Continuously improving the quality of care provided to individuals is essential for meeting accreditation requirements and preventing malpractice. Cases of individual patients are an excellent source of information for care providers that could help to evaluate gaps in the quality of care delivered to patients and design improvements to address them. Furthermore, tracer cases can assist in assessing compliance with accreditation requirements, thus preparing institutions to be accredited by the Joint Commission. In the present case, the patient is a 67-year-old female who had a laparoscopic hysterectomy. Seven days ago, she was readmitted due to concerns regarding a possible postoperative infection. In two days, she received surgery to treat the abscess on the previous surgery site and is currently receiving antibiotic therapy. By reviewing comprehensive information about the case, the Director of Accreditation will identify the required improvements and suggest a plan for their implementation. The conclusions made as part of the evaluations will thus help the institution to meet relevant accreditation standards. Evaluation According to the case scenario, the patient was admitted with a postoperative wound infection and received surgery for drainage. She was prescribed a long course of antibiotics to help cope with the infection and should be discharged in a couple of days to obtain further health care at home. The patient did not receive a history and physical exam within 24 hours of admission. In fact, it has the exam delayed by over 72 hours, indicating a critical breach of care standards. The nurse was able to verbalize the medication reconciliation process and had evidence of reconciliation on admission and after surgery. A functional assessment of the patient was also performed, but there was no documentation relating to it. However, the nutritional assessment was documented, and the nurse found indications for social work referral. She also stated that the patient had an advance directive, but the family failed to bring it. A skin assessment was performed on the patient on admission, indicating a risk of skin breakdown, and the patient was put on a specialty bed. The patient’s fall risk was also highlighted on the handoff form, necessitating slip-proof socks and night light. The initial nursing plan of care was documented, but no updates to it have been made following the surgeries. The patient had no barriers to learning, and patient education was administered as planned. The care providers involved in the case communicated with one another using process notes and one-on-one conversations. The pain was assessed at regular intervals using a numerical pain scale, and pain medications were offered as required. The environment of care showed some concerns since oxygen tanks were not secured, and air vents were dusty. The nurse claimed to use the read-back process when taking verbal orders over the phone but did not apply it when describing the patient’s critical values. They were also unable to explain the range order policy and admitted that she would give a maximum doze if the range was 25 to 100 mg. A color-coded armband was used to identify the patient’s DNR status, blood consent was signe