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Keywords

Patient identification, handover compliance, checklist, nursing safety, quality improvement.

Abstract

Background: Accurate patient identification is essential to prevent medical errors, ensure patient safety, and improve continuity of care. Routine audits in the Male Medical Ward of Wadi Al-Dawaser General Hospital revealed poor compliance (62%) with patient identification protocols during shift handovers, resulting in misidentification incidents and near-miss events.

Objectives: To improve adherence to patient identification protocols during every shift handover.

  1. To achieve ≥90% compliance rate in patient ID verification by July 2025.
  2. To reduce misidentification-related incidents by at least 80%.

Methods: This quality improvement project followed the FOCUS–PDCA model. Interventions included the development of a structured handover checklist with embedded patient identification steps, focused staff training, visual reminders, and biweekly compliance audits. Data were collected through observational audits and analyzed using descriptive statistics.

Results: Patient identification compliance improved from 62% to 91% (+29%), misidentification incidents dropped from 5 to 1 per 1000 patients (−80%), and staff knowledge scores increased from 65% to 90% (+25%).

Conclusion: Structured handover checklists and regular audits significantly improved patient identification compliance, reduced misidentification risk, and fostered a culture of safety. Sustaining improvement requires continuous education, supervision, and reinforcement.

https://doi.org/10.61096/shareme.v4.iss4.2025.124-126
  
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