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Reducing patient identification errors related to glucose point-of-care testing

BACKGROUND: Patient identification (ID) errors in point-of-care testing (POCT) can cause test results to be transferred to the wrong patient's chart or prevent results from being transmitted and reported. Despite the implementation of patient barcoding and ongoing operator training at our insti...

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Autores principales: Alreja, Gaurav, Setia, Namrata, Nichols, James, Pantanowitz, Liron
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications Pvt Ltd 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3097526/
https://www.ncbi.nlm.nih.gov/pubmed/21633490
http://dx.doi.org/10.4103/2153-3539.80718
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author Alreja, Gaurav
Setia, Namrata
Nichols, James
Pantanowitz, Liron
author_facet Alreja, Gaurav
Setia, Namrata
Nichols, James
Pantanowitz, Liron
author_sort Alreja, Gaurav
collection PubMed
description BACKGROUND: Patient identification (ID) errors in point-of-care testing (POCT) can cause test results to be transferred to the wrong patient's chart or prevent results from being transmitted and reported. Despite the implementation of patient barcoding and ongoing operator training at our institution, patient ID errors still occur with glucose POCT. The aim of this study was to develop a solution to reduce identification errors with POCT. MATERIALS AND METHODS: Glucose POCT was performed by approximately 2,400 clinical operators throughout our health system. Patients are identified by scanning in wristband barcodes or by manual data entry using portable glucose meters. Meters are docked to upload data to a database server which then transmits data to any medical record matching the financial number of the test result. With a new model, meters connect to an interface manager where the patient ID (a nine-digit account number) is checked against patient registration data from admission, discharge, and transfer (ADT) feeds and only matched results are transferred to the patient's electronic medical record. With the new process, the patient ID is checked prior to testing, and testing is prevented until ID errors are resolved. RESULTS: When averaged over a period of a month, ID errors were reduced to 3 errors/month (0.015%) in comparison with 61.5 errors/month (0.319%) before implementing the new meters. CONCLUSION: Patient ID errors may occur with glucose POCT despite patient barcoding. The verification of patient identification should ideally take place at the bedside before testing occurs so that the errors can be addressed in real time. The introduction of an ADT feed directly to glucose meters reduced patient ID errors in POCT.
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spelling pubmed-30975262011-06-01 Reducing patient identification errors related to glucose point-of-care testing Alreja, Gaurav Setia, Namrata Nichols, James Pantanowitz, Liron J Pathol Inform Technical Note BACKGROUND: Patient identification (ID) errors in point-of-care testing (POCT) can cause test results to be transferred to the wrong patient's chart or prevent results from being transmitted and reported. Despite the implementation of patient barcoding and ongoing operator training at our institution, patient ID errors still occur with glucose POCT. The aim of this study was to develop a solution to reduce identification errors with POCT. MATERIALS AND METHODS: Glucose POCT was performed by approximately 2,400 clinical operators throughout our health system. Patients are identified by scanning in wristband barcodes or by manual data entry using portable glucose meters. Meters are docked to upload data to a database server which then transmits data to any medical record matching the financial number of the test result. With a new model, meters connect to an interface manager where the patient ID (a nine-digit account number) is checked against patient registration data from admission, discharge, and transfer (ADT) feeds and only matched results are transferred to the patient's electronic medical record. With the new process, the patient ID is checked prior to testing, and testing is prevented until ID errors are resolved. RESULTS: When averaged over a period of a month, ID errors were reduced to 3 errors/month (0.015%) in comparison with 61.5 errors/month (0.319%) before implementing the new meters. CONCLUSION: Patient ID errors may occur with glucose POCT despite patient barcoding. The verification of patient identification should ideally take place at the bedside before testing occurs so that the errors can be addressed in real time. The introduction of an ADT feed directly to glucose meters reduced patient ID errors in POCT. Medknow Publications Pvt Ltd 2011-05-11 /pmc/articles/PMC3097526/ /pubmed/21633490 http://dx.doi.org/10.4103/2153-3539.80718 Text en Copyright: © 2010 Alreja G http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Technical Note
Alreja, Gaurav
Setia, Namrata
Nichols, James
Pantanowitz, Liron
Reducing patient identification errors related to glucose point-of-care testing
title Reducing patient identification errors related to glucose point-of-care testing
title_full Reducing patient identification errors related to glucose point-of-care testing
title_fullStr Reducing patient identification errors related to glucose point-of-care testing
title_full_unstemmed Reducing patient identification errors related to glucose point-of-care testing
title_short Reducing patient identification errors related to glucose point-of-care testing
title_sort reducing patient identification errors related to glucose point-of-care testing
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3097526/
https://www.ncbi.nlm.nih.gov/pubmed/21633490
http://dx.doi.org/10.4103/2153-3539.80718
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