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Study
Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation.
October 20, 2021
Abraham P, Augey L, Duclos A, et al. J Patient Saf. 2021;17(7):e615-e621.
Patient misidentification errors are common and potentially catastrophic. Patient identification incidents reported in one hospital were examined to identify errors and contributory factors. Of the 293 reported incidents, the most common errors were missing wristbands, wrong charts or notes in files, administrative issues, and wrong labeling. The most frequent contributory factors include absence of patient identity control, patient transfer, and emergency context.
