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  • 7/31/2019 Color Standards Manual

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    The Color Of SafetSandardizain & Impmnain Mana

    Wisnsin Hspia Assiain Pain saf is a p priri.

    - i -

    TABLE OF CONTENTS

    Executive Summary and Resolution .......................................................................... 1

    Implementation Strategies............................................................................................ 2

    Recommendations ...................................................................................................... 3-6

    Staff Education

    Who Shold be Trained ................................................................................................. 7

    Talin Points ........................................................................................................... 8-11

    Acknowledgements and Contact Information ..................................................... 12

    Appendix

    A Alternative Methods for Commnicatin Alerts .................................................... 13

    B Hman Factors Considerations ........................................................................ 14-15

    C Prodct Order and Vendor Information ............................................................ 16-17

    Supporting Materials (Microsoft Word and PowerPoint Documents)

    Staff Brochre (PowerPoint) .................................................................... Inclded on CD

    Patient/Famil Brochre (PowerPoint) .................................................... Inclded on CD

    Sample Staff Competenc Checlist (Word) ............................................ Inclded on CD

    Sample Alert Polic and Procedre (Word).............................................. Inclded on CD

    Sample Project Implementation Plan (Word)........................................... Inclded on CD

    PowerPoint Presentation (PowerPoint) .................................................... Inclded on CD

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    ExECuTIVE SuMMARy

    Patient safet is a top priorit in Wisconsin. Weaccomplish this in several was, one of which will

    now be Wisconsin hospitals sin the same colorsfor patient identification and three color-codedalerts. The choice of color to desinate alerts

    shold not be limited to wristbands. For eample, if

    sticers or placards are sed in lie of a wristband,

    the shold be consistent with the standardizedcolors. The oal is that all Wisconsin hospitals that

    crrentl se colors to commnicate an alert will

    volntaril adopt the same colors.

    The isse of alert colors was first raised b the

    Pennslvania Patient Safet Athorit after anevent in which a clinician nearl failed to resce a

    patient who had a cardioplmonar arrest becase

    the patient had been incorrectl desinated asDNR (do not resscitate). The sorce of confsion

    was that a nrse had placed a ellow alert on the

    patient. In this hospital, the color ellow sinified

    that the patient was a DNR. In a nearb hospitalin which this nrse also wored, ellow sinified

    restricted etremit meanin that this arm is not

    to be sed for drawin blood or obtainin IV access.

    Fortnatel, another clinician identified the mistae,and the patient was resscitated.

    Similar cases have occrred in Wisconsin hospitals,

    as we crrentl tilize a wide rane of colors to note

    DNR, Fall Ris, Aller and other alerts.

    For eample, Dennis, a on man eperiencin

    serios heart problems was transported from upland

    Hills Health in Dodeville to a Madison hospital foradvanced heart care. upon arrival at the Madison

    hospital, a nrse commented on his DNR wristband.Dennis and his wife were horrified to learn that thepatient name-band placed on his wrist at upland Hills

    Health in Dodeville was the same ble color as the

    Madison hospitals wristband to indicate a stats of

    DNR. Lcil, this misinterpretation was immediatelclarified and the wristband removed before an

    life sstainin care was withheld. These nearmisses hihliht a potential sorce of error and an

    opportnit to improve patient safet b re-evalatinthe se of color-coded alerts.

    Wisconsin Hospital Association (WHA)

    ActionsTo proactivel address this isse, the WHA

    commissioned a tas force in October of 2007 toevalate the need for a statewide volntar standard

    for color-coded alerts in Wisconsin.

    Based on the recommendations of this tasforce,

    the WHA board approved the followin resoltion:

    Reconizin that crrent variation in the seof color-coded alerts ma case confsion

    amon careivers, staff, and patients and

    that standardization improves patient safet,the Wisconsin Hospital Association Board of

    Directors approved the followin resoltion:

    The Wisconsin Hospital Association recommends

    that all hospitals evalate methods to effectivel

    commnicate patient information and riss. In

    the interim, if an oranization ses color codedalerts to commnicate patient information or

    riss, the association encoraes Wisconsin

    hospitals to se the followin colors:

    White or Clear Patient Identification

    Purple DNR

    Red Allergy

    Yellow Fall Risk

    Resolution Approved by WHA Board

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    IMPLEMENTATION STRATEgIES

    Use alerts that are pre-preprinted with text1.

    that clearly identifies the alert.

    Pre-printed tet reinforces the color-codinsstem for new clinicians, helps careiversinterpret the meanin of the alert in dim

    liht, and assists those who are color blind.

    Pre-printed tet eliminates the chance of

    confsin colors with alert messaes.

    Remove any social cause colored2.

    wristbands (i.e. Live Strong, Cancer, etc.).

