title: He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices.
abstract: BACKGROUND
  Accurate patient identification (PT ID) is a key component in hospital patient safety practices and was addressed by one of the first six Joint Commission National Patient Safety Goals, which were introduced in 2003. Although the literature on patient safety practices is replete with discussion of strategies for improvement, less is known about frontline providers' subjective views. A qualitative study was conducted to examine the subjective views and experiences of nurses and residents regarding PT ID at an urban teaching hospital.
  
  
  METHODS
  Some 15 registered nurses and 15 residents were interviewed between August 2009 and June 2010. Transcripts were analyzed using qualitative methodologies.
  
  
  RESULTS
  Although residents and nurses viewed PT ID as crucial to patient safety, they cited time pressures; confidence in their ability to informally identify patients; and a desire to deliver personal, humanistic care as reasons for not consistently verifying patient identification. Nurses expressed concern about annoying, offending, and/or alienating patients by repeatedly checking wristbands and asking date of birth, in the belief that excessive patient identification practices could undermine trust. Residents relied on nurses to check ID and preferred to greet the patient by name, a practice that they viewed as more consistent with their professional identity. Referring to patients by their room number and location was cited as a commonly used practice of PT ID and a contributor to errors in identification.
  
  
  CONCLUSIONS
  Nurses and residents are aware of the importance and requirements to verify PT ID, but their adherence is mitigated by a variety of factors, including assessment of necessity or risk, impact on their relationship with the patient, and practices in place in the hospital environment that protect patient privacy.
authors.affiliation: Center for Urban Health Policy and Research, Einstein Healthcare Network, Philadelphia, USA. PhippsT@einstein.edu
authors.forename: Etienne
authors.initials: E
authors.lastname: Phipps
authors.forename: Marian
authors.initials: M
authors.lastname: Turkel
authors.forename: Elizabeth R
authors.initials: ER
authors.lastname: Mackenzie
authors.forename: Carlos
authors.initials: C
authors.lastname: Urrea
mesh_terms: D001291:Attitude of Health Personnel; D006801:Humans; D007407:Interviews as Topic; D007591:Joint Commission on Accreditation of Healthcare Organizations; D008505:Medical Staff, Hospital; D009741:Nursing Staff, Hospital; D010355:Patient Identification Systems / Q000379:methods*; D061214:Patient Safety; D036301:Qualitative Research; D013997:Time Factors; D014481:United States