Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.

Provide Feedback |

Submit a Case

Newspaper/Magazine Article

Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.

March 23, 2011

ISMP Medication Safety Alert! Acute care edition. March 10, 2011;16:1-4.

This piece identifies situations in which patient verification errors occur and provides strategies to address them.

Free full text

Related Resources

Medication errors: the year in review: January through December 2021.

January 11, 2023

At US hospitals, a drug mix-up is just a few keystrokes away.

May 11, 2022

As a nurse faces prison for a deadly error, her colleagues worry: could I be next?

March 30, 2022

Targeted Medication Safety Best Practices for Hospitals.

February 2, 2022

Over-the-top risky: overuse of ADC overrides, removal of drugs without an order, and use of non-profiled cabinets.

November 13, 2019

Using computerized prescriber order entry to limit overrides from automated dispensing cabinets.

August 3, 2016

Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin.

May 18, 2016

Implementing computerized provider order entry in acute care hospitals in the United States could generate substantial savings to society.

August 5, 2015

Adverse Drug Events.

March 26, 2014

Medication regimen complexity and hospital readmission for an adverse drug event.

January 15, 2014

Overrides of medication-related clinical decision support alerts in outpatients.

January 8, 2014

Improving quality and safety of care using "technovigilance": an ethnographic case study of secondary use of data from an electronic prescribing and decision support system.

October 16, 2013

Engaging patients in medication reconciliation via a patient portal following hospital discharge.

October 2, 2013

'You talking to me?' Docs and feedback.

September 18, 2013

Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study.

August 14, 2013

Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support.

July 10, 2013

Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm.

June 19, 2013

Your high-alert medication list—relatively useless without associated risk-reduction strategies.

April 17, 2013

Indication-based prescribing prevents wrong-patient medication errors in computerized provider order entry (CPOE).

March 13, 2013

Effects of CPOE on provider cognitive workload: a randomized crossover trial.

September 5, 2012

Errors during the preparation of drug infusions: a randomized controlled trial.

August 22, 2012

Alarm fatigue hazards: the sirens are calling.

June 27, 2012

Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit.

June 13, 2012

Massachusetts hospitals launch patient apology program.

May 30, 2012

Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety.

March 21, 2012

The costs of adverse drug events in community hospitals.

March 7, 2012

Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project.

February 29, 2012

A review of verbal order policies in acute care hospitals.

January 18, 2012

Hospital do-not-resuscitate orders: why they have failed and how to fix them.

October 26, 2011

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

September 28, 2011

See More About

Hospitals

Health Care Providers

Risk Managers

Quality and Safety Professionals

General Internal 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

Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users