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Improve the accuracy of Patient Identification

ملتقى الجودة وسلامة المرضى
موضوع مغلق
  #1  
قديم 05-15-2011, 09:56 PM
الصورة الرمزية الكفاح
 


الكفاح will become famous soon enoughالكفاح will become famous soon enough


Improve the accuracy of Patient Identification
The Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) has issued several sentinel event reports that described errors in patient identification.
A recent Sentinel Event ***** reported that, at that time, 13% of wrong-site surgeries involved surgery on the wrong patient.
Patient Identification Errors
Patient is misidentified during admission
Missing Armband
Wrong Patient Selection in Surgery
Misidentified X-ray Results
Dietary Misidentification Errors
Charting Errors: physician ordering on the wrong patient.
Medication Misidentification
Patient Identification Errors
Patient Misidentification Leading to Wrong Medication
Misidentified Lab Specimens
Mislabelled Blood Specimen for Transfusion
Misidentified Blood Recipient
Mislabelled Anaesthetic Agent
Z. points out that staff sometimes mistakenly bypasses patient identification because they already “know” the patient.
“Staff needs to recognize that patient identification is one way to prevent medical errors and Improve patient safety,”
“Do not solely rely on patients to correctly identify themselves,”
Name confusion and mistaken identity is “especially relevant in communities where most people’s names are not unique”
Patient identification errors have sparked safety initiatives worldwide
Addressing correct patient identification by requiring that staff should ask the patient to state — not confirm — his or her name, date of birth, and the procedure site (cases patient are for surgery
)
The patient’s responses must then be checked against the patient’s identification wristband, medical record, consent form, and other documents, and the marked site
.
Goal 1: Improve accuracy of Patient Identification
Use at least two patient identifiers whenever
Administering medications or blood products
Taking blood samples and other specimens for testing
Providing any other treatments or procedures
Patient identifiers
Wristband
Patient Medical Record
(Medical record number, Patient name, Birth date)
Civil Identification Number (ID/IQAMA)

Specimen labeling
Specimen containers must be labelled in the direct presence of the patient.
Each container must be individually identified in the direct presence of the patient, using two patient identifiers.
Exception: If the patient is in isolation, the containers may be labelled prior to entering the room.

Newborn Identification
Every infant should have an identification tag tied in two different limbs
First tag, is tied as soon as the baby is delivered (mother’s file number and name, baby’s ***, nationality, date and time of delivery)
Second tag, is tied soon after the individual file of the infant has been made (Name of baby, file number, ***, nationality and time of delivery)

Newborn Identification
Infants delivered outside the hospital and brought to ER should also have two identification tags.
Discharge of newborn
Identification tag which contain name and file of mother is removed and affixed to the baby’s file
The other tag which contains the baby’s own file number is checked by the assigned nurse, head/charge nurse and the physician before handing it over to the family
Second tag is removed at the exit of the hospital by the nursing assistant.
Identification tags are color coded:
Blue – for male infants
Pink – for female infants

Drug Administration
Patients shall be identified before medication administration using patient identification band (name and medical record number)
Process of Checking
Receipt of medication from the Pharmacy (check medicine against the doctor’s order sheet and treatment sheet)
Drug preparation: nurses should check the medical record of the patient with the recent physician’s order in the treatment sheet

Process of Checking
Calculate dosages (two nurses double check the calculation of dosage)
Physician’s order for medication
Medication dosage, route, time and content
Process of Checking
Before giving the medication
Check the treatment sheet against the doctor’s order
At the patient bedside, the nurse shall verify the patient’s name (by letting patient state his/her name) medical record number and patient ID
The nurse must use the 10’Rs

Providing any other treatments or procedures
All patients undergoing a surgical procedure must be properly identified by the surgical team members prior to transporting the patient to the operating room.

Providing any other treatments or procedures
The following are recommended times for verification prior to surgical procedures:
1.Prior to the patients entry into the operating room
2.Verification of the operative siteat the receiving area
3.Prior to sedation
4.Time out verification in the operating theater (after sedation)

Receiving Patient in Operating Room
The receiving nurse should address the patient using his/her full name and introduce himself/herself, including job title or position.
Patient should be asked to say his/her name, the surgical procedure to be performed, and location of the operation.
The patient’s name and hospital-assigned identification number on the surgery schedule should correspond with the information on the patient’s wristband.

Receiving Patient in Operating Room
The information on the patient’s wristband should correspond with the information in the patient’s chart.
Verify that the procedure listed and described on the informed consent in the patient’s chart is the same procedure that the patient verbally stated.
Confirm that the correct procedure is on the operating room schedule.

Prior to sedation
The Anesthesiologist should address the patient using his/her full name and introduce himself/herself, including job title or position.
Patient should be asked to say his/her name and the anaesthesia procedure to be performed.

Time out verification
With the patient positioned, draped, and anesthetized on the O.R. table, and just before the skin incision of the surgical procedure is made, “time out” is conducted as a final verbal confirmation of the correct patient, surgical procedure, surgical site, and when applicable, implants.

Eliminate transfusion error due to patient misidentification
Obtain consent for transfusion
Whoever draws the blood must label the tube at the patient’s bedside without taking the tube away from the patient’s beside.

Upon receipt of the blood
Physician verify the information in the blood container with the blood transfusion request form:
Patient’s name and medical record number
Blood group and type
Unit No.
Type of blood requested
Affixed his signature

Upon receipt of the blood
Two nurses should verify: (blood container)
Patient’s medical record number
Patient’s name
Blood group and type
Expiration date
Prior to administration of blood
Two nurses or one nurse and two staff members (nurse assistants) should verify the patient’s identity (wristband, patient’s medical record, physician’s order and consent form against the information in the blood container)

Wristband errors
Absent wristband
Wrong’s wristband (another patient’s wristband)
More than one wristband (wristband contains conflicting information)
Partially missing information
Partially incorrect information
Illegible identification information

Do Not
Do not use the patient’s room number or physical location as an identifier.
Do not place the identification wristband on a patient’s affected side
Do not replace wristbands that must be removed during a procedure

Remember
Avoid placing patients with the same or similar sounding last names in the same room
Discourage the removal of patient identification wristbands unless removal cannot be avoided
Implement a zero-tolerance policy for blood samples and pathology specimens that have missing or incorrect patient identifiers.
Double check information in addressograph (Identification Stickers)
منقوولـ•
شارك
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من مواضيعي : الكفاح
  رقم المشاركة : [ 2 ]
قديم 05-17-2011, 10:20 PM
مشرفة سابقة
 

غصون الغامدي will become famous soon enough
افتراضي

موضوع رائع اتمنى لك التوفيق الدائم
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غصون

من مواضيع : غصون الغامدي
غصون الغامدي غير متواجد حالياً  
  رقم المشاركة : [ 3 ]
قديم 05-18-2011, 12:39 AM
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اقتباس
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موضوع رائع اتمنى لك التوفيق الدائم
أطيب تحيه
غصون



من مواضيع : الكفاح
الكفاح غير متواجد حالياً  
موضوع مغلق

مواقع النشر (المفضلة)

الكلمات الدليلية (Tags)
accuracy, identification, improve, patient, the


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