The safety deficiencies of the Children's Hospital of the University of Iowa remain

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CITY FROM IOWA – A year after internal auditors found numerous security breaches at the new Children's Hospital of the University of Iowa Stead Family, including the potential for disturbing access to buildings, administrators did not correct the problems or submit a report which shows that he made the recommended corrections.

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Among the The deficiencies revealed in the audit include the lack of background checks on construction workers, some of whom continued to work on the site after the 14-story hospital began treating patients in February 2017.

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"During The construction of (Stead Family Children's Hospital), two registered sex offenders were discovered working in SFCH for contracted construction companies, "according to the audit, produced in November 2017, which did not give a more specific time frame for when the lapse was found "At the time of the discovery, these people were asked to leave the facility."

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A summary The audits at the UI, Iowa State University and University of Northern Iowa campuses, which will be discussed at this week's Board of Regents meeting in Cedar Falls, show insufficient follow-up of the recommendations of the Children's Hospital that were supposed to It has been addressed in March.

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UI Hospital and Clinic officials did not respond on Wednesday to The Gazette's questions about whether the problems cited had been resolved. In the initial audit report, the UI managers indicated that some changes recommended by the audit had occurred or were being addressed.

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" The auditors will provide an update on that issue to the Board of Regents, State of Iowa, at their next meeting, "UIHC spokesman Tom Moore said on Wednesday.

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The audit The security team highlighted recommendations or improvements in 11 areas, including visitor inspection, which found a contradictory policy and represented a risk.

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"With the influence of the use and association of social networks in (Stead Family Children's Hospital) and UIHC, members of the public they can more easily obtain a patient's name from social networks and use it during the visitor selection process to access the inpatient units, "according to the audit, citing an example.

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"In one case, a member of the community used a patient's name from social networks to access the inpatient floor and was directed gone back to the patient's room, before the patient's parents indicated that they did not know the person. "

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The The audit also emphasized the need for better management of access credentials, as some contractors and construction employees held credentials for work months after the completion of the project.

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"The Management must immediately review active construction credentials and deactivate credentials for contractors who no longer have a commercial need, "said the audit.

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The audit He said his records review found that out of 127 active credentials assigned to construction contractors, 49 no longer had a commercial reason to maintain such access.

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In addition , the university process did not require construction teams to have a contract with UIHC to attend orientation and obtain an access credential.

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" There is a risk that a person with malicious intent may complete the orientation, obtain a credential and keep it after the completion of the project, "according to the audit.

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UIHC previously it did not require contractors or suppliers to conduct new background checks before or while working on campus, forcing auditors to recommend it to do so "especially for nearby projects or with access to pediatric patient care."

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The new Children's Hospital, although it received international praise for its medical care mission, has also been criticized by contractors for mismanagement and excessive spending

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The UI is involved in disputes with at least two contractors, including one that resulted in a $ 21.5 million decision, primarily from the hospital project, against the UI, which is on appeal.

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The The audit also addressed some construction-related problems that caused safety problems, including the conclusion that some doors did not work as planned.

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During the audit period, according to the report, about 20 percent of the interior doors tested and 10 percent of the exterior doors tested were found to be open or unlocked "when the door program indicated that the doors should be closed and closed ".

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The UI managers, in the report, noted that the lockout and unlock schedule for doors had changed and that they would update the plans.

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The auditors They found that up to 60 doors and up to 30 surveillance cameras had not been put into service or were not working properly. According to the university contract, a contractor had to complete the installation and guarantee the operation before the occupation.

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" Management should address, as soon as possible, all the doors and surveillance cameras in the original design package at (Children's Hospital) that have not been commissioned and ensure that they are functioning and tested, "recommended the audit.

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The UI officials pledged to do so before December 1, 2017.

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committed to revoke permits for staff members who should not have access to drug rooms.

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The auditors found that 79 people with access to identification "do not seem to have a commercial reason to access the drug rooms (from the Hospital de Children) "

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Due to that credential readers record each time they are rejected, auditors found attempts and rejections by people with no apparent business needs, including people "without an active UIHC appointment", janitors and a food worker.

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" Management should immediately review the denials of badges in each drug room and the highly restricted areas in (the hospital) for repetitive denials, periodic denials of badges and other suspicious activities, "the audit said.

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l Comments : (319) 339-3158; vanessa.miller@thegazette.com