    If a patient refses to remove social case orother potentiall conflictin wristbands:

    Cover the band with tape, andEplain potential riss to the patient.

    Ensre that hospital polic is amended toreflect this recommendation.

    Remove alerts that have been applied from3.

    another facility.

    This shold be done at the time ofadmission to or healthcare facilit. Alert

    standardization and implementation is

    volntar in Wisconsin. Therefore, some

    hospitals ma not have adopted therecommendations for alert standardization.

    Ensre that hospital polic is amended toreflect this recommendation.

    Initiate color-coded alerts upon admission,4.

    when medical condition(s) change, or when

    information is received during the course of

    the hospital stay.

    Educate staff to verify patient color-coded5.

    alerts upon assessment, hand-off of care,during shift change and facility transfers.

    Educate patients and family members on the6.

    purpose and meaning of the alerts.

    Incldin the famil in this process is asafeard for o and the patient.

    Remind patients and famil members thatcolor-codin is another wa to prevent

    errors.use the Patient/Famil Edcation Brochrelocated in the tool it.

    Coordinate documents and signage with the7.

    same color-coding.

    Educate staff on the State of Wisconsin DNR8.wristband

    The state DNR wristband applies to

    commnit and emerenc services onl.DNR stats mst be evalated ponadmission to the hospital.

    Cover the state DNR wristband with tape,bt do not remove it.

    New state-wide multiple victim9.

    identification (ID) band

    gra wristbands with bar codin are sedto trac patients over the corse of theirtreatment.

    Bands are applied b EMS providers when5 or more casalties are involved in a sinle

    incident.Do not remove nless reqired to do so formedical prposes.

    The use of additional alerts is at the10.

    discretion of the hospital.

    Limit color alerts to onl those needed.Select primar and secondar colors; avoidshades of colors.

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    RED -AlleRgy AleRt

    FAQS

    Q. Do we write the allergies on the alert too?

    It is recommendation that alleries be written in the medical record accordin to or hospitals polic andA.procedre and shold not be written on the alert for several reasons:

    Leibilit ma hinder the correct interpretation of the aller listed.

    B writin alleries on the alert someone ma assme the list is comprehensive. However, space is

    limited on an alert and some patients have mltiple alleries. The ris is that some alleries wold beinadvertentl omittedleadin to confsion or missin an aller. B havin one sorce of information

    to refer to, sch as the medical record, staff of all disciplines will now where to find a complete list of

    alleries.Throhot a hospitalization, alleries ma be discovered b clinicians sch as dieticians, radioloists,pharmacists, etc. This information is tpicall added to the medical record and not alwas to the alert. B

    havin one sorce of information to refer to, sch as the medical record, staff of all disciplines will nowwhere to add newl discovered alleries.

    It is recommended that hospitals adopt the color of RED for the Aller desination with the word Aller

    embossed/printed on the alert. Hospitals shold develop a consistent process for indicatin specific aller

    (i.e. note all alleries in the medical record).

    Recommendation

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    Falls account for more

    than 70% of the total

    injury-related health

    cost among people 60

    years of age or older.

    The Color Of SafetSandardizain & Impmnain Mana

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    yELLOW -FAll RISk

    FAQS

    Q. Why did you select Yellow?

    Research of other indstries tells s that ellow has an association that implies Cation! Thin of trafficA.lihts: ellow lihts mean proceed with cation or stop altoether. The American National Standards Institte

    (ANSI) has desinated certain colors with ver specific warnins. ANSI ses ellow to commnicate Trippinor Fallin hazards. This fits well in healthcare when associated with a Fall Ris. Careivers want to now to

    be on alert and se cation with a person who has histor of previos falls, dizziness or balance problems,fatiabilit, or confsion abot their crrent srrondins.

    Q. Why even use an alert for Fall Risk?

    Accordin to the Centers for Disease Control andA.

    Prevention (CDC), falls are an area of reat concern inthe ain poplation.

    More than a third of adlts ae 65 ears or older falleach ear.

    Older adlts are hospitalized for fall-related injriesfive times more often than the are for injries from

    other cases.

    Of those who fall, 20% to 30% sffer moderate tosevere injries that redce mobilit and independence,

    and increase the ris of prematre death.

    It is recommended that hospitals adopt the color of yELLOW for the Fall Ris desination with the words

    Fall Ris embossed/written on the alert.

    Recommendation

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    gRAy -MultIPle VIctIM IDeNtIFIcAtIoN BAND

    FAQS

    Q. Who applies the multiple victim ID band?

    The ra mltiple victim wristband will be applied b EMS in the field when there is a mltiple victimA.incident. The ra mltiple victim wristband ma also be applied to the patient b the hospital if the patient

    presents and the hospital is able to identif that the person was involved in a mltiple victim incident.

