Managing the patient identification crisis in healthcare and laboratory medicine. | PSNet

Provide Feedback |

Submit a Case

Register

Review

Managing the patient identification crisis in healthcare and laboratory medicine.

March 22, 2017

Lippi G, Mattiuzzi C, Bovo C, et al. Clin Biochem. 2017;50(10-11):562-567.

View more articles from the same authors.

Patient identification mistakes associated with diagnostic blood testing can have serious consequences. This commentary recommends several strategies to redesign laboratory processes to reduce risks of specimen misidentification, such as utilizing at least two patient identifiers, providing staff training, and using technologies to track and manage specimens.

PubMed citation

Related Resources From the Same Author(s)

Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics.

April 22, 2009

Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease 2019 (COVID-19).

April 29, 2020

Patient identification and tube labelling—a call for harmonisation.

August 10, 2016

Establishing a rapid response team (RRT) in an academic hospital: one year's experience.

November 29, 2006

Prescription errors in psychiatry - a multi-centre study.

September 6, 2006

An observational study of medication administration errors in old-age psychiatric inpatients.

July 4, 2007

A review of medication administration errors reported in a large psychiatric hospital in the United Kingdom.

January 4, 2006

The use of "lives saved" measures in nurse staffing and patient safety research: statistical considerations.

March 30, 2011

Getting doctors to report medical errors: project DISCLOSE.

July 5, 2006

From COVID-19 pandemic to patient safety: a new "spring" for telemedicine or a boomerang effect?

July 27, 2022

Clinical evaluation of the ADE scorecards as a decision support tool for adverse drug event analysis and medication safety management.

October 30, 2013

Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis.

October 26, 2022

Closing the loop: follow-up and feedback in a patient safety program.

November 2, 2005

The relationship between inpatient cardiac surgery mortality and nurse numbers and educational level: analysis of administrative data.

April 8, 2009

Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care.

October 25, 2017

Safety and efficiency of a new generic package labelling: a before and after study in a simulated setting.

May 17, 2017

Patient Safety Leadership WalkRounds.

March 6, 2005

Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals.

September 1, 2021

"Time is of the essence": relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing.

December 8, 2021

Supporting clinicians after adverse events: development of a clinician peer support program.

September 5, 2018

IT-CARES: an interactive tool for case-crossover analyses of electronic medical records for patient safety.

November 2, 2016

Concealed renal insufficiency and adverse drug reactions in elderly hospitalized patients.

May 18, 2005

Telemedicine as a medical examination tool during the Covid-19 emergency: the experience of the onco-haematology center of Tor Vergata Hospital in Rome.

December 23, 2020

Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation.

October 26, 2022

Root cause analysis using the prevention and recovery information system for monitoring and analysis method in healthcare facilities: a systematic literature review.

June 8, 2022

The association between nurse staffing and omissions in nursing care: a systematic review.

July 11, 2018

Nurses' shift length and overtime working in 12 European countries: the association with perceived quality of care and patient safety.

October 1, 2014

Exploring care left undone in pediatric nursing.

September 28, 2022

Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study.

September 3, 2014

Boosting medical diagnostics by pooling independent judgments.

August 17, 2016

Creating an integrated patient safety team.

August 10, 2005

Nurse staffing, nursing assistants and hospital mortality: retrospective longitudinal cohort study.

January 9, 2019

Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them?

December 4, 2019

Why do people stop taking their meds? Cost is just one reason.

September 20, 2017

Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation.

August 10, 2005

Experiences and perspectives of transgender youths in accessing health care: a systematic review.

August 4, 2021

What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation.

January 17, 2018

Human-computer collaboration for skin cancer recognition.

July 22, 2020

Impact of the COVID-19 pandemic on cancer care: a global collaborative study.

November 11, 2020

Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process.

March 8, 2023

Nurse Staffing Levels, Missed Vital Signs and Mortality in Hospitals: Retrospective Longitudinal Observational Study.

December 19, 2018

Nurse staffing and education and hospital mortality in nine European countries: a retrospective observational study.

April 23, 2014

Comparison of the accuracy of human readers versus machine-learning algorithms for pigmented skin lesion classification: an open, web-based, international, diagnostic study.

June 26, 2019

View More

Related Resources

Interview

In Conversation with Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring

April 26, 2023

Perspective

Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units

April 26, 2023

Understanding complexity in a safety critical setting: a systems approach to medication administration.

April 26, 2023

ISMP Targeted Medication Safety Best Practices for Community Pharmacy.

April 19, 2023

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Evaluating patient identification practices during intrahospital transfers: a human factors approach.

March 29, 2023

Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda.

March 29, 2023

Machine learning models outperform manual result review for the identification of wrong blood in tube errors in complete blood count results.

June 29, 2022

Patient Safety Primers

Coronavirus Disease 2019 (COVID-19) and Diagnostic Error

January 11, 2022

Factors associated with wrong blood in tube errors: an international case series - The BEST collaborative study.

November 17, 2021

Why and how to approach user experience in safety-critical domains: the example of health care.

September 8, 2021

"My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system.

August 4, 2021

A qualitative study of what care workers do to provide patient safety at home through telecare.

June 23, 2021

Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings.

June 23, 2021

What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitative study.

May 26, 2021

Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review.

February 3, 2021

Health information technology-related wrong-patient errors: context is critical.

January 27, 2021

Registration errors among patients receiving blood transfusions: a national analysis from 2008 to 2017.

December 16, 2020

Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives.

November 25, 2020

Hospital- and system-wide interventions for health care-associated infections: a systematic review.

September 16, 2020

Nonoperating room anaesthesia: safety, monitoring, cognitive aids and severe acute respiratory syndrome coronavirus 2.

August 12, 2020

WebM&M Cases

Right Electrocardiogram, Wrong Patient

March 25, 2020

Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center.

January 29, 2020

WebM&M Cases

“This is the wrong patient's blood!”: Evaluating a Near-Miss Wrong Transfusion Event

January 29, 2020

The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system.

January 15, 2020

Effectiveness of double checking to reduce medication administration errors: a systematic review.

September 18, 2019

Patient Safety Primers

Patient Safety 101

September 7, 2019

The wicked problem of patient misidentification: how could the technological revolution help address patient safety?

May 1, 2019

Potential consequences of patient complications for surgeon well-being: a systematic review.

April 17, 2019

Reducing diagnostic errors worldwide through diagnostic management teams.

April 3, 2019

View More

See More About The Topic

Facility and Group Administrators

Pathology and Laboratory Medicine

To sign up for updates or to access your subscriber preferences, please enter your email address below.

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364