Difference between revisions of "Patient Identification Errors"

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== Organizations Involved ==
 
== Organizations Involved ==
''[[Joint Commission]] (JC)'' –  
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''[[Joint Commission]] (JC)'' – a United States-based, non-profit, tax-exempt organization that accredits healthcare organizations and programs. Most states recognize Joint Commission accreditation as a condition of licensure and for the receipt of Medicaid and Medicare reimbursements <ref name="About JC">About The Joint Commission. Accessed October 18, 2016. https://www.jointcommission.org/about_us/about_the_joint_commission_main.aspx</ref>.
  
''[[National Academy of Medicine]] (formerly the Institute of Medicine)'' –  
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''[[National Academy of Medicine]] (formerly the Institute of Medicine)'' – a non-profit, non-governmental organization that provides unbiased, evidenced-based, authoritative information and national advice on issues relating to medicine and health <ref name="About NAM">About the National Academy of Medicine. Accessed October 18, 2016. https://nam.edu/about-the-nam/</ref>.
  
''[[National Quality Forum]] (NQF)'' –  
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''[[National Quality Forum]] (NQF)'' – a non-profit, membership organization representing consumers, health plans, medical professionals, employers, government/public health agencies, and pharmaceutical/medical device companies in the development of consensus-based standards to promote patient protection and healthcare quality <ref name="About NQF">About the National Quality Forum. Accessed October 18, 2016. http://www.qualityforum.org/About_NQF/</ref>.
  
''[[World Health Organization]] (WHO)'' –  
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''[[World Health Organization]] (WHO)'' – a specialized agency of the United Nations that acts as the leading, directing, and coordinating authority on international health matters critical to public health <ref name="About WHO">About the World Health Organization. Accessed October 18, 2016. http://www.who.int/about/en/</ref>.
  
''[[Office of the National Coordinator for Health Information Technology (ONC)]]'' –  
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''[[Office of the National Coordinator for Health Information Technology (ONC)]]'' – a staff division of the Office of the Secretary, within the US Department of Health and Human Services, which leads national [[Health Information Technology]] (IT) efforts and is charged as the principal federal entity to coordinate nationwide efforts to implement and use the most advanced health IT and the electronic exchange of health information <ref name="About ONC">About the Office for the National Coordinator of Health Information Technology. Accessed October 18, 2016. https://www.healthit.gov/newsroom/about-onc</ref>.
  
''[[ECRI Institute]]'' –  
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''[[ECRI Institute]]'' – an independent, non-profit, international organization that partners with more than 5,000 healthcare organizations to share knowledge, experience, and research on topics such as patient safety improvement, comparative effectiveness, risk and quality management, evidence-based practice, and healthcare processes <ref name="About ECRI">About ECRI Institute. Accessed October 18, 2016. https://www.ecri.org/about/Pages/default.aspx</ref>.
  
  
  
 
== History ==
 
== History ==
2007 – The World Health Organization’s Collaborating Centre for Patient Safety Solutions unveiled nine solutions to prevent healthcare errors that harm millions of people throughout the world. One solution focused on correct patient identification. It was noted that failures to correctly identify patients is widespread and recommendations placed emphasis on methods for verifying patient identity <ref name="WHO Solutions">The World Health Organization Collaborating Centre for Patient Safety Solutions. Nine Patient Safety Solutions. 2007. http://www.who.int/patientsafety/events/07/02_05_2007/en/</ref>.
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*2007 – The World Health Organization’s Collaborating Centre for Patient Safety Solutions unveiled nine solutions to prevent healthcare errors that harm millions of people throughout the world. One solution focused on correct patient identification. It was noted that failures to correctly identify patients is widespread and recommendations placed emphasis on methods for verifying patient identity <ref name="WHO Solutions">The World Health Organization Collaborating Centre for Patient Safety Solutions. Nine Patient Safety Solutions. 2007. http://www.who.int/patientsafety/events/07/02_05_2007/en/</ref>.
 
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*2014 – The [[Office of the National Coordinator for Health Information Technology (ONC)]], in conjunction with Dean Sitting, PhD; Joan Ash, PhD, MLS, MBA; and Hardeep Singh, MD, MPH release the Safety Assurance Factors for EHR Resilience Guides ([[ONC Issues Guides for SAFER EHRs]]). These guides are designed to help healthcare organizations conduct self-assessments to optimize the safety and safe use of [[EHR]]s in nine distinct areas, one being patient identification <ref name="ONC Definition">The Office of the National Coordinator for Health Information Technology. Safety Assurance Factors for EHR Resilience Guides. January 2014. https://www.healthit.gov/safer/</ref>.
2014 – The [[Office of the National Coordinator for Health Information Technology (ONC)]], in conjunction with Dean Sitting, PhD; Joan Ash, PhD, MLS, MBA; and Hardeep Singh, MD, MPH release the Safety Assurance Factors for EHR Resilience Guides ([[ONC Issues Guides for SAFER EHRs]]). These guides are designed to help healthcare organizations conduct self-assessments to optimize the safety and safe use of EHRs in nine distinct areas, one being patient identification <ref name="ONC Definition">The Office of the National Coordinator for Health Information Technology. Safety Assurance Factors for EHR Resilience Guides. January 2014. https://www.healthit.gov/safer/</ref>.
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== Summary ==
 
== Summary ==
 +
 +
== Related Pages ==
 +
[[Patient Matching Algorithms]]
 +
 +
[[ONC Issues Guides for SAFER EHRs]]
  
 
== References ==
 
== References ==
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Submitted by Kyle Marshall
 
Submitted by Kyle Marshall
 
[[Category:BMI512-FALL-16]]
 
[[Category:BMI512-FALL-16]]
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[[Category:Patient Safety]]

Revision as of 14:34, 18 October 2016

Preventing patient identification errors has been an area of significant research and work for many years. While much progress has been made, there is still work to be done. This article serves to review some landmark publications relating to patient identification errors over the last 15 years and summarize where this important focus is heading.

