Improvement cycle for correct patient identification in two cancer hospitals
Patient Identification System. Patient Safety. Quality Improvement
INTRODUCTION
The identification of the patient is a recommendation for national and international patient safety and despite being a simple measure, low cost and highly efficient, is partially deployed health services with few experiences reported about its effective implementation.
GOAL
Improve the process of identification of the patient in two referral hospitals in Oncology;
METHOD
It is a quantitative study, almost-type trial before and after, with no control group. The improvement cycle went on two institutions for cancer care, with evaluation of seven quality criteria inherent in the identification of the patient. These were analyzed as its validity and reliability by the Kappa index. The sampling was systematic, with retrospective review and direct observation. After initial assessment was drawn the diagram of affinities, orderly and systematic intervention for quality improvement. The fulfillment of the actions has been calculated by estimating and the 95% confidence interval. For comparison and analysis of the effectiveness of the improvement was estimated absolute improvement on statistical significance and by unilateral Z-value test (p ≤ 0.05).
RESULTS
The statistical significance was proven in four of the seven criteria of quality. The absolute improvement was achieved in the criteria for identifying the bed, blood products, request request for laboratory tests and parts identification of pathology. The identification criterion of imaging scans obtained 2% absolute improvement, identification of the chart presented negative development ( -9.0%) and bracelet identification showed no positive result. How much improvement on the most significant results criteria focused on identification of bed, blood products, request request for laboratory tests and identification of Imaging tests.
CONCLUSION
The cycle of improvement proved to be effective and contributed to redefining patient identification activities, with the involvement of health professionals, patients, the escorts and the senior management. In addition, strengthened institutional culture focused on safety and provided new study front existing shortages.