Bringing transparency to federal inspections
Tag No.: A0147
Based on observation, staff interviews and document review, the facility failed to ensure each patient's confidentiality, as for 10 of 11 patients [Patients #2 - 11] either the patient's entire name or first initial and last name was posted in an area where it could be easily viewed by unauthorized hospital staff and hospital visitors.
Findings were:
During a tour of the hospital intensive care unit on the afternoon of 11/27/18, it was noted that the full first and last name of each patient was posted on an electronic monitor outside of each patient bay area, along with results of current vital sign monitoring. The information was easily viewable by anyone walking through the unit. While access to a hospital intensive care unit is limited, visitors and non-medical staff are still permitted.
A tour of the hospital 6th floor south medical/surgical nursing unit on the afternoon of 11/27/18 revealed a large video monitor hung on a wall across from the nursing station desk in an area common to all patient rooms and visitors. The listing on the monitor included the first initial and last name of each patient on the unit. Each patient listing included the length of stay to date, as well as the anticipated date of patient discharge.
In an interview with Staff #2, the hospital Director of Quality, and Staff #1, Associate Chief Nursing Officer, on the afternoon of 11/27/18 during a tour of the above units, and immediately following the tour in the hospital administrative conference room, Staff #1 stated, "We've had many discussions about this. We determined it was not a violation of patient confidentiality. We have patients sign a consent when they come in, if that helps." Staff #2 stated, "This was approved by our legal area and our accrediting organization also agreed this was not a violation of patient confidentiality. No medical information is disclosed."