Definition

Defining patient identification and errors thereof can vary based on the focus and goals of the organization. Here are a few definitions of patient identification.

Joint Commission – Using acceptable person-specific identifiers, such as the patient’s name, an assigned identification number, or telephone number, patient identification is the process to reliably the individual as the person for whom the service or treatment is intended and to match service or treatment to that individual [1].

ECRI Institute – Patient identification is the process of correctly matching a patient to appropriately intended interventions and communicating information about the patient’s identity accurately and reliably throughout the continuum of care [2].

Office of the National Coordinator for Health Information Technology (ONC) – Accurate patient identification ensures that the information presented by and entered into the Electronic Health Record (EHR) is associated with the correct person [3].


Organizations Involved

Joint Commission (JC) – a United States-based, non-profit, tax-exempt organization that accredits healthcare organizations and programs. Most states recognize Joint Commission accreditation as a condition of licensure and for the receipt of Medicaid and Medicare reimbursements [4].

National Academy of Medicine (formerly the Institute of Medicine) – a non-profit, non-governmental organization that provides unbiased, evidenced-based, authoritative information and national advice on issues relating to medicine and health [5].

National Quality Forum (NQF) – a non-profit, membership organization representing consumers, health plans, medical professionals, employers, government/public health agencies, and pharmaceutical/medical device companies in the development of consensus-based standards to promote patient protection and healthcare quality [6].

World Health Organization (WHO) – a specialized agency of the United Nations that acts as the leading, directing, and coordinating authority on international health matters critical to public health [7].

Office of the National Coordinator for Health Information Technology (ONC) – a staff division of the Office of the Secretary, within the US Department of Health and Human Services, which leads national Health Information Technology (IT) efforts and is charged as the principal federal entity to coordinate nationwide efforts to implement and use the most advanced health IT and the electronic exchange of health information [8].

ECRI Institute – an independent, non-profit, international organization that partners with more than 5,000 healthcare organizations to share knowledge, experience, and research on topics such as patient safety improvement, comparative effectiveness, risk and quality management, evidence-based practice, and healthcare processes [9].


History

  • 2007 – The World Health Organization’s Collaborating Centre for Patient Safety Solutions unveiled nine solutions to prevent healthcare errors that harm millions of people throughout the world. One solution focused on correct patient identification. It was noted that failures to correctly identify patients is widespread and recommendations placed emphasis on methods for verifying patient identity [10].
  • 2014 – The Office of the National Coordinator for Health Information Technology (ONC), in conjunction with Dean Sitting, PhD; Joan Ash, PhD, MLS, MBA; and Hardeep Singh, MD, MPH release the Safety Assurance Factors for EHR Resilience Guides (ONC Issues Guides for SAFER EHRs). These guides are designed to help healthcare organizations conduct self-assessments to optimize the safety and safe use of EHRs in nine distinct areas, one being patient identification [3].


Future Directions

Given the importance as well as the number of organizations interested in improving and preventing patient identification errors, this topic will remain a focus for years to come. Discussion NQF and ECRI recommendations as possible future directions.


Summary

Related Pages

Patient Matching Algorithms

ONC Issues Guides for SAFER EHRs

References

  1. The Joint Commission. National Patient Safety Goals Effective January 1, 2015. 2015. http://www.jointcommission.org/assets/1/6/2015_NPSG_HAP.pdf
  2. ECRI Institute. Patient Identification: Executive Summary. August 2016. https://www.ecri.org/Pages/Patient-Identification-Deep-Dive.aspx
  3. 3.0 3.1 The Office of the National Coordinator for Health Information Technology. Safety Assurance Factors for EHR Resilience Guides. January 2014. https://www.healthit.gov/safer/
  4. About The Joint Commission. Accessed October 18, 2016. https://www.jointcommission.org/about_us/about_the_joint_commission_main.aspx
  5. About the National Academy of Medicine. Accessed October 18, 2016. https://nam.edu/about-the-nam/
  6. About the National Quality Forum. Accessed October 18, 2016. http://www.qualityforum.org/About_NQF/
  7. About the World Health Organization. Accessed October 18, 2016. http://www.who.int/about/en/
  8. About the Office for the National Coordinator of Health Information Technology. Accessed October 18, 2016. https://www.healthit.gov/newsroom/about-onc
  9. About ECRI Institute. Accessed October 18, 2016. https://www.ecri.org/about/Pages/default.aspx
  10. The World Health Organization Collaborating Centre for Patient Safety Solutions. Nine Patient Safety Solutions. 2007. http://www.who.int/patientsafety/events/07/02_05_2007/en/


Submitted by Kyle Marshall