A pragmatics' view of patient identification (original) (raw)
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Joint Commission journal on quality and patient safety / Joint Commission Resources, 2012
Accurate patient identification (PT ID) is a key component in hospital patient safety practices and was addressed by one of the first six Joint Commission National Patient Safety Goals, which were introduced in 2003. Although the literature on patient safety practices is replete with discussion of strategies for improvement, less is known about frontline providers' subjective views. A qualitative study was conducted to examine the subjective views and experiences of nurses and residents regarding PT ID at an urban teaching hospital. Some 15 registered nurses and 15 residents were interviewed between August 2009 and June 2010. Transcripts were analyzed using qualitative methodologies. Although residents and nurses viewed PT ID as crucial to patient safety, they cited time pressures; confidence in their ability to informally identify patients; and a desire to deliver personal, humanistic care as reasons for not consistently verifying patient identification. Nurses expressed concer...
Patient Identification Errors Are Common in a Simulated Setting
Annals of Emergency Medicine, 2010
The study included prospective, simulated patient scenarios with an eye-tracking device that showed where the health care workers looked. Simulations involved nurses administering an intravenous medication, technicians labeling a blood specimen, and clerks applying an identity band. Participants were asked to perform their assigned task on 3 simulated patients, and the third patient had a different date of birth and medical record number than the identity information on the artifact label specific to the health care workers' task. Health care workers were unaware that the focus of the study was patient identity.
Patient Identification Errors in the Hospital Setting: A Prospective Observational Study
Al-Rafidain Journal of Medical Sciences ( ISSN: 2789-3219 )
Background and aim: In every aspect of clinical care, including diagnostic testing and medication administration, patient identification (ID) errors can disrupt care and harm patients. The study assesses healthcare workers' frequency and accuracy in verifying patient identity before performing common tasks and develops a proposed patient verifying identity program clinical model to meet the training needs of healthcare workers. Methods: An observational cross-sectional study was conducted at Al-Najaf Teaching Hospital from March to May 2022. Data collection was done through a questionnaire and participatory observation. Hundred-forty healthcare workers participated in the study: 52 clinic doctors, 27 registered nurses, 34 information officers, 17 pharmacists, 4 radiologists, and 6 outpatient hospital doctors. Results: The majority of participants (62.1%) were female. The majority of the 40 participants (28.6%) worked in the operating room. Furthermore, the majority of the partic...
Strategies for a Systematical Patient Identification
2007
The growing demand for informational self-determination of patients will not only result in a stronger participation in therapeutic decision making hence causing a change in the physician-patient-relationship, but also require more complex information logistics for health care providers. In this context, a core challenge is the patient identification in a heterogeneous system of diverse ICT solutions. This article presents first approaches how to solve problems arising from insufficient patient identification, both from a single actor's perspective as well as the health network perspective. In a first step, organisation internal as well as cross-organizational mechanisms for patient identification are presented. In a second step, systematic and integrated strategies are discussed. This paper concludes with an outlook on future research questions in this field.
Patient Safety: The Implementation of Patient Identification in the New Normal
Jurnal Aisyah : Jurnal Ilmu Kesehatan
Identifying errors at the beginning of the service will have an impact on the errors at the next stage. Nurses have a central role in safe drug delivery. This study aimed to determine the implementation of patient identification. The research used descriptive analytic with a cross-sectional approach. A total of 134 nurses was selected to be the samples trough purposive sampling at a hospital in Temanggung Regency. The data were collected using questionnaires and observation sheets. The data were analyzed using a frequency distribution. The results showed that the application of patient identification was categorized as low (<100%). Nurses need to improve the implementation of patient identification according to standards so that it will improve the quality of services that focus on patient safety.
The safety of care focused on patient identity: an observational study
2021
Background and aim: Healthcare organizations, to reduce errors and extend the number of safe practices, are looking for possible solutions to enhance the clients’ health quality care and trying to spread the culture of safety healthcare. Although in the literature the field of research “patient safety” is very debated, there are few empirical studies that investigate about the strategies undertaken by nursing students for the patients’ identification process during their care pathway. The aim of this study is to investigate the knowledge of the Ministerial Recommendation No. 3/2008 among nursing students, a specific Italian directive that aims to guarantee the safety of cares. Methods: A four-weeks single-centered observational study was conducted, involving a convenient sample of 112 students of the 2nd and 3rd year of the Nursing Course Degree of the University of Parma. The survey was conducted using an ad-hoc questionnaire. Results: The use of the identification wristband is con...
International Journal of Medical Informatics, 2000
This article considers the problem of identifying patients in one or more heterogeneous personal databases. The unambiguous identification of patients is an essential prerequisite for an efficient patient care system. We discuss the problems involved in this task and suggest how they can be dealt with. The solution of automatic consolidation of patient records sequires programming, organisational and work psychology measures. Following a survey of conventional identification methods, the method developed at the Department of Medical Computer Sciences, which is based on the current clinical situation at the General Hospital in Vienna (AKH -Allgemeines KrankenHaus), is described in detail. The basic principle is to identify patients unambiguously by means of an ID (IZAHL) derived directly from the personal data. Thereby a deterministic technique without probability weighting is used -all compared information must correspond completely. The article closes with a critical survey of experience gathered to date.
Global Journal on Quality and Safety in Healthcare, 2019
Background: Patient misidentification prevails in daily practice and remains a critical issue in health care. Being knowledgeable about how to accurately identify patients and comply with identification processes is critical, particularly in countries where patients have similar names. A study was undertaken to examine the knowledge levels of and compliance with the patient safety goals and policies and procedures of the clinical and nonclinical staff. Materials and Methods: A cross-sectional survey and an observational audit design were used at a specialist and research hospital in the Saudi Arabia to assess knowledge levels and compliance rates of appropriate patient identification methods. Results: The majority of healthcare providers (n = 350, 87.1%) and almost half of non-healthcare providers (n = 186, 47.8%) reported high levels of knowledge of patient identification standards, including the need to use two patient identifiers. However, audit results revealed that health-care ...
Identity Management Systems in Healthcare: The Issue of Patient Identifiers
IFIP Advances in Information and Communication Technology, 2009
According to a recent recommendation of the European Commission, now is the time for Europe to enhance interoperability in eHealth. Although interoperability of patient identifiers seems promising for matters of patient mobility, patient empowerment and effective access to care, we see that today there is indeed a considerable lack of interoperability in the field of patient identification. Looking from a socio-technical rather than a merely technical point of view, one can understand the fact that the development and implementation of an identity management system in a specific healthcare context is influenced by particular social practices, affected by socio-economical history and the political climate and regulated by specific data protection legislations. Consequently, the process of making patient identification in Europe more interoperable is a development beyond semantic and syntactic levels. In this paper, we gives some examples of today's patient identifier systems in Europe, discuss the issue of interoperability of (unique) patient identifiers from a socio-technical point of view and try not to ignore the 'privacy side' of the story.