Staff empowerment to 'stop the line'; reduces patient identification errors
MedSun: Newsletter #52, September 2010

SafetyShare newsletter, Premier healthcare alliance

Patient misidentification continues to be a quality and safety issue, with minimal data describing interventions to reduce identification band error rates. At one hospital, ID band errors were reduced from a rate of 20.4 percent to an average mean rate of 2.6 percent with a combination of strategies suggested by leadership and frontline staff, including data display using control charts and the clear expectation to "stop the line" if patient identification error was suspected.

Additional Information:

SafetyShare newsletter, Premier healthcare alliance. Staff empowerment to "stop the line" reduces patient identification errors. August 2010.
http://www.premierinc.com/safety/safety-share/07-10-full.jsp#Story-1-Patient-Id

FDA Patient Safety News. Dangerous Confusion with Color-coded Wristbands. June 2006.
http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/psn/transcript.cfm?show=52#8


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