965 / Bracelets for correct patient identification

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
Communication There is no specified text here
Topic of the reported practice
Patient safety system
Aim and the benefit of the Patient Safety Practice
 
The patient safety practice aims at improving patients identification problems. Incorrect identification of patients not only affects the surgical field, but also involves many other and different care situations.
For example: drug is administered to the wrong person, the transfusion is done on the wrong person, and so on. Factors that contribute to errors related to the incorrect patient identification are (JCAHO, 2001): Treatment of emergency cases (19%), particular characteristics of the patient (16%), temporal pressure for realizing a procedure (13%), involvement of multiple operators in the management of a case (13%) and the realization of more cases in a same surgical session (10%).
A subsequent analysis of these cases highlights the fundamental role of failure in communication (both oral and written) between the operators (JCAHO, 2004).
Description of the Patient Safety Practice
 
The international literature recognizes as a good practices to avoid errors related to incorrect patient identification, the introduction of identification bracelets. The identification bracelets must contain information uniquely able to recognize the patient, and must be accompanied by active identification procedures, involving both the operator and the patient. The patient's identification bracelet to fulfill its function shall meet the requirements of content / graphics organizational and technical writings in the notebook on the Clinical Risk Management Centre of the Region of Tuscany (for more information see technical details http://www.regione.toscana.it/centro-gestione-rischio-clinico) For effectiveness evaluation the following indicators are currently in calculation Evidence of a procedure for the correct patient identification Evidence of bracelets, printers and PCs and application of the bracelet to each patient. Evidence of a training plan and related informational materials.
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
There is no specified text here
There is no specified text here
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Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, partly
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
Not known
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)
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
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)
Relative(s)
Patient representative(s)
Point of time in which service user or their reprasentatives' involvement takes place
During the implementation of the Patient Safety Practices
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
No
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://www.regione.toscana.it/centro-gestione-rischio-clinico
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.
Yes
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
Not sufficient financial resources available
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: Sara Albolino
Country: ITALY
Organisation: Centro Gestione Rischio Clinico- Regione Toscana
E-mail: albolinos@aou-careggi.toscana.it
Phone: There is no specified text here
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