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DLG AA Task 2.docx Code Pink Sentinel Event Root Cause Analysis College of Business, W

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DLG AA Task 2.docx Code Pink Sentinel Event Root Cause Analysis College of Business, Western Governors University AFT2: Accreditation Audit Code Pink Sentinel Event Root Cause Analysis Sentine... l Event Summary A sentinel event occurred at Nightingale Community Hospital (NCH) on Thursday, September 14 at 12:30 p.m. On this date, a 3-year-old female (3 y/o) arrived at NCH s Ambulatory Surgical Unit with her mother. Upon arrival, the patient was directed to the registrar s desk, where the 3 y/o was registered for her procedure, a dual bilateral myringotomy (tubes in the ears). Once registration was completed, they were taken to the pre-op area for the 3 y/o to be prepped for surgery. The mother was informed that the surgery would take approximately 45 minutes to perform and then the 3 y/o would be transferred to recovery where she would spend approximately one hour. At this time, the mother informed the. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [Show More]

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