minor“The system in place for recording where on the body analgesic skin patches were being applied was not sufficient to demonstrate where on the body they were being rotated”
minor“There were a small number of gaps on the medication administration recording system (MAR).”
incident learning
1 finding
moderate“a concern had been raised due to the delay in the length of time incidents were being reported back to management.”
communication with families
1 finding
minor“we noted how the response levels for earlier in the year were low. We recommended the provider use different formats such as verbal feedback and pictorial methods”