Question Details

Tracy is the risk manager at ABC Medical Center, a 300-bed urban teaching facility. One morning, she receives a call from Jerry, the medical director of surgery, asking her to come immediately to one of the operating rooms where a patient had been scheduled for an amputation of the right foot.  

As Tracy approaches the OR, she reviews the preoperative care required for all patients having surgery. The identification of the patient, the verification of the involved limb, and the time out procedure are all in place.  

Tracy enters the OR and immediately notes the concern on the faces of the medical and nursing staff present. The Medical Director proceeds to explain the reason for the call: the wrong limb has been surgically removed from the patient.

Tracy now has a series of notifications to complete as this is a serious reportable event (SRE). Who needs to be notified, and what follow-up process must be completed to remain in compliance with state and the Joint Commission requirements?

Create a presentation of 10 slides, including detailed speaker notes, for the strategic planning committee.
Include the following in your presentation:
Analyze the challenges faced by the health care organization in the case study.
Analyze the role each stakeholder has in the strategies to address the challenges of the health care organization in the case study.
Analyze what programs and services are available to address the challenges.
Analyze strategies that could be used to address the challenges at the health care organization.
Analyze what role collaboration has in implementing strategies within the health care organization in the case study.
Analyze methods for implementing the strategies to address the challenges of the health care organization in the case study. 
Include at least four references.