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Summary: QR TRACK
Training Scenarios
PATIENT IDENTIFICATION
James Porter arrives at Surgical Admissions Suite for surgery on May 10, 2006.
At 06:50, nurse notes that MRN (medical record number) on Typenex blood
band placed by PETC (Preanesthesia Evaluation Testing Center) is different
from MRN on patient identification arm band.
A new blood sample is drawn for Type & Crossmatch before patient is taken
to the Operating Room.
Jane Robinson MD, attending physician, is notified of the error and delay.
Person: Ambulatory/Outpatient/ED/CHHC
General Event Type: ID/Documentation/Consent
Injury: No/Unknown
Equipment: No/Unknown
Location: SAS
Other Services/Departments Involved: PETC
Specific Event Type: ID/band label - wrong MRN
DELAY IN SERVICE
Claire Edwards, an inpatient on 9 West, is taken to the Radiology Department
for a Head CT that is completed at 00:54 on May 8, 2006.
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