JCI patient identification procedure template

1Purpose

1. 1.1This procedure sets out how [Clinic name] identifies every patient correctly, at every step of care.

2The two identifiers

1. 2.1Every patient is identified with two identifiers, [full name] and [date of birth], and never by room or bed number.
2. 2.2The identifiers are checked before any medicine, test, procedure or treatment, and before a result is given.
3. 2.3Every label, specimen and record carries both identifiers.

3Critical results

1. 3.1A critical result is given to the responsible clinician directly, read back by them and recorded with the time and both names.

4Audit

1. 4.1[Number] patient interactions are observed each month, and the results are reported to the quality committee with actions.

5Review

1. 5.1[Name, role] reviews this document every [12] months, and sooner after an incident, a complaint or a change in the regulator's requirements.
2. 5.2Each review is recorded with the date, the reviewer and what changed, and the previous version is kept.
3. 5.3Staff are told of each change, and their acknowledgement is recorded.

6Where this sits in the JCI framework

• International Patient Safety GoalsIdentify patients correctly
  Improve effective communication