Merrick Medical Center

CLIA Laboratory Citation Details

1
Total Citation
2
Total Deficiencyies
1
Unique D-Tag
CMS Certification Number 28D0679415
Address 2802 28th Street, Central City, NE, 68826
City Central City
State NE
Zip Code68826
Phone(308) 946-3015

Citation History (1 survey)

Survey - March 6, 2023

Survey Type: Standard

Survey Event ID: JBJP11

Deficiency Tags: D5309 D5309

Summary:

Summary Statement of Deficiencies D5309 TEST REQUEST CFR(s): 493.1241(e) If the laboratory transcribes or enters test requisition or authorization information into a record system or a laboratory information system, the laboratory must ensure the information is transcribed or entered accurately. This STANDARD is not met as evidenced by: Based on surveyor review of transfusion reports from November 2022 - January 2023, review of laboratory's electronic inventory of blood, and interview with the laboratory manager the laboratory failed to ensure information was transcribed accurately into the laboratory's electronic system. 1. Review of transfusion reports from November 2022 - January 2023 revealed one patient transfused on 1/9/2023 received three units of blood. The transfusion report indicated unit A, unit B, and unit C was transfused on 1/9/2023. 2. Review of the laboratory's electronic inventory of blood revealed unit C was available. 3. Interview with the laboratory manager on 2/22/2023 at 2:43 PM confirmed that unit C was transfused on 1/9/2023 and the laboratory's electronic inventory system was incorrect. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 1 --

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