    Q. What should we do if we need to remove the multiple victim ID band during the hospitalization?

    The hospital ma remove the ra mltiple victim wristband if there is a medical or treatment reason to doA.

    so. However, the Patient Tracin polic reqests that the wristband remain on the patient ntil admission toa secondar hospital, i.e. secondar is the second hospital to which the patient ma be transferred.

    Wisconsin is implementin a Patient Tracin sstem that will allow hospitals and other athorized persons

    to determine the hospital(s) to which a person, involved in a mltiple victim incident (defined as five or more

    patients bein transferred to one or more hospitals), has been transported. This will assist hospitals withfamil renification.

    Patient Tracking System

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    Ph mpimns f Min cmpin

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    While nrses are the staff members who sall1.

    appl color alerts, nit clers are also enerall

    involved in the process. Inclde them in thetrainin so that the can better assist the nrseswith this information.

    Consider the hoseeepin staff. The are often2.present in a patient room when a patient is

    trin to et p or walin to the bathroom.

    If the hoseeepin staff nows a ellow alertmeans Fall Ris, and the see a patient trin

    to et p, the can call the nrsin staff to alert

    them and potentiall prevent a fall.

    Inclde or dietar staff. A red alert means3.

    there is an allerand not jst to medicines.

    Mabe it is a food aller and the red alert willinform them to chec the medical record and

    note it in their departmental profile.

    STAFF EDuCATION: WHO SHOuLD BE TRAINED?

    Dont mae assmptions abot the medical staff4.

    ettin the information. Attendins, intensivists,

    residents and interns need to now what thesecolors mean. Pll them into the process topromote safe healthcare b all clinicians.

    Who else? Tae some time to qietl observe5.the activities of the da at one of the nrses

    stations. Jst a 30-minte observation and o

    will probabl see and hear thins that maeo remember another staeholder. Inclde

    them in the edcation plan. Once done, o can

    bein trainin.

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    STAFF EDuCATION: TALkINg POINTS

    Getting StartedMan hospitals will se this brochre as their main teachin material. It contains most of the pertinentinformation staff needs to now for this initiative. We sest that o do not ive ot the brochre ntil the end

    of or trainin, as people ma start readin the brochre instead of listenin to o. Pass it ot at the end of

    the meetin, bt tell them p front that there is a brochre with all of the information o are presentin and owill pass it ot later.

    Here are the main points o want to mae drin or trainin session:

    Start With a Story1. adlts want to now wh the shold do somethin; simpl tellin them the need to

    start doin this becase the do is not sfficient information to et hih levels of compliance. Besides, isnt

    that what o wold want to now, too? A stor ives them information that maes the reqest relevantsothe want to compl.

    The stor below is tre. One panel of the brochre tells the stor where a patient ma not have beenresscitated de to a mi p in the alerts. The error was caht, bt b tellin this stor most staff will

    nderstand how this error cold happen to anoneand the will be on board with this plan.

    Dennis, a on man eperiencin serios heart problems was transported from upland Hills Health in

    Dodeville to a Madison hospital for advanced heart care. upon arrival at the Madison hospital, a nrse

    commented on his Do Not Resuscitate (DNR) wristband. Dennis and his wife were horrified to learn thatthe patient name-band placed on his wrist at upland Hills Health in Dodeville was the same ble color as

    the Madison hospitals wristband to indicate a DNR stats. Lcil, this misinterpretation was immediatel

    clarified and the wristband removed before an life sstainin care was withheld. What was meant to be apatient safet commnication cold have had fatal conseqences.

    We want to than and acnowlede upland Hills Health, Dodeville, for their transparenc and disclosre ofthis event. It cold have happened anwhere.

    Start With a Story

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    Introduce the Colors2. Man Wisconsin hospitals are movin to a volntaril statewide standard for the

    patient identification wristband pls three color-coded alerts.

    White or Clear Patient Identification

    Purple DNR

    Red Allergy

    Yellow Fall Risk

    yo shold also be aware that Wisconsin has two other state-wide wristbands:

    Gray Multiple Victim Identification

    White State of Wisconsin DNRWristband

    Other Risk Reduction Strategies3. In addition to the standardization of alert colors, other ris redction

    strateies ma be initiated. These are sested as a reslt of sentinel events that have occrred, near-miss events and common sense. This information is also in the staff brochre and can be ct ot as a Qic

    Reference gide and laminated, if o desire. Review these with staff now:

    use alerts that are pre-printed with the alert1.

    messae (sch as DNR).

    Remove social case wristbands.2.Remove alerts that have been applied from3.

    another facilit.

    Initiate the alert pon admission, chanes in4.condition, or when information is received

    drin the hospital sta.

