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.
METHODIST DALLAS MEDICAL CENTER | 1441 NORTH BECKLEY AVENUE DALLAS, TX 75203 | Aug. 18, 2014 |
VIOLATION: PATIENT SAFETY | Tag No: A0286 | |
Based on interview and record review the hospital failed to implement its identified preventive actions to ensure patient safety in that Patient #2's PermCath was removed by one of one personnel (Personnel #6) and the identified safety actions were not initiated at the time of the survey. Findings included: A review of Patient #2's medical record reflected the patient received a PermCath (central venous catheter for dialysis) on 03/03/14 and an AV (arterial/venous) vascular access in his left upper arm on 03/07/14. Personnel #6 removed the PermCath before discharging Patient #2 from the hospital. The History and Physical dated 03/11/14 indicated Patient #2 had a recent admission to the hospital and had received a PermCath that was "unfortunately removed at the time of discharge." During Patient #2's hospital stay from 03/11/14-03/14/14 he received a second PermCath on 03/13/14. During an interview on 08/18/14 at 1:10 PM with Personnel #1 she said Patient #2's PermCath should not have been removed in that the patient's AV vascular site had not matured and could not be used for dialysis at that time. During an interview on 08/18/14 at 1:15 PM with Personnel #6 she said she did not know a nurse was not supposed to remove a PermCath. During an interview on 08/18/14 at 2:00 PM with Personnel #7 she said the action plans had not been implemented. |