Reduce Incidences Of Wrongly Scanned ID Tag When Taking Blood Glucose
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2018
Maintain a minimum of 100 days between ID tag errors and reduce wrongly scanned IDs to zero. Workflow changes successfully eliminated ID errors, improving safety, accuracy, and patient experience.
Year Submitted: 2018
Published Date: 31 December 2018
Tags: Care Process ＆ Redesign, Quality Improvement, Job Effectiveness, Value Based Care, Patient Satisfaction, Risk Management, Preventive Approach
About this Content
Aims
Maintain a minimum of 100 days between ID tag errors and reduce wrongly scanned IDs to zero.
Background
Wrongly scanned IDs in Ward B14 caused repeated blood glucose monitoring, delays, and patient dissatisfaction.
Methods
Root cause analysis (fishbone diagram), implemented two-nurse delegation, and adjusted processes for BGM timing.
Results
ID scan errors eliminated; average error-free days increased to over 175 days. Staff reported reduced distractions during BGM rounds.
Conclusion
Workflow changes successfully eliminated ID errors, improving safety, accuracy, and patient experience.
Lessons Learnt
Effective communication and structured workflow redesign reduced errors and improved patient satisfaction.
Keywords
Wrong ID Scan, Blood Glucose Monitoring, Root Cause Analysis, Workflow Redesign
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Nursing |
Applicable Specialty or Discipline | Endocrinology |
Project Lead(s) | Laura Quak |
Project Member(s) | Julia Law |
Connect with this contributor!
Laura Quak - kwee_huwang_quak@nuhs.edu.sg
Project Attachment
C_138_NTFGH_QM_2018_Reduce_Incidences_Of_Wrongly_Scanned_ID_Tag_When_Taking_Blood_Glucose.pdf