Wristbands as aids to reduce misidentification: an ethnographically guided task analysis.

Objective: Wristbands are recommended in the UK as a means of verifying patient identity but have been little studied. We aimed to document how wristbands are used in practice.Design: and participants Task analysis of wristband application and use, drawing on qualitative analysis of workplace observ...

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Published in:International Journal for Quality in Health Care Vol. 23; no. 5; pp. 590 - 600
Main Authors: Smith AF, Casey K, Wilson J, Fischbacher-Smith D, Smith, Andrew F, Casey, Kate, Wilson, James, Fischbacher-Smith, Denis
Format: research Journal Article
Published: Oxford University Press / USA Oct2011
Online Access:View this record in EBSCOhost
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      jtl: International Journal for Quality in Health Care
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      dt: Oct2011
      vid: 23
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      pub: Oxford University Press / USA
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        atl: Wristbands as aids to reduce misidentification: an ethnographically guided task analysis.
      aug:
        au:
          Smith AF
          Casey K
          Wilson J
          Fischbacher-Smith D
          Smith, Andrew F
          Casey, Kate
          Wilson, James
          Fischbacher-Smith, Denis
        affil: Patient Safety Research Unit, Royal Lancaster Infirmary, Ashton Road, Lancaster LA1 4RP, UK
      sug:
        subj:
          Continuity of Patient Care Standards
          Medication Errors Prevention and Control
          Patient Identification Standards
          Patient Safety Standards
          Continuity of Patient Care Administration
          England
          Interviews
          Observational Methods
          Patient Identification Methods
          Transfer, Discharge Standards
          Personnel, Health Facility
          Task Performance and Analysis
      ab: Objective: Wristbands are recommended in the UK as a means of verifying patient identity but have been little studied. We aimed to document how wristbands are used in practice.Design: and participants Task analysis of wristband application and use, drawing on qualitative analysis of workplace observation of, and interviews with, clinical and non-clinical staff.Setting: Two acute district general hospitals in northern England.Results: Our findings indicate high levels of awareness amongst clinical staff of local and national policies on wristband use, but some ambiguity about the details therein. In contrast, non-clinical staff such as ward clerks and porters were less aware of policy, although their actions also expose patients to risks resulting from misidentification. Of seven subtasks identified by the task analysis of wristband application and use, three appeared to offer particular opportunity for error. Making the decision to apply, especially in emergency patients, is important because delay in application can delay correct identification. Advance preparation of wristbands for elective admission without the patient being present can risk erroneous data or misapplication. Lastly, utilization of wristbands to verify patient identity was greater in some clinical circumstances (blood transfusion and medication administration) than in others (before transferring patients around the hospital and during handovers of care).Conclusions: Wristbands for patient identification are not being used to their full potential. Attention to detail in application and use, especially during handover and transfer, and an appreciation of the role played by 'non-clinical' staff, may offer further gains in patient safety.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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