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( Ciudad Mj ),( Cuadrado Ma ),( De Pedro Ja ),( Collado Luis ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: Patient Identifi cation and specimen labeling represent one of the most critical area in patient safety and is an increasingly visible mission for clinical laboratories. The aim of this work is to assess patient identifi cation and specimen labeling improvement after implementation projects using longitudinal statistical tools. Methods: Patient/Specimen Identifi cation errors were categorized by a multidisciplinary health care team. They were grouped into 3 categories: A: specimen/requisition mismatch, B: unlabeled Patient Identifi cations, C: Misidentifi cation Patient. These types of identifi cation errors were compared preimplementation and postimplementation for 3 patient safety projects: 1: Developpment of Identifi cation Patient and Specimen Process to follow by all the professionals implied. (2) reorganization of phlebotomy ; (3) introduction of an electronic event reporting system. We use trend analysis and Student t Test Results: Of 46 632 total requests analyzed, requisition mismatches, unlabeled patient Identifi cation and misidentifi cation patient ; represented 1.6/10,000, 5.8/10.000, and 4.1/10.000 of errors, respectively. Student t test showed a signifi cant decrease in the two most serious errors, mislabeled specimens (P < .001) and Misidentifi cation Patient (p< .001) when compared to before implementation. Trend analysis demonstrated decreases in all 3 error types for 18 months. Conclusions: The applied strategies have demonstrated to be effective in the improvement of the identifi cation of the patient in the analytical requests. However, we must continue working in this strategy, with all the implied professionals and trying to reach the objective of which the 100% of the requests they are identifi ed correctly.
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