He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices (original) (raw)
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The safety of care focused on patient identity: an observational study
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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...
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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 ...
Nursing Current Jurnal Keperawatan
Making errors in patient identification can cause problems and are threats to safety of patients. Nurses’ adequate knowledge and adherence to the implementation of patient identification can improve patient safety. This study used quantitative research with correlation research design. This study was conducted in the inpatient unit at a private hospital in western Indonesia with a total of 37 nurses. Data were collected using questionnaires developed and has been tested for validity and reliability. Observations were also carried out to directly observe the nurses’ behaviors in carrying out patient identification using checklist observation guide developed from the standard operational procedures of the hospital. Data were analyzed using both univariate and bivariate tests with Spearman Rank. The results of this study showed significant correlation between level of nurse’s knowledge and adherence in implementing patient identification correctly with patient identification implementa...
Patient Identification in Wards: What Influences Nurses’ Complicance?
Jurnal Medicoeticolegal dan Manajemen Rumah Sakit, 2020
Patient safety is important because people have easy information and hospitals reports related to medical errors. Patient identification is the most important causes in patient safety incidents. In 2019, 12 near misses due to misidentification of patients in the inpatient, laboratory, and pharmacy at the private class D hospital in Blitar. This prompted the authors to conduct case study and analyse the causal factors of the problems. The method used in this research is descriptive and case study approach. Identification of the root problems was done by observation and interviews with implementing inpatients room's nurses using observation sheets. Determination of the root problems is determined through two-stage focus group discussion (FGD) using a fish bone diagram. Six root problems was found that affect the low compliance in the implementation of patient identification in inpatient installations, they are low supervision and supervision from the leadership, no resocialization regarding patient identification, small number of patients, lack of safety culture, lack of supporting tools, and patients' willingness to be served quickly. Knowing the root factors that affect the officers' compliance is essential so supervision methods that are appropriate to the conditions of the hospital can be conducted. Keselamatan pasien penting saat ini karena orang memiliki akses informasi yang mudah dan banyak laporan rumah sakit terkait dengan kesalahan medis. Kesalahan identifikasi pasien merupakan salah satu penyebab paling penting dalam insiden keselamatan pasien. Tahun 2019 terdapat 12 kejadian nyaris cidera karena kesalahan identifikasi pasien pada ruang rawat inap, laboratorium, dan farmasi di RS swasta Kelas D Kota Blitar. Ini mendorong penulis melakukan studi kasus dan menganalisis faktor-faktor penyebab masalah. Metode yang digunakan dalam penelitian ini adalah deskriptif dan pendekatan studi kasus. Identifikasi masalah akar dilakukan dengan observasi dan wawancara dengan menerapkan perawat ruang rawat inap menggunakan lembar observasi. Penentuan akar masalah ditentukan melalui dua tahap diskusi kelompok terarah (FGD) menggunakan diagram tulang ikan. Ditemukan enam akar masalah yang mempengaruhi rendahnya kepatuhan dalam pelaksanaan identifikasi pasien di instalasi rawat inap, yaitu rendahnya pengawasan dan pengawasan dari pimpinan, tidak ada sosialisasi mengenai identifikasi pasien, sejumlah kecil pasien, kurangnya budaya keselamatan, kurangnya alat pendukung, dan kesediaan pasien untuk dilayani dengan cepat. Mengetahui akar masalah yang mempengaruhi kepatuhan petugas sangat penting sehingga metode pengawasan yang sesuai dengan kondisi rumah sakit dapat dilakukan.
The Implementation of Inpatient Identification In Hospital X Yogyakarta
2020
Background: Hospitals must be able to provide a guarantee of security and protection against the service impact that have fulfilled the quality standards to meet the community's right on the quality services. Hospital patient safety is a system where hospitals make patient care safer. Safety in service can be started from the accuracy of patient identification. The observational results show a mismatch in its implementation. Objectives: The purpose of this study is to determine the discrepancy in the implementation of inpatient identification on regulations, implementation, and obstacles in the implementation of inpatient identification in hospitals. Methodology: This research is a case study with a qualitative approach producing descriptive data. Research subjects consisted of Management, Staff, and Patients with purposive sampling techniques. The instruments used in this qualitative study were guidelines for tracking observation, in-depth interviews, and FGDs. Data analysis us...
A pragmatics' view of patient identification
Quality and Safety in Health Care, 2010
Background Patient identification is a central safety critical aspect of healthcare work. Most healthcare activities require identification of patients by healthcare staff, often in connection with the use of patient records. Indeed, the increasing reliance on electronic systems makes the correct matching of patients with their records a keystone for patient safety. Most research on patient identification has been carried out in hospital settings. The aim was to investigate the process of identification of patients and their records in the context of a primary healthcare clinic. Method A qualitative field study was carried out at a Walk-In Centre in London (UK). Results The identification of patients and their records was found to be a context-dependent process, both when formalised in procedures and when relying on informal practices. The authors discovered a range of formal and informal patient identifiers were used in this setting, depending on the task at hand. The theoretical lens of Pragmatics was applied to offer an explanation of this identification process.
International Journal of Health and Pharmaceutical (IJHP)
Patient safety is a variable to measure and evaluate the quality of nursingservices that have an impact on health services. One of the safety services inhospitals starts from the accuracy of patient identification. Patientidentification errors at the beginning of the service will continue to the nextservice error. The purpose of this study was to determine how the effect ofimplementing patient identification based on JCI accreditation standards onimproving the Patient Safety program at Royal Prima Hospital. This type ofresearch is a quantitative study with a cross-sectional design. Samplingtechnique The sampling technique in this study was to use the Slovinformula with a total sample of 124 patients. Data analysis in this study usedunivariate and bivariate analysis. The results of the study explained thatthere was an influence between the implementation of patient identificationbased on the Plenary accreditation standard to the improvement of thePatient Safety program at the Royal P...