Hospital Information 2004
University Hospital
PFI # 0245
Revised: 6/05
Complaints:
| Complaint Information: | 2004 |
|---|---|
| Complaint Investigations Completed: | 25 |
| Complaints with Statements of Deficiencies (SOD) issued: | 10 |
| % of Complaints with SODs Issued | 40% |
| Regional % of Complaints with SODs issued: | 41.4% |
Areas Cited:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| 11/19/03 | 405.2(f)(1) | Governing Body
Care of Patients |
10/26/04 |
| 405.3 | Administration | ||
| 405.4(a)(1)(ii) | Medical Staff
Medical Staff Accountability |
||
| 405.4(f)(2)(iii) | Medical Staff
Postgraduate Trainees |
||
| 405.4(f)(3)(iii) | Medical Staff
Postgraduate Trainees |
||
| 405.5(b)(1)(i) | Nursing Services
Delivery of Services |
||
| 405.5(b)(1)(ii) | Nursing Services
Delivery of Services |
||
| 405.5(c)(2) | Nursing Services
Administration of Drugs |
||
| 405.7(b)(3) | Patients' Rights
Hospital Responsibilities |
||
| 405.12 | Surgical Services | ||
| 405.22(a) | Critical Care and Special Care Services
General Provisions |
||
| 5/3/04 | 405.7(b)(8) | Patients' Rights
Hospital Responsibilities |
8/11/04 |
| 6/23/04 | 405.5(c) | Nursing Services
Administration of Drugs |
10/19/04 |
| 405.7(b)(3) | Patients' Rights
Hospital Responsibilities |
||
| 405.9(f)(1) | Admission/Discharge
Discharge |
||
| 6/25/04 | 405.4(c)(6) | Medical Staff
Medical Staff Bylaws |
10/15/04 |
| 405.7(b)(14) | Patients' Rights
Hospital Responsibilities |
||
| 4/6/04 | 405.7(b)(14) | Patients' Rights
Hospital Responsibilities |
8/16/04 |
| 405.19(e)(2) | Emergency Services
Patient Care |
||
| 4/19/04 | 405.7(b)(8) | Patients' Rights
Hospital Responsibilities |
8/13/04 |
| 2/10/05 | 405.5(c) | Nursing Services
Administration of Drugs |
4/13/04 |
| 11/1/04 | 406.7(b)(3) | Patients' Rights
Hospital Responsibilities |
12/31/04 |
| 4/20/05 | 405.5(b)(4) | Nursing Services
Delivery of Services |
6/23/05 |
| 405.19(c)(5) | Emergency Services
General Policies and Procedures |
||
| 10/21/04 | 405.5(b)(2)(i) | Nursing Services
Delivery of Services |
12/2/04 |
Areas Cited as a Result of Surveys:
| Date of Survey | Type | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| none | |||
Most Recent Survey Date:
Areas Cited as a Result of Incident Investigations:
| SOD Date | Regulatory Citation | Areas Cited: | Date Plan of Correction Accepted |
|---|---|---|---|
| 11/9/04 | 405.8(c) | Incident Reporting | 2/28/05 |
| 11/8/04 | 405.8(a) | Incident Reporting | 12/9/04 |
| 11/8/04 | 405.8(a) | Incident Reporting | 12/9/04 |
| 11/8/04 | 405.8(a) | Incident Reporting | 12/9/04 |
