Finding AS-2026-00149

Handover tool not used consistently between ED and inpatient wards

Nursing · Continuity of Care · Source: Tracer

mediumverifying
Confidence Moderate · 82%
Owner Grace Mwangi · raised 2026-07-18 · due 2026-08-30

AI assessment

Standardised handover tool was used in 6 of 10 observed transfers; verbal handovers omitted pending diagnostics in 3 cases.

Why it matters

Incomplete handover of pending results is a frequent cause of delayed diagnosis and is traced across the full patient journey.

Potential surveyor follow-up

  • What is handed over about pending results?

AI recommended actions

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Traceability

Evidence
  • DOC-1044
  • Tracer TR-2026-049
Chain
Requirement → Evidence → Accredi reasoning → Finding → Recommendation

Human verification

This finding was generated with AI assistance and must be verified by an authorized reviewer before it is treated as a confirmed deficiency. AccrediSense does not make accreditation decisions.

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