Wednesday, January 2, 2008

LiveStrong! But Do Not Resuscitate Me!

Filed under: not funny

Ouch, talk about a good idea with horrible execution (no pun intended). As hospitals begin to initiate wrist bands for quick identification of clinical status, some bands intended to designate DNR status are being confused for Nike LiveStrong bands!

Methods to identify a patient with a Do Not Resuscitate (DNR) order are incredibly varied across hospitals, ranging from written documentation practices to the use of color-coded wristbands. According to a new study in the Journal of Hospital Medicine, a national effort to standardize color-coded wristbands, likely around a few specific indications (e.g., DNR status, allergy, fall risk, etc.), would remove current practice variations and the associated potential for errors.

There are currently no standards of color choice for hospitals using color-coded wristbands, and each hospital has a different set of colors for different indications. This lack of standardization creates the potential for errors. For example, some hospitals have used yellow to signify "Do Not Resuscitate," leading to several near-misses with patients wearing yellow Lance Armstrong "Livestrong" bracelets. If a standard color choice existed for DNR orders, the potential for errors with either personal patient wristbands or those used by hospitals would be averted.

The authors note that, while several states have implemented statewide efforts to standardize color-coded wristbands, their color choices are not standardized with each other. A national effort is currently needed to...designate standard colors for patient wristbands around a defined set of indications.

Abstract...

"Do Not Resuscitate" Orders Lack Standardization in Hospitals ...

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