AND PLAN OF CORRECTION A. BUILDING / St Jude Medical Center / DATE SURVEY COMPLETED A. BUILDING / COMPLETED A. BUILDING / MULTIPLE CONSTRUCTION A. BUILDING / ZIP CODE ST. JUDE MEDICAL CENTER / Hospital B / ~RANG3 COUNTY ST. JUDE MEDICAL CENTER / /
MedicalCondition
ClPPLIER REPRESENTATIVE'S SIGNATURE Any deficiency / allergies / 27AM TITLE C07J Any deficiency / cancer / umbilical hernia / neoplasm / EACH CORRECTIVE ACTION SHOULD BE CROSSREFERENCED TO THE APPROPRIATE DEFICIENCY / Any deficiency / 27AM TITLE Any deficiency / serious injury / E Any deficiency / renal cell carcinoma / deficiency / /
MedicalTreatment
incision / surgery / /
Organization
~RANG3 COUNTY ST. JUDE MEDICAL CENTER / Joint Commission / Patient Safety Performance Improvement committee / MEDICAL CENTER / CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY DEPARTMENT OF PUBLIC HEALTH STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION / Department of Public Health / /
Person
Valencia Mesa / /
Position
Regulatory Manager / assistant surgeon / Director / pathologist / Manager this report / anesthesiologist / Physician / REPRESENTATIVE / surgeon / surgeon and assistant surgeon / Surveyor / circulating nurse / anesthesiologist for the case was interviewed / /
Product
Preventing Wrong Site / /
ProvinceOrState
92~-3i09 ORANGE COUNTY / California / ORANGE COUNTY / /
CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY DEPARTMENT OF PUBLIC HEALTH STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA