Failed outcome | Statement that cited monitoring mechanism failure |
---|---|
1.6 Human Resource Management | Did not have effective monitoring systems in place to identify deficits in staff skills and practices. |
2.7 Medication Management | Failure to ensure safe and secure medication management |
2.8 Pain Management. | Monitoring mechanisms not effective in ensuring residents’ pain management needs |
2.13 Behavioural Management | Problems in the identification and reporting of episodes of challenging behaviours |
3.6 Privacy and Dignity | Lacked an effective system to monitor the maintenance of this area. |
2.10 Nutrition and Hydration | Lacked consistent monitoring of residents’ weights as required by the care plan. |
2.5 Specialised Nursing | Registered nurses did not monitor residents’ specialised nursing care needs, causing a failure in information systems to identify the change in a resident’s health status. |