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Patient identification in healthcare organizations: an emerging debate

The patient identification process is essential to ensure safety and quality of assistance in healthcare institutions. The use of a wristband for identification is common practice, although cultural organization, material and human factors cause non-conformity resulting in errors or adverse events. The aim of this article is to highlight constituent elements of the patient identification process by means of wristbands and discuss topics related to the implementation of this process in hospitals. This study was based on theoretic references and standardizations of accrediting organizations and bodies that debate security in the hospital environment and incentives for safe patient identification. It was concluded that patient identification by means of wristbands is recommended internationally although there are loopholes in relation to protocol, effective execution and evaluation of the process to support management and healthcare actions.O processo de identificacao do paciente e essencial para garantir a seguranca e a qualidade da assistencia nas instituicoes de saude. O emprego de pulseira para identificacao e uma pratica usual. Contudo, fatores culturais, organizacionais, materiais e humanos concorrem para sua nao conformidade, induzindo a erros ou acarretando eventos adversos. Este artigo teve como objetivos destacar os elementos constituintes do processo de identificacao do paciente por meio de pulseiras e refletir acerca da implementacao desse processo nas instituicoes hospitalares. Adotaram-se referenciais teoricos e normatizacoes de organizacoes e orgaos acreditadores que discutem a tematica da seguranca no âmbito hospitalar, bem como as iniciativas destinadas a identificacao segura do paciente. Conclui-se que a identificacao do paciente por meio de pulseira e uma pratica recomendada internacionalmente, porem ha lacunas no que tange a instituicao de protocolos, a execucao efetiva e a avaliacao do processo para subsidiar acoes gerenciais e assistencias.

Identificação do paciente nas organizações de saúde: uma reflexão emergente

The patient identification process is essential to ensure safety and quality of assistance in healthcare institutions. The use of a wristband for identification is common practice, although cultural organization, material and human factors cause non-conformity resulting in errors or adverse events. The aim of this article is to highlight constituent elements of the patient identification process by means of wristbands and discuss topics related to the implementation of this process in hospitals. This study was based on theoretic references and standardizations of accrediting organizations and bodies that debate security in the hospital environment and incentives for safe patient identification. It was concluded that patient identification by means of wristbands is recommended internationally although there are loopholes in relation to protocol, effective execution and evaluation of the process to support management and healthcare actions.O processo de identificacao do paciente e essencial para garantir a seguranca e a qualidade da assistencia nas instituicoes de saude. O emprego de pulseira para identificacao e uma pratica usual. Contudo, fatores culturais, organizacionais, materiais e humanos concorrem para sua nao conformidade, induzindo a erros ou acarretando eventos adversos. Este artigo teve como objetivos destacar os elementos constituintes do processo de identificacao do paciente por meio de pulseiras e refletir acerca da implementacao desse processo nas instituicoes hospitalares. Adotaram-se referenciais teoricos e normatizacoes de organizacoes e orgaos acreditadores que discutem a tematica da seguranca no âmbito hospitalar, bem como as iniciativas destinadas a identificacao segura do paciente. Conclui-se que a identificacao do paciente por meio de pulseira e uma pratica recomendada internacionalmente, porem ha lacunas no que tange a instituicao de protocolos, a execucao efetiva e a avaliacao do processo para subsidiar acoes gerenciais e assistencias.

Sistemas de identificação de pacientes em unidades obstétricas e a conformidade das pulseiras

Objective To evaluate the conformity of wristband identification of women in the obstetrics clinic and their newborns in the delivery room. Methods A quantitative study with a sample of 800 opportunities, selected by probabilistic sampling. Data collection occurred using a form completed at the bedside. The chi-square test was used to compare the conformity between the units, and a 95% confidence interval was adopted. Results The general compliance was 58.5% in the clinic, and 22.3% in the delivery room. Regarding the three-step protocol, the higher compliance in the clinic was related to the stage of identification of components (93.4%) and the lower, to the wristband conditions (70%); in the delivery room, the highest rates were also those steps, 69% and 44.5%, respectively. When comparing the units, the clinic produced better conformity levels with a statistically significant difference. Conclusion The findings allowed for restructuring of the protocols and implementing them in the institution.

