543 / Patient Identification: introducing ID barcode wristband

ITALY
Classification of the PSP
Type of Patient Safety Practice Safe
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Patient identification
There is no specified text here There is no specified text here
Topic of the reported practice
Patient safety system
Aim and the benefit of the Patient Safety Practice
 
Since one of the most important goals related to patient safety is patient identification, we have been introducing and implementing the ID barcode wristband
Description of the Patient Safety Practice
 
The main implementation steps: 1. identifying appropriate devices; 2. testing the selected devices; 3. defining specific operating instructions; 4 correcting possible problems; 5, defining a procedure to be used throughout the organization and disseminating it to the different units; 6. training courses; 7. verifying proper implementation. For the realization of the project a bracelet was selected providing specific color code, green for inpatients and orange for patients accessing to the emergency department . The bracelet , hypoallergenic, water resistant and not removable except by breaking or cutting it (and therefore not reusable) , is worn by the patient prior to acceptance into the department, using a valid identity document to determine the reference data . Within the surgical area the wristband has a further function . The bar code is scanned through the laser reader that allows not only to check the patient’s identity but also to preload , within the information system of the operating room, the information regarding the surgery to be applied. The project started in late 2009 and it has been gradually extended to all principals units (after a testing phase focused on verifying the validity of the instrument and the procedures implemented by the operators). This verification was also carried out through a specific questionnaires to doctors, nurses and the patients This allowed , in 2011 , to put in act corrective actions to address some critical elements detected in the processes and schedule meetings to raise awareness on the correct use of the instrument. The use of the bracelet was extended , starting from 2011, through the Hospital Blood Transfusion Service to blood donors. The main evaluation tool was the above mentioned questionnaire that contained several questions aimed at highlighting: - the appropriateness of the instrument used (asking the patient if the bracelet was annoyed, if you had come off, whileand the nursing staff if they had encountered problems in positioning, etc. ..) - the effective compliance of use (questions addressed to all stakeholders and in particular to patients) the bracelet is positioned correctly throughout the hospital. Its use is 100% in operating theaters where it is associated with the use of the optical reader, while the percentages are degrading in areas where the use is still "operator-dependent". the compliance of the nursing staff is around 54-55%, about 40% that of the medical staff .The perception of greater safety by patients and operators is rather significant. Since the introduction of the bracelet have not been reported adverse events associated with the incorrect identification of the patient.
Attachment of relevant written information and/or photos, as appropriate
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Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, fully
Level of implementation of reported practice
Unit or ward level
Specific and measurable outcome for the reported practice were defined
Yes
A baseline measurement before implementation of the reported practice was obtained
Yes
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
Both/mixed (qualitative and quantitative)
Enclosure of a reference or attachment in case of published evaluation's results
There is no specified text here
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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)
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Successful implementation's level  of this Patient Safety Practice across settings
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Involved health care staff
 
Physicians
Nurses
Technical support / technician
Quality manager
Risk manager
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
Yes
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
Patient(s)
Point of time in which service user or their reprasentatives' involvement takes place
During implementation of the Patient Safety Practices
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
Yes
Short description of the service users' level of involvement
Consultation, such as asking for information
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/practicesdetail.aspx
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
No
Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc.
No
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
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List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
Specially trained staff
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
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Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
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Contact information
 
Name: Dario Seghezzi
Country: ITALY
Organisation: A.O. Ospedale di Circolo
E-mail: dario.seghezzi@ospedale.varese.it
Phone: 3383612105
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