An identity crisis? Aspects of patient misidentification

Clinical Risk

Volumn 10, Issue 1, 2004, Pages 18-22

  Thomas, Peter ^a   Evans, Carol ^b  

^a PRINCE PHILIP HOSPITAL   (United Kingdom)

^b WEST WALES GENERAL HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

AGING; BLOOD TRANSFUSION; COMORBIDITY; CONFUSION; DEMENTIA; DIAGNOSTIC ERROR; DISEASE SEVERITY; ELECTRONIC MEDICAL RECORD; HEALTH CARE MANAGEMENT; HOSPITAL INFORMATION SYSTEM; HUMAN; IDENTITY; LANGUAGE DISABILITY; MEDICAL ERROR; MEDICATION ERROR; NATIONAL HEALTH SERVICE; PHLEBOTOMY; REVIEW; SURGICAL ERROR; THERAPEUTIC ERROR;

EID: 1042301992     PISSN: 13562622     EISSN: None     Source Type: Journal    
DOI: 10.1258/135626204322756556     Document Type: Review

References (10)

1. Joint Commission on Accreditation of Healthcare Organisations. National Patient Safety Goals, 2003. Available at: www.jcaho.org (accessed 6/8/2003)
2. Cullen D, Bates D, Small S, Cooper J, Nemeskal A, Leape L. The incident reporting system does not detect adverse events; a problem for quality improvement. Jt Comm J Qual Improv 1995; 21: 541-548
3. Sharman L. Identification nightmare needs sorting now. Association of Clinical Biochemists (ACB) News 1999: Issue 439; 6-8. Available at www.acb.org.uk
4. Renner S, Howanitz P, Bachner P. Wristband identification error reporting in 712 hosptials. Arch Pathol Lab Med 1993; 117: 573-577
5. Novis DA, Miller KA, Howanitz PJ, Renner SW, Walsh MK, College of American Pathologists. Audit of transfusion procedures in 660 hospitals. A college of American Pathologists Q-Probes study of patient misidentification and vital sign monitoring frequencies in 16 494 transfusions. Arch Pathol Lab Med 2003; 127(5): 541-548
6. Asher D, Atterbury CLJ, Chapman C, Cohen H, Jones H, Love EM, Norfolk DR, Revill J, Soldan K, Todd A, Williamson LM, on behalf of the SHOT Steering Group. Serious Hazards of Transfusion: Summary of Annual report 2000-2001. Key observations and recommendations.
7. Sazama K. Reports of 355 transfusion-associated deaths. Transfusion 1990; 30: 583-590
8. Wilson RM, Harrison BT, Gibberd RW, Hamilton JD. An analysis of the causes of adverse events from the Quality in Australian Health Care Study. Med J Aust 1999; 170: 411-415
9. Howanitz PJ, Renner SW, Walsh MK. Continuous wristband monitoring over 2 years decreases identification errors: a College of American Pathologists Q-tracks study. Arch Pathol Lab Med 2002; 126(7): 809-815
10. Puckett F. Medication-management component of a point-of-care information system. Am J Health Syst Pharm 1995; 52: 1305-1309