BHA FPX 4004 Assessment 1 Address a Patient Safety Issue

BHA FPX 4004 Assessment 1 Address a Patient Safety Issue

BHA FPX 4004 Assessment 1 Address a Patient Safety Issue


Capella university

BHA-FPX4004 Patient Safety and Quality Improvement in Health Care

Prof. Name


Addressing Patient Safety Issues

Throughout this paper, I will identify a patient safety concern and explore its impact on patient safety. Secondly, I will assess the risks this concern poses to healthcare organizations if left unaddressed. Lastly, I will analyze the roles of patient safety officers and how recommendations from regulatory agencies contribute to enhancing patient safety.

Identifying and Describing the Issue

The safety concern I have chosen to discuss is Patient Identification Error. This threat places patients in preventable situations that can affect their treatment, medication, or recovery processes. Patient Safety Officer Kyra Dailey conducts daily rounds across various hospital departments, including ensuring consistent implementation of patient care policies to reduce safety incidents and ensure optimal healthcare delivery. During her rounds, Kyra observed two patients with identical names in rooms on the same unit, increasing the likelihood of a patient identification error. Despite efforts such as separate nursing assignments and documentation, the risk remains significant (Thomas & Evans, 2004).

Applying Safety Measures

To mitigate patient identification errors, healthcare facilities should involve patients actively in their care and provide annual staff education reforms (Leape et al., 2009). Staff should verify patient identities using multiple identifiers such as wristbands, charts, medication bags, or labels. Additionally, confirming patient information verbally and engaging patients throughout their stay can help prevent errors. Regulatory agencies like The Joint Commission (TJC) emphasize the importance of improving patient identification processes, recommending the use of two patient identifiers as standard practice (Clancy, 2005).

Role of Regulatory Agencies

TJC conducts safety inspections every three years to ensure compliance with safety standards and encourages organizations to excel in providing high-quality care (Clancy, 2005). Their focus on improving patient identification processes aligns with reducing medical errors and enhancing patient safety. Regulatory agencies play a crucial role in promoting quality improvement initiatives within healthcare organizations (Clancy, 2005).

Patient Safety Officer’s Role

Patient Safety Officers (PSOs) play a vital role in identifying and addressing safety concerns within healthcare organizations. They act as liaisons between frontline staff, patients, and management, facilitating the development and implementation of policies to enhance patient safety (Denham, 2007). As a PSO, addressing patient identification errors involves collaboration with management to formulate action plans and implement hospital-wide policies to prevent misidentifications.


Patient Safety Officers play a crucial role in addressing safety concerns in healthcare settings. By adhering to recommended safety measures and collaborating with regulatory agencies, healthcare organizations can improve patient safety and quality of care. Preventing patient identification errors requires a multifaceted approach involving staff education, regular monitoring, and policy implementation.


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Cunningham, B. (2012). Positive Patient Identification Begins at Step One. Health Management Technology, 33(8), 10-11.

BHA FPX 4004 Assessment 1 Address a Patient Safety Issue

De Rezende, H, Melleiro, M. & Shimoda, G. (2019). Interventions to Reduce Patient Identification Errors in the Hospital Setting. JBI Database of Systematic Reviews and Implementation Reports, 17(1), 37–42. doi: 10.11124/JBISRIR-2017-003895.

Denham, C. R. (2007). The New Patient Safety Officer. Journal of Patient Safety, 3(1), 43-54. doi: 10.1097/PTS.0b013e318036bae9.

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Pysyk, C. L. (2018). A Change to The Surgical Safety Checklist to Reduce Patient Identification Errors. Canadian Journal of Anesthesia, 65(2), 219-220. 10.1007/s12630-017-0997-7

BHA FPX 4004 Assessment 1 Address a Patient Safety Issue

Thomas, P., & Evans, C. (2004). An Identity Crisis? Aspects of Patient Misidentification. Clinical Risk, 10(1), 18–22.