University Hospital at Stony Brook
PFI #0245
Revised: 4/04
Complaints:
| Complaint Information: | 2003 |
|---|---|
| Complaint Investigations Completed: | 34 |
| Complaints with Statements of Deficiencies (SOD) issued: | 13 |
| % of Complaints with SODs Issued | 38% |
| Regional % of Complaints with SODs issued: | 49.2 |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| 11/22/02 | 405.7 | Patients' rights (b) (4) Hospital responsibilities (b) (14) Hospital responsibilities |
9/19/03 |
| 405.19 | Emergency services (e) (1) Patient care |
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| 7/02/03 | 405.7 | Patients' rights (b) Hospital responsibilities (b) (3) Hospital responsibilities |
3/12/04 |
| 405.9 | Admission/discharge (f) (1) Discharge |
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| 405.19 | Emergency services (e) (1) Patient care (f) Quality assurance |
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| 11/10/03 | 405.17 | Pharmaceutical services (a) (2) (i) Organization and direction |
12/19/03 |
| 9/08/03 | 405.4 | Medical staff (c) (6) Medical staff bylaws |
11/03/03 |
| 405.5 | Nursing services (b) (1) Delivery of services (b) (2) Delivery of services |
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| 9/12/03 | 405.7 | Patients' rights (b) (24) Hospital responsibilities |
NO POC REQUIRED |
| 405.10 | Medical records (c) Authentication of medical records, record entries and medical orders |
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| 11/18/03 | 405.7 | Patients' rights (b) (24) Hospital responsibilities |
1/30/04 |
| 1/27/03 | 405.12 | Surgical services (b) (3) Operation and service delivery |
7/14/03 |
| 7/02/03 | 405.2 | Governing body (c) (1) Compliance with laws |
9/15/03 |
| 405.7 | Patients' rights (b) (13) Hospital responsibilities |
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| 11/24/03 | 405.7 | Patients' rights (b) (8) Hospital responsibilities |
2/11/04 |
| 2/28/03 | 405.2 | Governing body (b) (2) Organization and operation |
6/13/03 |
| 405.3 | Administration | ||
| 405.5 | Nursing services (c) Administration of drugs |
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| 405.7 | Patients' rights (b) (3) Hospital responsibilities |
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| 6/18/03 | 405.43 | Orders not to resuscitate (c ) (3) Presumption in favor of a patient's consent to resuscitation (f) (4) (i) (a-b) Surrogate decision making |
9/14/03 |
| 11/22/02 | 405.7 | Patients' rights (b) (8) Hospital responsibilities (b) (23) Hospital responsibilities |
10/21/03 |
| 11/07/03 | 405.4 | Medical staff (a) (2) Medical staff accountability |
2/10/04 |
Areas Cited as a Result of Surveys:
Annual Compliance Review
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| 3/17/03 | 405.4 | Medical staff (b) (6) (ii) (a) Organization (b) (6) (ii) (b) Organization |
5/27/03 |
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
NYPORTS
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| 4/07/03 | 405.6 | Quality assurance program (b) (1) Activities |
9/29/03 |
| 405.7 | Patients' rights (b) (14) Hospital |
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| 405.21 | Maternity and newborn services (e) (4) Intrapartum services delivery |
