The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.
|HENRY FORD HOSPITAL||2799 W GRAND BLVD DETROIT, MI 48202||June 22, 2016|
|VIOLATION: PHARMACY DRUG RECORDS||Tag No: A0494|
|Based on observation, interview, and document review, the facility failed to maintain accurate records of expired scheduled/controlled drugs (e.g. narcotics), resulting in the potential for improper use and/or abuse of these drugs for all patients served by the facility. Findings include:
Observation of the Pharmacy "Vault" (controlled medication room), on 6/21/16 at approximately 1130, revealed many scheduled/controlled drugs (e.g. narcotics) on shelves. A request to review and count expired controlled drugs revealed that these drugs were kept in drawers inside of small separate plastic bags. Pharmacist P provided a document titled, "Meds Pending Destruction Report, dated 6/21/16 11:47:50 AM." On page three of this report was listed "Total Qty of HYDROMORPHONE INJ 1 MG SYR ( 8) Pending Destruction: 7." Pharmacist P looked through the expired medication drawers and was not able to find these seven (7) narcotic syringes pending destruction. Initially Pharmacist P stated, "The report had errors one other time." After further inquiry, Pharmacist P stated, "It must have been picked up already by XYZ (a disposal company)." This was not evident in the review of the disposal company paperwork on 6/21/16 at approximately 1215. Accurate disposition of these seven (7) Hydromorphone syringes could not be determined.