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We have a small number of GPs using labels in the Doncaster & Bassetlaw
PCTs, however it does also highlight more serious problems of patient
identification within GP practices.  

Our experience is similar in that some of the common issues are resolved

- Illegible hand writing
-Incorrect spelling of names
- Incorrect date of Birth
- DOB & NHS number not belonging to the patient who's name is on the
form.
- Absent patient address.

We also have had a number of examples where the label data on form and
samples matched perfectly, the practice staff ticked the box to confirm
that " ID details have been checked with the patient? ". The only
problem was that the patient in front of the requesting GP (and also the
practice staff who take the blood) was not the individual who's details
were printed on the label because the wrong patient was on the computer
screen during the consultation. In the absence of effective patient ID
checks by practice staff, this (and any other) system can seamlessly
automate getting the laboratory results on the wrong patient's files.

We are trying to associate the use of labels with a specific workflow
pattern in practices which should enforce proper patient ID checks. I
think the only way to ensure this happens will be a national awareness
campaign which empowers the patient and involves them in checking their
own data every time it is used by practice staff!

Richard Stott
Principal Biochemist & Clinical Governance lead, Pathology.

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