Local integrated investigation pilot 2: Incorrect patient details on handover

From the investigation: Local integrated investigation pilot 2: Incorrect patient details on handover

Recommendation date:

Safety recommendation

HSIB recommends that the nursing home implements a mechanism to use care records with the lowest risk of having incorrect personal identification data during interactions with the wider healthcare system.

Response:

The nursing home responded to this safety recommendation and described their following actions:

  • Review of local systems around documentation of personal identification data that is shared with other organisations.
  • Introduction of additional measures including checking of pre-admission information with a patient’s respective GP.
  • Weekly and monthly audits of all documentation containing personal details.
  • A new hospital transfer pack to ensure accurate personal information is passed on to an ambulance crew.

Response received on 10 May 2022.

Back to safety recommendations log