colored wristband standardization ohio patient safety institute 2007 ohio patient safety institute
TRANSCRIPT
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Colored Wristband Standardization
Ohio Patient Safety Institute
2007
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Why should we look at standardizing wrist band colors?
• Pennsylvania Near Miss
• Mini survey
• Ohio regulatory requirement for DNR
• Practitioners practice at multiple surgical/ procedural settings
• Increased use of “community” bands
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Ohio Emergency Code Color Schema
Code Red Fire Code Yellow Disaster
Code Adam Infant/Child Abduction
Code Brown Missing Adult Patient
Code Orange Hazardous Material Spill
Code Violet Violent Patient/ Combative
Code Blue Adult Medical Emergency
Code Pink Child Medical Emergency
Code Gray Severe Weather
Code Silver Weapon/ Hostage Situation
Code Black Bomb/Bomb Threat
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Crosswalk of color use
Red Green Blue Pink Orange Yellow White Purple Clear8 Striped Brown Cranberry
Allergies
Blood
DNR
Pt ID
Limited venous access
Special Needs
Latex
No Blood
Swallow Precautions
Laterality OR
Other
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Top Wristband Uses14%
19%
9%
16%
27%
5%1%
5%3% 1%
Fall Risk
Allergies
Blood
DNR
Pt ID
Limited venous access
Special Needs
Other
Latex
Laterality OR
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Vision
Reduce reliance or eliminate the use of wristbands (except patient id),
but in the interim standardize and decrease the number of wristband colors with embossed message
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OPSI Recommendation
Band Color Communicates
Red Allergy
Yellow Fall Risk
White/Clear with White insert
Patient Identification
Green Blood
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Patient IdentificationPatient IdentificationThe white or clear
with white insert patient identification
wristband in all settings are applied in accordance with procedures outlined in organizational policy on patient identification and registration.
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Red for AllergyIt is recommended that
healthcare
organizations adopt
REDRED for
ALLERGYALLERGY alert
with the word “Allergy”
embossed/printed on it
By adopting red for allergy alert, the standardization can be easily achieved since 2 out of 3 Ohio organizations already use RED for allergy alert
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Yellow for Fall RiskYellow for Fall RiskIt is recommended that
healthcare
organizations adopt
YellowYellow for
FALL RISKFALL RISK
with the word “Fall Risk”
embossed/printed on it
Falls account for more than 70% of the total injury related health costs among people 60 years of age and older
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Green for BloodGreen for BloodIt is recommended that
healthcare
organizations adopt
GreenGreen for
BloodBlood The risk of error due to
misidentification at the bedside is recognized as one of the prime causes of incorrect transfusion
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Community Bands
While healthcare supports the community
(charity or fashion) wristbands they can be
confused with the alert message a colored
wristband in the
Healthcare setting
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Resources
• OPSI website – www.ohiopatientsafety.org
• Posters
• Tool Kit
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Questions?