Wristband as identity and as Evidence of Patient Safety

Abstract

The patient bracelet is used to identify the patient. The
bracelet must be safe and complete as it is used for patient
identification. The preliminary study results showed that
the wristbands had not been put on for all patients, and the
stages of the bracelet fitting procedures were not the same.
The impact of not installing a bracelet is a risk if there is
an error in providing health services. Although there is
no data, there have been reports of errors in providing
services. The research objective was to determine the
use of identity: wristband as evidence of patient safety
at dr. Soekardjo Hospital City of Tasikmalaya in 2017.
This research type is a mixed-method with in-depth
interview data collection methods, field observations,
documentation studies, and Focus Group Discussions.
Sampling was done by snowball sampling from the Quality
Committee, medical services/pediatricians, nurses/
midwives, inpatient registration officers. The collected
data were analyzed descriptively and performed content
analysis. The implementation of the lowest bracelet fitting
was saying greetings (0%), giving information to patients
if the bracelet was loose immediately reported to the
officer (0%). Whereas the release of the wristband identity
had the highest implementation, namely the procedure of
preparing tools and materials with 93.3%, the removal
of the bracelet was carried out by 93.3% of duty nurses.
In comparison, the lowest implementation procedure was
related to soft skills in saying greetings 0%, saying thank
you 0 %. There are two colors of the bracelet, namely blue
for men and pink for women. The material of the bracelet
is safe and has never been reported as having allergies.
Complete identity for all adult patients, but the use is not
evenly distributed, whereas there is a number Medical
Record (RM) for all infants. The placement and removal
of the wristbands are not following the existing Standard
Operating Procedures (SPO). The redesign of the bracelet
is possible according to the needs of the hospital. It needs
commitment from all parties by prioritizing patient safety,
and it is necessary to revise the SPO referring to existing
regulations and adjust their implementation.