Incorrect ID Scanned- Results Entered into Correct Chart
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Hello all,
I am a newish POCC for my hospital and have a question. On a few occasions we have had staff use patient labels (Accu-Chek) that were left in another patient’s room (not scanning the armband) thus leading to results being sent to the incorrect MR. Our devices are set to allow the operator to confirm the patient ID before continuing with testing and each device is also set to only pull patients for the specific floor.
Recently our higher ups have been pushing for us to just enter the result from the wrong patient into the correct patient chart so they get a result. However, our laboratory policy states that any mislabel of any type must be recollected and tested again. My director and I are currently telling nursing staff that we will not allow this as it is a serious issue and retesting should definitely be done.
If this occurs to you all, are you entering results for the nursing staff to correct the situation ? One other thing I would like to note is that on these few occasions, the problem has not been reported in a timely manner, the latest was two days later. I’m a bit skeptical on allowing this practice to occur as I foresee people abusing it.
I am a newish POCC for my hospital and have a question. On a few occasions we have had staff use patient labels (Accu-Chek) that were left in another patient’s room (not scanning the armband) thus leading to results being sent to the incorrect MR. Our devices are set to allow the operator to confirm the patient ID before continuing with testing and each device is also set to only pull patients for the specific floor.
Recently our higher ups have been pushing for us to just enter the result from the wrong patient into the correct patient chart so they get a result. However, our laboratory policy states that any mislabel of any type must be recollected and tested again. My director and I are currently telling nursing staff that we will not allow this as it is a serious issue and retesting should definitely be done.
If this occurs to you all, are you entering results for the nursing staff to correct the situation ? One other thing I would like to note is that on these few occasions, the problem has not been reported in a timely manner, the latest was two days later. I’m a bit skeptical on allowing this practice to occur as I foresee people abusing it.
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Our lab policy is the same. If the specimen is mislabeled, it must be recollected and an incident report is written up.
We have a form that must be completed by the end user who made the error. They must provide the correct patient name, the incorrect patient name, the result, date and time, user name, etc. We can then correct the results in our LIS which then interfaces to the EMR as corrected. We also enter a safety portal (risk management tool) so that both risk management is notified as well as the manager of that department who is then responsible to enter corrective action taken to prevent that type of incident in the future.
It's been the experience of many POCCs here and other listserves that when we venture out from working in the lab, we set ourselves up for being the targets of those leaders in departments who feel we should support what they feel is in the best interest of patient care. And we are. We just don't see their work arounds to be acceptable and in the best interest of patient care they chose to deliver.
Sometimes I've wondered if we get asked for work arounds because nursing or whomever is performing the LAB TEST still does not recognize it's A LAB TEST so falls under the governance and policies of the lab.
It's a hard road sometimes to stay the course on holding tight to lab policies that were written for a reason.
Hang in there because you are not alone. Warm thoughts your way.