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For this first assessment, you will assume the role of a patient safety officer at your local hospital. You will analyze a patient safety issue that occurred and then prepare a five- to seven-page recommendation for senior leaders about why it is important to address the issue, along with your recommendations about how to address it. You will also need to detail the role you as the patient safety officer will play in helping the organization resolve the issue.
Explanation & Answer:
5 pages
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Explanation & Answer
Cancellation.
Attached.
Running head: SAFETY PLAN FOR MINIMIZING PATIENT MISIDENTIFICATION
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Patient Safety Plan for Minimizing Patient Misidentification
Student Name:
Professors Name:
Institution:
Date
SAFETY PLAN FOR MINIMIZING PATIENT MISIDENTIFICATION
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Patient Safety Plan for Minimizing Patient Misidentification
Potential Threat to Patient Safety
A possibility of confusing two patients leading to misidentification has been identified,
from the simulation activity, as a potential safety threat. In this case, two nurses were discussing a
situation in which two patients with similar names and confusing birth dates were admitted in
rooms directly opposite each other on one floor. The two patients were B. Moore and B. R Moore
born on 08/11/05 and 11/08/05 respectively. One of the nurses is concerned that identifying them
with birthdates, room numbers or names is confusing and can lead to wrong identification.
However, the second nurse seems not to accept this position, claiming that the possibility of
confusing the two patients (wrong identification) is canceled by the fact that they are assigned to
different nurses at all times. However, this issue remains a safety threat because nurses resuming
their shifts can wrongly identify the patients due to confusion thus exposing the patients to more
health safety risks.
Implications of Not Addressing the Threat
Healthcare safety imperative says that identification errors are prone where there is no
coordination and proper communication among healthcare workers (Institute of Medicine, 2013).
For example, a lack of proper coordination of nurses may lead to nurse committing identification
errors when handing over shifts. Healthcare safety imperatives also identify evidence-based
strategies as being necessary for minimizing misidentification errors (Institute of Medicine, 2013).
SAFETY PLAN FOR MINIMIZING PATIENT MISIDENTIFICATION
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The healthcare imperative applies in this issue because the risk of misidentification of the two
patients is due to lack of proper way (evidence-based) of communicating their identities among
the nurses, especially between the sending and receiving nurses during shift handovers.
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) is the agency
that provides oversight about the issue of risks of misidentification. The JCAHO states that a
healthcare organization should have a reliable method of identifying patients, which uses two or
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