Improving Quality and Safety through Positive Patient Identification

2015 ◽  
Vol 18 (3) ◽  
pp. 56-60 ◽  
Author(s):  
Kerry Campbell ◽  
Allison Muniak ◽  
Sarah Rothwell ◽  
Linda Dempster ◽  
Jacqueline Per ◽  
...  
2010 ◽  
Vol 01 (03) ◽  
pp. 213-220 ◽  
Author(s):  
M. Heelon ◽  
B. Siano ◽  
L. Douglass ◽  
P. Liebro ◽  
B. Spath ◽  
...  

Summary Objective: To report the incidence and severity of medication safety events before and after initiation of barcode scanning for positive patient identification (PPID) in a large teaching hospital. Methods: Retrospective analysis of data from an existing safety reporting system with anonymous and non-punitive self-reporting. Medication safety events were categorized as “near-miss” (unsafe conditions or caught before reaching the patient) or reaching the patient, with requisite additional monitoring or treatment. Baseline and post-PPID implementation data on events per 1,000,000 drug administrations were compared by chi-square with p<0.05 considered significant. Results: An average of 510,541 doses were dispensed each month in 2008. Total self-reported medication errors initially increased from 20 per million doses dispensed pre-barcoding (first quarter 2008) to 38 per million doses dispensed immediately post-intervention (last quarter 2008), but errors reaching the patient decreased from 3.26 per million to 0.8 per million despite the increase in “near-misses”. A number of process issues were identified and improved, including additional training and equipment, instituting ParX scanning when filling Pyxis machines, and lobbying for a manufacturing change in how bar codes were printed on bags of intravenous solutions to reduce scanning failures. Conclusion: Introduction of barcoding of medications and patient wristbands reduced serious medication dispensing errors reaching the patient, but temporarily increased the number of “near-miss” situations reported. Overall patient safety improved with the barcoding and positive patient identification initiative. These results have been sustained during the 18 months following full implementation.


2019 ◽  
Vol 46 (10) ◽  
pp. 4600-4609
Author(s):  
Yasuyuki Ueda ◽  
Junji Morishita ◽  
Tadashi Hongyo

Transfusion ◽  
2011 ◽  
Vol 51 (11) ◽  
pp. 2311-2318 ◽  
Author(s):  
Shilo Anders ◽  
Anne Miller ◽  
Peggy Joseph ◽  
Tiercy Fortenberry ◽  
Marcella Woods ◽  
...  

Author(s):  
Andréia Guerra

Objetivo: Avaliar as dificuldades, ações e estratégias realizadas pela equipe de enfermagem para alcançar a meta de segurança de identificação dos pacientes em uma unidade de internação de um hospital filantrópico. Método: estudo descritivocom abordagem qualitativa. A coleta de dados foi realizada de junho a julho de 2016, por meio de entrevistas, com roteirosemiestruturado, com vinte profissionais da equipe de enfermagem. Resultados: foram construídas três categorias temáticas: Identificação do Paciente: concepções, ações e dificuldades vivenciadas; Identificação do Paciente: riscos existentes;Estratégias para desenvolver a cultura de segurança do paciente. Conclusão: evidenciou-se a falta de cultura de segurançado paciente nos locais de estudo. Surge a necessidade de criar estratégias educativas que possibilitem uma melhor capacitação, planejamento e organização das ações, assim como as notificações de eventos adversos garantindo qualidade esegurança aos pacientes.Palavras chave: Segurança do Paciente. Qualidade da Assistência à Saúde. Cultura Organizacional. ABSTRACTObjective: To evaluate the difficulties, actions and strategies carried out by the nursing team in order to achieve the goalof identifying patients in an inpatient unit of a philanthropic hospital. Method: descriptive study with qualitative approach.Data collection was carried out from June to July of 2016, through interviews, with semi-structured script, with twentyprofessionals of the nursing team. Results: three thematic categories were constructed: Patient Identification: conceptions,actions and difficulties experienced; Patient identification: existing risks; Strategies for developing a patient safety culture.Conclusion: the lack of safety culture of the patient in the study sites was evidenced. The need to create educationalstrategies that allow better training, planning and organization of actions, as well as the notifications of adverse events,guaranteeing quality and safety to the patients.Keywords: Patient Safety. Quality of Health Care. Organizational Culture


Transfusion ◽  
2019 ◽  
Vol 59 (3) ◽  
pp. 899-902 ◽  
Author(s):  
Jeannie Callum ◽  
Edward Etchells ◽  
Kaveh Shojania

Author(s):  
Somayeh Davoodi ◽  
Reza Kariminejad ◽  
Zeinab Mohammadzadeh

<p class="abstract">One of the information technology applications in the cancer care process is positive identification of patients; several studies show that misidentification in cancer care may cause many problems such as lots of medical errors due to wrong person. Improvement in cancer care processes for positive patient identification through information technology is necessary to reduce mortality and morbidity rate; because errors due to misidentification decrease patient safety. For this reason patient identity information should be clear and explicit. Applying new technologies and standardized methods of patient positive identification can prevent these errors; and enhance the quality of cancer care process. In this literature review, search was conducted with keywords including cancer, positive identification, patient misidentification, information technology, Wireless networks, Barcodes, RFID, and Biometric in Science Direct, Google Scholar, and PubMed databases since 1989 until now. This study explains significant technologies such as Wireless networks, Barcodes, RFID (Radio Frequency Identification) and Biometric tools for positive patient identification in cancer care.</p>


2010 ◽  
Vol 133 (6) ◽  
pp. 870-877 ◽  
Author(s):  
Aileen P. Morrison ◽  
Milenko J. Tanasijevic ◽  
Ellen M. Goonan ◽  
Margaret M. Lobo ◽  
Michael M. Bates ◽  
...  

2011 ◽  
Vol 29 (8) ◽  
pp. 442-443
Author(s):  
Carrie Stein ◽  
Sharon Broughton ◽  
Kim Foltz ◽  
Kathleen Gradwell ◽  
Sherrie Hoffman ◽  
...  

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