Dramatic Mislabel Reductions in a Medical Intensive Care Unit Resulting From Unit Practice Committee Interventions

2.50
Hdl Handle:
http://hdl.handle.net/10755/157033
Category:
Abstract
Type:
Presentation
Title:
Dramatic Mislabel Reductions in a Medical Intensive Care Unit Resulting From Unit Practice Committee Interventions
Author(s):
Prentice, Donna; Gillen, Patricia; Dumm, Connie; Michael, Sarah; Scrimsher, Meade; Lane, Nancy; Bess, Kathleen
Author Details:
Donna Prentice, MSN,CCRN, Barnes-Jewish Hospital, Saint Louis, Missouri, USA, email: dxp7813@bjc.org; Patricia Gillen; Connie Dumm; Sarah Michael; Meade Scrimsher; Nancy Lane; Kathleen Bess
Abstract:
PURPOSE: The medical intensive care unit (MICU) of a large urban tertiary medical center had one of the highest rates of mislabeled laboratory specimens in the hospital in 2007. The MICU designed a program to decrease that number of mislabels, which will provide a safer environment for the patients. DESCRIPTION: In 2007 the MICU had 90 mislabeled specimens. A mislabeled specimen is defined as a specimen that has the wrong patient label, has label and requisition for different patients, or is an unlabeled specimen. Mislabeled specimens are a safety issue that can lead to incorrect patient interventions, delays in treatment, repeat sample collection, unnecessary work, and increased anxiety for staff over the mistake resulting in a possible corrective action. The unit practice committee (UPC) undertook a multiprong approach to correct the problem. Education was done to make staff aware of the problem and to gather input on ways to decrease mislabels. Graphs of progress were posted monthly. Fun and eye catching signs were posted and rotated frequently to help remind staff to double-check labels. A coaching document was developed to provide individual feedback to any staff that sent a mislabeled specimen. Reasons for the mislabels were posted so staff could learn from each other, and staff were encouraged to share their experiences at staff meetings. EVALUATION/OUTCOMES:The MICU mislabels have dramatically decreased. In 2007 the mislabel total was 90, which decreased to 41 in 2008-a 54% improvement. Year to date in 2009 the MICU has a further 19% improvement. Staff is encouraged by the progress and reports enjoying the creative signs. Staff members pride themselves in having no mislabels. The MICU mislabel preventative process has created a safer environment for patients and a healthier work environment for staff.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866
Conference Date:
2010
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleDramatic Mislabel Reductions in a Medical Intensive Care Unit Resulting From Unit Practice Committee Interventionsen_GB
dc.contributor.authorPrentice, Donnaen_GB
dc.contributor.authorGillen, Patriciaen_GB
dc.contributor.authorDumm, Connieen_GB
dc.contributor.authorMichael, Sarahen_GB
dc.contributor.authorScrimsher, Meadeen_GB
dc.contributor.authorLane, Nancyen_GB
dc.contributor.authorBess, Kathleenen_GB
dc.author.detailsDonna Prentice, MSN,CCRN, Barnes-Jewish Hospital, Saint Louis, Missouri, USA, email: dxp7813@bjc.org; Patricia Gillen; Connie Dumm; Sarah Michael; Meade Scrimsher; Nancy Lane; Kathleen Bessen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157033-
dc.description.abstractPURPOSE: The medical intensive care unit (MICU) of a large urban tertiary medical center had one of the highest rates of mislabeled laboratory specimens in the hospital in 2007. The MICU designed a program to decrease that number of mislabels, which will provide a safer environment for the patients. DESCRIPTION: In 2007 the MICU had 90 mislabeled specimens. A mislabeled specimen is defined as a specimen that has the wrong patient label, has label and requisition for different patients, or is an unlabeled specimen. Mislabeled specimens are a safety issue that can lead to incorrect patient interventions, delays in treatment, repeat sample collection, unnecessary work, and increased anxiety for staff over the mistake resulting in a possible corrective action. The unit practice committee (UPC) undertook a multiprong approach to correct the problem. Education was done to make staff aware of the problem and to gather input on ways to decrease mislabels. Graphs of progress were posted monthly. Fun and eye catching signs were posted and rotated frequently to help remind staff to double-check labels. A coaching document was developed to provide individual feedback to any staff that sent a mislabeled specimen. Reasons for the mislabels were posted so staff could learn from each other, and staff were encouraged to share their experiences at staff meetings. EVALUATION/OUTCOMES:The MICU mislabels have dramatically decreased. In 2007 the mislabel total was 90, which decreased to 41 in 2008-a 54% improvement. Year to date in 2009 the MICU has a further 19% improvement. Staff is encouraged by the progress and reports enjoying the creative signs. Staff members pride themselves in having no mislabels. The MICU mislabel preventative process has created a safer environment for patients and a healthier work environment for staff.en_GB
dc.date.available2011-10-26T19:21:41Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:21:41Z-
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.conference.date2010en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationWashington, D.C., USAen_GB
dc.identifier.citation2010 National Teaching Institute Research Abstracts. American Journal of Critical Care, 19(3), e15-e28. doi:10.4037/ajcc2010866en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.