In newborns who don't yet have names, using more specific names than "Babygirl X" cuts wrong-patient errors by 36%.
Pediatrics. 2015 Jul 13; [Epub ahead of print].
Use of temporary names for newborns and associated risks.
Adelman J, Aschner J, Schechter C, et al. Pediatrics. 2015 Jul 13; [Epub ahead of print].
Wrong-patient errors are considered to be never events. Newborns are assigned temporary names if they don't have a name immediately after birth, and this may increase the rates of wrong-patient errors. The need for first and last names in electronic health records has led to a generic first name convention of "Babygirl" or "Babyboy," which is in use in more than 80% of neonatal intensive care units in the United States. This pre-post study found that implementing specific first names that incorporated the mother's name reduced the incidence of wrong-patient errors by 36% compared to the generic naming. These errors are rare even at baseline, but given the ease of changing the naming convention, this is a pragmatic approach to improving the safety of computerized provider order entry for hospitalized newborns.
System errors in intrapartum electronic fetal monitoring: a case review.
Miller LA. J Midwifery Womens Health. 2005;50:507-516.
Patient misidentification in the neonatal intensive care unit: quantification of risk.
Gray JE, Suresh G, Ursprung R, et al. Pediatrics. 2006;117:e43-e47.
Mix-up: baby nursed by wrong mother.
Cisneros N. ABC-7/KGO-TV. June 10, 2006.
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Nurse error spotlights drug's danger.
Greene L. St. Petersburg Times. June 15, 2006:A1.