1131 / Correct patient identification - wristbands

ITALY
Classification of the PSP
Type of Patient Safety Practice Not Evaluated
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Patient identification
Communication There is no specified text here
Topic of the reported practice
Patient safety system
Aim and the benefit of the Patient Safety Practice
 
Wrong patient identification can occur in virtually all stages of the patient's care pathway and they may concern sedated or disoriented patients but also fully alert patients. The purpose of this protocol is twofold: - reliably identify the individual as the person for whom the service or treatment is intended; - match the service or treatment to that individual. Patient identification processes must be improved especially in particular moments such as when giving medications, blood, or blood products, when taking blood and other specimens for clinical testing, and when providing any other treatment or procedure. A patient can be identified in different ways: the patient's name, identification number, birth date, a bar-coded wristband. The patient's room number, bed number or location cannot be used for identification, as they are not reliable CRO implemented a specific procedure, namely “Procedure for client verification”, according to Accreditation Canada International’s ROP (i.e. Required Organizational Practices) The aim of the project is to promote the methodology of correct identification of the patient, especially in some areas of high-intensity performance and/or high risk in terms of severity of the outcomes (e.g. specific radiation treatments or treatment with anticancer drugs). Another objective is to make people understand the need for operators to report all cases with possible wrong or misidentification of the patient, even those that did not cause harm to the patient, to learn more about the event and the corrective measures to be taken.
Description of the Patient Safety Practice
 
Description of the project implemented: - Purchase of printers for the production of Patient ID Wristbands - Drafting of a specific procedure for CRO - Sharing and dissemination of the procedure - Implementation of the procedure in the whole institute - Monitoring of the implementation of the procedure through two indicators (see: methods used for evaluating results) - The analysis of the results highlighted the need of a change in the procedure: it is no longer required to keep of the wristband in the patient file after discharge as an evidence of its adoption; moreover it has been decided to limit the investigation to the observation of presence/absence of the wristband. - Specific training activities were performed during 2012, in particular with a report entitled “The correct patient identification: Well begun is half done ...! during the regular meeting on patient safety of the 1st semester 2012. The programme is implemented at institutional level, the procedure was drafted in October 2011, released in November 2011 and revised in July 2012 after the first monitoring to assess the compliance with the introduction of the Patient ID Wristbands and the procedure of the “double identification”. In this investigation, the compliance with the two indicators was biased by the fact that, due to technical issues related to the printers, there was a delay in the adoption of the Patient ID Wristbands in certain areas. The monitoring of the two indicators was repeated in the 2nd semester of 2012, with encouraging results, confirmed in the monitoring in year 2013. In general, the procedure is fully implemented.
The monitoring of the implementation of the procedure is performed according to two different indicators: 1 - The presence of the wristband (in the patient record after inpatients discharge) 2 - Evaluation of the correct methodology of identification (through verbal verification) through audits (in inpatients only) The monitoring took place in the 1st and 2nd semester in 2012, and on a yearly base in 2013.

Correct Patient Identification - Results of monitoring

one day of observation, all inpatients

    Patients with ID Wristbands    Correct double identification
2012 1° sem    71.43%     59.52%
2012 2° sem    80.6%     88.4%
2013     94.9%     74.8%
2014     87.5%     75.4%
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
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Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, fully
Level of implementation of reported practice
Institution level
Specific and measurable outcome for the reported practice were defined
Yes
A baseline measurement before implementation of the reported practice was obtained
No
A measurement after full implementation of the reported practice was obtained
Yes
Evaluation of a "positive" effect of the reported practice on Patient Safety
The evaluation showed improvements in Patient Safety outcomes
Type of before-and after evaluation
Quantitative
Enclosure of a reference or attachment in case of published evaluation's results
There is no specified text here
There is no specified text here
Health care context where the Patient Safety Practices was implemented
 
Hospital
Transferability
 
Successful implementation of this Patient Safety Practice in other health care settings than above stated
No
Specification of implementation in another health care setting(s)
There is no specified text here
Successful implementation's level  of this Patient Safety Practice across settings
There is no specified text here
Involved health care staff
 
Physicians
Nurses
Health care assistants
Clinical manager
Quality manager
Risk manager
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
No
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
There is no specified text here
Point of time in which service user or their reprasentatives' involvement takes place
There is no specified text here
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
There is no specified text here
Short description of the service users' level of involvement
There is no specified text here
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
Yes
List of sources where public information is accessible
http://buonepratiche.agenas.it/questionnaire.aspx?id=5033
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
Yes
Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc.
Yes
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
Other
List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
There is no specified text here
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
No
Description of used incentives, if any.
There is no specified text here
Existence of support or approval by the clinical or hospital management or any other hihg level authority in the implementation process of this Patient Safety Practice
Yes
Costs of the Patient Safety Practices
 
Completion of cost calculation related to this Patient Safety Practice
No
Total number of person days required to implement this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice
There is no specified text here
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
There is no specified text here
Contact information
 
Name: Raffaele Collazzo
Country: ITALY
Organisation: CENTRO RIFERIMENTO ONCOLOGICO
E-mail: rcollazzo@cro.it
Phone: There is no specified text here
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