resolution of Complaints or Grievances" revised 1/2015 revealed incorrect information and telephone number to call the Complaint division.
PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS
Tag No.: A0146
Based on observation and interview the off-site linear accelerator facility (special outpatient cancer treatment) failed to safeguard twelve (12) of twelve (12) open patient medical records.
Findings include:
Oberservation on 3/17/15 at 9:45 AM revealed in the linear accelerator facility twelve (12) medical records observed in an open cabinet over a desk.
Interview on 3/17/15 at 9:50 AM with the Department Manager revealed that the housekeeping department did come into the area at night but that the cabinet was closed and locked. However, during the interview a demonstration revealed that the door to the cabinet would not close nor would it lock.