Evaluation of the risk of misidentification of women in a public maternity hospital

OBJECTIVE To determine the frequency of similar names and hospital records of women in a public teaching maternity hospital and the risk of misidentification resulting from the similarity in spelling and pronunciation of the names and in records. METHOD Quantitative, documental and case study of 5,975 admissions that occurred between 2011 and 2014. The data name, admission and discharge date, date of birth, hospital record and bed number were collected from an electronic information system. Analysis encompassed descriptive statistics and design of an algorithm for comparison of text and sound. RESULTS Examination of the names revealed that 86% of the misidentification cases resulted from identical surnames and 96.5% from a sound similarity in the first names. There were patients with identical first and last names at least one day a week. CONCLUSION The risk of misidentification of patients is a reality, which stresses the importance of checking and pronouncing the complete names correctly.

Avaliação do risco de erro na identificação de mulheres numa maternidade pública

OBJECTIVE To determine the frequency of similar names and hospital records of women in a public teaching maternity hospital and the risk of misidentification resulting from the similarity in spelling and pronunciation of the names and in records. METHOD Quantitative, documental and case study of 5,975 admissions that occurred between 2011 and 2014. The data name, admission and discharge date, date of birth, hospital record and bed number were collected from an electronic information system. Analysis encompassed descriptive statistics and design of an algorithm for comparison of text and sound. RESULTS Examination of the names revealed that 86% of the misidentification cases resulted from identical surnames and 96.5% from a sound similarity in the first names. There were patients with identical first and last names at least one day a week. CONCLUSION The risk of misidentification of patients is a reality, which stresses the importance of checking and pronouncing the complete names correctly.

Evaluación del riesgo de error en la identificación de mujeres en una maternidad pública

OBJECTIVE To determine the frequency of similar names and hospital records of women in a public teaching maternity hospital and the risk of misidentification resulting from the similarity in spelling and pronunciation of the names and in records. METHOD Quantitative, documental and case study of 5,975 admissions that occurred between 2011 and 2014. The data name, admission and discharge date, date of birth, hospital record and bed number were collected from an electronic information system. Analysis encompassed descriptive statistics and design of an algorithm for comparison of text and sound. RESULTS Examination of the names revealed that 86% of the misidentification cases resulted from identical surnames and 96.5% from a sound similarity in the first names. There were patients with identical first and last names at least one day a week. CONCLUSION The risk of misidentification of patients is a reality, which stresses the importance of checking and pronouncing the complete names correctly.

Identificación del paciente en las organizaciones de salud: una reflexión emergente

The patient identification process is essential to ensure safety and quality of assistance in healthcare institutions. The use of a wristband for identification is common practice, although cultural organization, material and human factors cause non-conformity resulting in errors or adverse events. The aim of this article is to highlight constituent elements of the patient identification process by means of wristbands and discuss topics related to the implementation of this process in hospitals. This study was based on theoretic references and standardizations of accrediting organizations and bodies that debate security in the hospital environment and incentives for safe patient identification. It was concluded that patient identification by means of wristbands is recommended internationally although there are loopholes in relation to protocol, effective execution and evaluation of the process to support management and healthcare actions.O processo de identificacao do paciente e essencial para garantir a seguranca e a qualidade da assistencia nas instituicoes de saude. O emprego de pulseira para identificacao e uma pratica usual. Contudo, fatores culturais, organizacionais, materiais e humanos concorrem para sua nao conformidade, induzindo a erros ou acarretando eventos adversos. Este artigo teve como objetivos destacar os elementos constituintes do processo de identificacao do paciente por meio de pulseiras e refletir acerca da implementacao desse processo nas instituicoes hospitalares. Adotaram-se referenciais teoricos e normatizacoes de organizacoes e orgaos acreditadores que discutem a tematica da seguranca no âmbito hospitalar, bem como as iniciativas destinadas a identificacao segura do paciente. Conclui-se que a identificacao do paciente por meio de pulseira e uma pratica recomendada internacionalmente, porem ha lacunas no que tange a instituicao de protocolos, a execucao efetiva e a avaliacao do processo para subsidiar acoes gerenciais e assistencias.