AccrediSenseMetropolitan General Hospital

92 days to survey

Stage 01Audit & Assessment

13 Gaps Found

Stage 02Remediation & Closure

Tracer Gaps & Remediation Hub

Surveyor Tracer Agenda

Individual and system-level tracers walking active clinical pathways to evaluate JCI compliance.

Start New Tracer

Active Traces

3

Scheduled

3

Completed Reports

6

Filter:

Showing 12 of 12 tracers

TR-01completeEmergency

Patient MG-4400, 50M — community-acquired pneumonia with septic shock

Individual patient tracer — acute medical admission · Surveyor: Dr. Miriam Haddad

ACCIPSGAOPSQEPFRFMSASCMMUPCICOPMOIPFEQPS

18 of 18 points observed82% compliance

TR-02completeICU

Patient MG-4423, 48M — acute NSTEMI transferred from district clinic

Individual patient tracer — acute medical admission · Surveyor: Dr. Tomas Lindqvist

ACCIPSGAOPSQEPFRFMSASCMMUPCICOPMOIPFEQPS

18 of 18 points observed78% compliance

TR-03completeEmergency

Patient MG-4445, 73F — femoral neck fracture with delirium and falls risk

Individual patient tracer — acute medical admission · Surveyor: Ravi Shanmugam

ACCIPSGAOPSQEPFRFMSASCMMUPCICOPMOIPFEQPS

18 of 18 points observed75% compliance

TR-04activeICU

Patient MG-4466, 75M — acute ischaemic stroke within thrombolysis window

Individual patient tracer — acute medical admission · Surveyor: Dr. Miriam Haddad

ACCIPSGAOPSQEPFRFMSASCMMUPCICOPMOIPFEQPS

11 of 18 points observed80% compliance

TR-05scheduledEmergency

Patient MG-4485, 75F — community-acquired pneumonia with septic shock

Individual patient tracer — acute medical admission · Surveyor: Dr. Tomas Lindqvist

ACCIPSGAOPSQEPFRFMSASCMMUPCICOPMOIPFEQPS

0 of 18 points observed

TR-06completeOperating Theatres

Syringe driver BME-2271 — MicroDose MD-60, Operating Theatres

Equipment tracer — life-support device · Surveyor: Ravi Shanmugam

GLDFMSMOISQEMMUIPSGPCIQPS

18 of 18 points observed75% compliance

TR-07activeICU

Defibrillator BME-2105 — CardioLine DX-9, ICU

Equipment tracer — life-support device · Surveyor: Dr. Miriam Haddad

GLDFMSMOISQEMMUIPSGPCIQPS

10 of 18 points observed78% compliance

TR-08scheduledMaternity

Patient monitor BME-2136 — VitalWatch VW-300, Maternity

Equipment tracer — life-support device · Surveyor: Dr. Tomas Lindqvist

GLDFMSMOISQEMMUIPSGPCIQPS

0 of 18 points observed

TR-09completePharmacy

Potassium chloride 20 mmol/10 mL — lot LOT-I7925

Medication tracer — cold-chain and high-alert supply · Surveyor: Ravi Shanmugam

MMUQPSFMSIPSGPCIMOICOP

14 of 14 points observed67% compliance

TR-10activePharmacy

Vancomycin 1 g powder — lot LOT-L5217

Medication tracer — cold-chain and high-alert supply · Surveyor: Dr. Miriam Haddad

MMUQPSFMSIPSGPCIMOICOP

8 of 14 points observed71% compliance

TR-11completeInfection Prevention

System — Prevention and control of infection

System tracer — prevention and control of infection · Surveyor: Dr. Tomas Lindqvist

GLDPCIQPSMOISQEFMS

12 of 12 points observed82% compliance

TR-12scheduledQuality

System — Quality measurement and improvement

System tracer — prevention and control of infection · Surveyor: Ravi Shanmugam

GLDPCIQPSMOISQEFMS

0 of 12 points observed