Nursing (Corrective Action)
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We would like to highlight and bring your attention the findings by NURSING STAFF team on the below elements in the close patient records audit for the Q2/2024. While we strive to maintain the highest standards of documentation and patient care, it is important to address instance of non-compliance with certain elements of the clinical chart. Below is the report.
• Analysis:
• Analysis:
The table provides compliance rates for various elements related to surgery and anaesthesia documentation in Q2 2024. Since this is a new element audited in Q2, there is no benchmark from Q1, but the measure is compared against an ideal compliance rate of 100%. The compliance rates for Q2 2024 indicate both strengths and areas needing improvement. While certain areas, such as the completion of signatory columns for surgery and anaesthesia consents, show full compliance, others, particularly the documentation of recovery scores, pain scores, and discharge times, require targeted corrective actions.
• Analysis:
The table provides compliance rates for various categories related to documentation and procedural checks across two quarters (Q1 and Q2) in 2024 which is show the compliance rate for "Independent checker is available" dropped from 100% in Q1 to 96% in Q2, indicating a minor reduction in adherence. Possible reasons could include staffing issues, oversight, or process gaps.
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