Steps in the identification and compliance process of patient data in the emergency room
Keywords:Patient Identification Systems; Patient safety; Nursing; Emergency Medical Services.
Objectives: To investigate whether the identification data of patients' wristbands of emergency units correspond to what the Patient Identification Protocol recommends, and verify whether the health team performs the steps of the patient identification process at Emergency Room Units. Methods: descriptive, observational, quantitative and cross-sectional study, carried out between July and September 2017. The sample consisted of 240 patients with more than 24 hours in the emergency room of three public university hospitals in the South of Brazil. Data were collected in a form filled at the bedside. In the analysis, the chi-square test was applied for the categorical variables. The level of significance was α = 0.05. Results: The overall data identification wristband compliance was 85.7%. Among the stages of the identification process, the best result occurred in the "Identification conditions" phase (96.2%). The "Adherence to the identification data conference" (48.3%) was the least executed step. Conclusion: The prevalence and compliance of the patient identification data were high, but, in the identification process, the team's data check phase was low.
AHRQ, A. for H. R. and Q. (2001). Annual Report on Research and Management. Florida Fish and Wildlife . Conservation Com-mission. http://www.ahrq.gov/about/annrpt01/
Andy Field. (2009). Discovering Statistics using SPSS Statistics. SAGE Publications, 66, 822. http://www.amazon.com/Discovering-Statistics-using-IBM-SPSS/dp/1446249182
Bates, D. W., Larizgoitia, I., Prasopa-Plaizier, N., & Jha, A. K. (2009). Global priorities for patient safety research. BMJ (Online), 338(7705), 1242–1244. https://doi.org/10.1136/bmj.b1775
Brasil, M. da S. (2006). Política Nacional de Atenção as Urgências. (M. da Saúde (org.); 3o ed).
Brasil, M. da S. (2013). Agência Nacional de Vigilância Sanitária. Portaria no 36, de 25 de julho de 2013. Institui ações para a segurança do paciente em serviços de saúde e dá outras providências.
Hoffmeister, L. V., & Moura, G. M. S. S. de. (2015). Use of identification wristbands among patients receiving inpatient treatment in a teaching hospital. Revista Latino-Americana de Enfermagem, 23(1), 36–43. https://doi.org/10.1590/0104-1169.0144.2522
Howanitz, P. J., Renner, S. W., & Walsh, M. K. (2002). Continuous Wristband Monitoring Over 2 Years Decreases Identification Errors. Archives of Pathology & Laboratory Medicine, 126(7), 809–815. http://www.archivesofpathology.org/doi/abs/10.1043/0003-9985%282002%29126%3C0809%3ACWMOYD%3E2.0.CO%3B2
Latham, T., Malomboza, O., Nyirenda, L., Ashford, P., Emmanuel, J., M’baya, B., & Bates, I. (2012). Quality in practice: Implementation of hospital guidelines for patient identification in Malawi. International Journal for Quality in Health Care, 24(6), 626–633. https://doi.org/10.1093/intqhc/mzs038
Martínez-Ochoa, E. M., Cestafe-Martínez, A., Soledad Martínez-Sáenz, M., Belío-Blasco, C., Caro-Berguilla, Y., & Rivera-Sanz, F. (2010). Evaluación de la implantación de un sistema de identificación inequívoca de pacientes en un hospital de agudos. Medicina Clínica, 135, 61–66. https://doi.org/10.1016/S0025-7753(10)70022-1
Padilha, E. F., Haddad, M. D. C. F. L., & Matsuda, L. M. (2014). Qualidade Dos Registros De Enfermagem Em Terapia Intensiva: Avaliação Por Meio Da Auditoria Retrospectiva. Cogitare Enfermagem, 19(2). https://doi.org/10.5380/ce.v19i2.32103
Prade Hemesath, M., Barreto dos Santos, H., Schroder Torelly, E., Bolzan Motta, M., Silveira Pasin, S., & Muller de Magalhães, A. (2015). Avaliação e gestão da adesão dos profissionais à verificação da identificação do paciente. Revista Acreditação, 5(9), 45–54.
Souza, C. C. de, Toledo, A. D., Tadeu, L. F. R., & Chianca, T. C. M. (2011). Classificação de risco em pronto-socorro: concordância entre um protocolo institucional brasileiro e Manchester. Revista Latino-Americana de Enfermagem, 19(1), 26–33.
Suñol, R., Vallejo, P., Groene, O., Escaramis, G., Thompson, A., Kutryba, B., & Garel, P. (2009). Implementation of patient safety strategies in European hospitals. Quality and Safety in Health Care, 18(SUPPL. 1). https://doi.org/10.1136/qshc.2008.029413
Tase, T. H., & Tronchin, D. M. R. (2015). Sistemas de identificação de pacientes em unidades obstétricas e a conformidade das pulseiras. Acta Paulista de Enfermagem, 28(4), 374–380. https://doi.org/10.1590/1982-0194201500063
Teasdale Graham, Allan, D., Brennan, P., McElhinney, E., & Mckinnon, L. (2014). Forty years on: updating the Glasgow Coma Scale. Nursing Times, 110(42), 12–16.
WHO, W. H. O. (2003). Patient Identification: The Foundation for a Culture of Patient Safety. Journal of Nursing Care Quality, 18(1), 73–79. https://doi.org/10.1097/00001786-200301000-00010
World Health Organization WHO. (2006). Quality of care: A process for making strategic choices in health systems. The Journal of the American Medical Association, 267, 1–50. https://apps.who.int/iris/bitstream/handle/10665/43470/9241563249_eng.pdf%0Afile:///E:/THESIS WENNY/Jurnal/Quality of Care_B.Def WHO.pdf
Zanelatto, D. M., & Dal Pai, D. (2010). Práticas de acolhimento no serviço de emergência: a perspectiva dos profissionais de enfermagem. Ciência, Cuidado e Saúde, 9(2). https://doi.org/10.4025/cienccuidsaude.v9i2.9390
How to Cite
Copyright (c) 2021 Suelen Cristina Zandonadi Bernal; Daiane Cortez Raimondi; Greice Westphal; Nelson Nardo Junior; Carlos Alexandre Molena Fernandes; Laura Misue Matsuda
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.