lessons learned from patient identification errors

I need assistance with lessons learned from patient identification errors.  The importance of using two identifiers.  use credible sources such as World Health Organization, Two Identifiers-Joint Commission and Quality Improvement 102 Institute for Healthcare Improvement.  Please provide references.  This revolves attachment uploaded, the first section of: Identify patients correctly 

 

Hospital
National Patient Safety Goals
The purpose of the National Patient Safety Goals is to improve patient safety. The goals focus on problems
in health care safety and how to solve them.
This is an easy-to-read document. It has been created for the public. The exact language of the goals can
be found at www.jointcommission.org.
Get important test results to the right staff person on time.
Reduce the risk for suicide.
Use the hand cleaning guidelines from the Centers for Disease Control and Prevention or the
World Health Organization. Set goals for improving hand cleaning. Use the goals to improve
hand cleaning.
Make sure that the correct surgery is done on the correct patient and at the correct place
on the patient’s body.
Mark the correct place on the patient’s body where the surgery is to be done.
Pause before the surgery to make sure that a mistake is not being made.
Use at least two ways to identify patients. For example, use the patient’s name and date of
birth. This is done to make sure that each patient gets the correct medicine and treatment.
Identify patients correctly
NPSG.01.01.01
Prevent infection
NPSG.07.01.01
Improve staff communication
NPSG.02.03.01
Identify patient safety risks
NPSG.15.01.01
Prevent mistakes in surgery
UP.01.01.01
UP.01.02.01
UP.01.03.01
Before a procedure, label medicines that are not labeled. For example, medicines in syringes,
cups and basins. Do this in the area where medicines and supplies are set up.
Take extra care with patients who take medicines to thin their blood.
Record and pass along correct information about a patient’s medicines. Find out what
medicines the patient is taking. Compare those medicines to new medicines given to the patient.
Give the patient written information about the medicines they need to take. Tell the patient it is
important to bring their up-to-date list of medicines every time they visit a doctor.
Use medicines safely
NPSG.03.04.01
NPSG.03.05.01
NPSG.03.06.01
Make improvements to ensure that alarms on medical equipment are heard and responded to
on time.
Use alarms safely
NPSG.06.01.01

lessons learned from patient identification errors

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