Decreasing mislabeled laboratory specimens using barcode technology and bedside printers

Journal of Nursing Care Quality

Volumn 26, Issue 1, 2011, Pages 13-21

  Brown, Judy E ^a   Smith, Nancy ^a   Sherfy, Beth R ^b  

^a Howard County General Hospital   (United States)

^b UNIVERSITY OF MARYLAND MEDICAL CENTER   (United States)

Author keywords

Barcoding; Laboratory; Medical errors; Mislabeling; Patient safety; Specimen labeling; Technology

Indexed keywords

EID: 85027954981     PISSN: 10573631     EISSN: None     Source Type: Journal    
DOI: 10.1097/NCQ.0b013e3181e4e6dd     Document Type: Article

References (28)

1. Parisi LL. Patient identification: the foundation for a culture of patient safety. J Nurs Care Qual. 2003; 18(1):73-79.
2. The Joint Commission. 2009. National patient safety goals hospital program. http://www.joint.commission.org/NR/rdonlyres/31666E86-E7F4-423E-9BE8- F05BD1CB0AA8/0/HAP NPSG.pdf. Published October 31, 2008. Accessed October 24, 2009.
3. College of American Pathologists. CAP laboratory safety plan. http://www.cap.org/apps/cap.portal?nfpb=true&cntvwrPtlt-actionOverride= %2Fportlets.2FcontentViewer%2Fshow&-windowLabel=cntvwrPtlt& cntvwrPtlt%7BactionForm.contentReference%7D=patient-safety%2Flaboratory-patient- safety-plan.html&-state=maximized&-pageLabel=cntvwr. Published August 10, 2009. Accessed October 24, 2009.
4. Plebani M. Errors in clinical laboratories or errors in laboratory medicine? Clin Chem Lab Med. 2006; 44(6):750-759. (Pubitemid 43832871)
5. Carraro P, Plebani M. Errors in a stat laboratory: types and frequencies 10 years later. Clin Chem. 2007; 53:1338-1342. (Pubitemid 47020991)
6. Valenstein PN, Raab SS, Walsh MK. Identification errors involving clinical laboratories. Arch Pathol Lab Med. 2006;(130):1106-1113.
7. Landro L. Hospitals move to cut dangerous lab errors. Wall Street J. 2006;:D1. http://online.wsj.com/article/SB115023520852679334. html#articleTabs%3Darticle. Published June 14, 2006. Accessed October 20, 2009.
8. Astion M. Right Patient, Wrong Sample. Agency for Healthcare Research and Quality Case and Commentary. http://www.webmm.ahrq.gov/case.aspx?caseID=142. Published December 2006. Accessed October 20, 2009.
9. Wagar EA, Yuan S. The laboratory and patient safety. Clin Lab Med. 2007;27(4):909-930. doi:10.1016/j.cll.2007.07.002. (Pubitemid 47576521)
10. Howanitz PJ. Errors in laboratory medicine. Arch Pathol Lab Med. 2005;(129):1252-1261.
11. Lippi G, Guidi GC. Risk management in the preanalytical phase of laboratory testing. Clin Chem Lab Med. 2007;45(6):720-727. (Pubitemid 46956240)
12. Lippi G, Guidi GC, Mattiuzzi C, Plebani M. Preanalytical variability: the dark side of the moon in laboratory testing. Clin Chem Lab Med. 2006;44(4): 358-365.
13. Da Rin G. Pre-analytical workstations: a tool for reducing laboratory errors. Clin Chim Acta. 2009;404: 68-74.
14. Howanitz PJ, Renner SW, Walsh MK. Continuous wristband monitoring over 2 years decreases identification errors. Arch Pathol Lab Med. 2002;126:809-815.
15. Wagar EA, Tamshiro L, Yasin B, Hilborne L, Bruckner DA. Patient safety in the clinical laboratory. Arch Pathol Lab Med. 2006;130:1662-1668.
16. Wagar EA, Stankovic AK, Raab S, Nakhleh R, Walsh MK. Specimen labeling errors. Arch Pathol Lab Med. 2008;(132):1617-1622.
17. Quillen K, Murphy K. Quality improvement to decrease specimen mislabeling in transfusion medicine. Arch Pathol Lab Med. 2006;130:1196-1198. (Pubitemid 44168791)
18. Dock B. Improving the accuracy of specimen labeling. Clin Lab Sci. 2005;18(4):210-212.
19. US Food and Drug Administration FDA News. FDA Proposes Drug Bar Code Regulation. http://www.medinorma.ch/downloads/fdabarcodeproprule.pdf. Published March 13, 2003. Accessed October 24, 2009.
20. Kaplan HS. Transfusion "Slip".Agency for Healthcare Research and Quality Case and Commentary. http://www.webmm.ahrq.gov/case.aspx?caseID=50. Published February 2004. Accessed October 20, 2009.
21. Plebani M. Errors in laboratory medicine and patient safety: the road ahead. Clin Chem Lab Med. 2007;45(6):700-707. (Pubitemid 46956243)
22. Hayden RT, Patterson DJ, Jay DW, et al. Computerassisted bar-coding system significantly reduces clinical laboratory specimen identification errors in a pediatric oncology hospital. J Pediatr. 2008;152(2): 153-155.
23. Dzik WH. New technology for transfusion safety. Br J Haematol. 2006;(136):181-190. doi:10.1111/j.1365-2141.2006.06373.x. (Pubitemid 46020745)
24. Sandler SG, Langeberg A, Carty K, et al. Bar code and radio-frequency technologies can increase safety and efficiency of blood transfusions. Lab Med. 2006;37(7):436-439. (Pubitemid 44025235)
25. Porcella A, Walker K. Patient safety with blood products administration using wireless and barcode technology. AMIA Annu Symp Proc. 2005;614-618.
26. Rao AC, Burke DA, Dighe AS. Implementation of bar coded wristbands in a large academic medical center: impact on point of care error rates. Point Care. 2005;4(3):119-122.
27. Colard DR. Reduction of patient identification errors using technology. Point Care. 2005;4(1):61-63.
28. Poon EG, Cina JL, Churchill W, et al. Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. Ann Intern Med. 2006;145:426-434. (Pubitemid 46768573)