Aft2 Task 3 Essay
4 June 2015
Contents A. Tracer Audit 3 A1. Focus issue 3 A2. Corrective action 4 Works Cited 5
A. Tracer Audit
The tracer was performed as part of a process improvement to assess compliance with The Joint Commission standards (The Joint Commission, 2015). In this process, a random patient chart was chosen and the process followed from admission to discharge including any directly related follow-up or readmission.
The chart chosen for this tracer was for a 67-year-old female who underwent an open hysterectomy five weeks prior to hospitalization. The patient was admitted for post-op infection, abscess formation and drainage at the surgical site and fever seven days ago. Treatment consisted of surgical …show more content…
A2. Corrective Action Plan 1. The quality team will be tasked with completing 20 additional tracers in the next 30 days to assess the extent of this issue and ascertain whether it occurs randomly or frequently. The results of these additional audits will be given to the Chief Nursing Officer who will oversee any additional course of action initiated. 2. The hand-off process will be updated to include verification of H&P completion prior to the end of shift on the day of admission and any action taken by the nurse to obtain the H&P from the admitting or attending provider. 3. Attending and Admitting providers will be