Wrong patient error is medical malpractice that can have deadly consequences. As healthcare is becoming more and more sophisticated, patients are visiting multiple care providers and their personal data are being shared through multiple IT systems. The growing complexity of the health care system has led to an increase in patient errors according to a recent report released by the ECRI Institute.
The report entitled “Deep Dive” is based on the analysis of more than 7,500 events of patient identification errors. The researchers found that most identification errors are corrected before they affect the patients. However some do reach the patients. Some patient identification errors may have limited consequences. For example, a nursing home resident was mistaken for another resident and taken for an unnecessary exam to an affiliated hospital. Other identification errors can have dangerous consequences. An infant was infected with hepatitis B after receiving breast milk pumped from the wrong mother. Some wrong patient errors can be fatal. A patient who suffered cardiac arrest was not resuscitated because the medical staff followed a “do-not-resuscitate” order from another patient.
Wrong patient errors can happen at all stages of a medical process, from registration to electronic data entry, surgical intervention, medication administration, diagnostic or blood transfusion. They can occur in various settings such as nursing homes, doctor offices, hospitals or pharmacies. They are not only committed by doctors but also by nurses, transporters, medical secretaries or anyone else from the medical staff interacting with the patient. Often as the patient is mistaken for another one, the error doesn’t affect only one person but two.