    Staff shold verif color-coded alerts pon5.

    assessment, at hand-off of care and facilittransfers

    Edcate patients and famil members on the6.

    prpose and meanin of the alerts.

    Coordinate wristbands, sticers and sinae7.with the same color codin.

    Do not honor or remove a WI DNR wristband.8.

    Do not remove a mltiple victim identification9.wrist band nless reqired for medical

    prposes.

    Color-Coded Alert/ Risk Reduction Strategies: Quick Reference Card

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    Teaching Patients - The Patient Education Brochure is a companion document to the Staff4.

    Brochure. We now that how we sa somethin is jst as important as what we sa. Patients and their

    loved ones are scared, vlnerable and nfamiliar with hospital was. We need to commnicate to themin a respectfl and simple wa withot bein condescendin. The followin tet was written to serve as

    a script for staff so everone is deliverin the same information to patients and families. B havin aconsistent messae, we reinforce the informationthis helps patients and families retain the information.Another benefit of havin a consistent messae is patients and families eperience a sense of confidence

    in the healthcare sstem since we are all echoin each other. The tet bo below is taen directl from the

    staff brochre. This is the time to mention to staff there is a Patient/Famil Brochre that can be handed ot

    (if or nit intends to do that). Tell staff o will hand ot the brochre to them so the can see what thepatients will have when o are done presentin the material.

    What is a color-coded alert?

    Color-coded alerts are sed in hospitals to qicl commnicate a special healthcare condition or a safet

    ris that a patient ma have. This is done so ever staff member can provide the best care possible.

    What do the colors mean?

    There are three different color-coded alerts that we are oin to discss.

    PuRPLE means Do Not Resscitate (DNR) Some patients have epressed an end-of-life wish and wewant to honor that reqest.

    RED means ALLERgy If o have an aller to anthin food, medicine, dst, rass, pet hair,

    ANyTHINg tell s. It ma not seem important to o, bt it cold be ver important to or care.

    yellow means FALL RISk We want to prevent falls at all times. Nrses review patients to determineif o need help when ettin p or walin. Sometimes, a patient ma become wea or confsed

    drin their illness. When o have this color-coded alert, all staff will now that o need help to

    prevent a fall.

    Who is participating in the color-coded alerts standard?

    Not all hospitals se color-coded alerts to commnicate patient riss. Becase or hospital does se color

    coded alerts, we are participatin in a volntaril state wide standard that man Wisconsin hospitals haveadopted.

    Script for any staff person talking to a patient or family

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    And Finally...5. review with staff the points listed below. These are the items that are listed on the staff

    competenc checlist so it is important to clarif that the have a ood nderstandin of these items. yo

    shold emphasize, This is what wold impact or tass ever da... and review those points. This is aood time to hand ot or oranizations polic and procedre. Be sre or polic covers the areas listed

    below as the are also a part of the staff competenc checlist. If or polic does not address an of theitems on the staff competenc checlist, then o shold remove it from the form.

    Color code what do the three color alerts mean?Who can appl the alert to the patient?When does the application of the color-coded alert(s) occr?Polic on patients not allowed to wear the social case wristbandsPatient edcation and how to commnicate (script) the information with patients/families

    Need for re-application of alert(s)Commnication reardin alerts drin transfers and other reportsPatient refsal to compl with polic

    Dischare instrctions for home and/or facilit transfer

    Review These Points With Staff

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    ACkNOWLEDgEMENTS

    WHA wishes to than the members of the Wristband Standardization Tas Force for their contribtions andspport of this project. Oranizations represented on the tas force inclde:

    Hospital & Health System Representatives

    Jim Man, RN, MPA - Anesian HealthCare

    kath Leonhardt, MD, MPH - Arora Health Care

    Cind Splinsi RN, MSN - Bellin Health

    Rosi Seffens, RN, BS, C.N.A.- BC, Lther Midelfort Oaride, Mao Health Sstemginer Selle, VP of Patient Care - Affinit Health Sstem: Merc Medical Center

    Jill Spiecerman, RN - Ministr Healthcare: Sacred Heart-Saint Mars Hospital

    kris kelm RN, MS - ProHealth Care: Oconomowoc Memorial HospitalPam Felland, RN - St Clare Hospital and Health Services; a Member of SSM Health Care

    Michele Oostd, RN, BSN, MS - Hospital Sisters Health Sstem: St. Nicholas Hospital

    Jd Stras, MT(ASCP) - upland Hills HealthLnn Heben, RN upland Hills Health

    Jdi Nelson, ARM, CPHRM - Howard yon Health Care, Inc.

    kathie Lensen, RN, CPHQ St. Nicholas HospitalNoel Deep, MD - Lanlade Memorial Hospital, Aspirs Clinics

    Other Organizational Representatives

    Melanie g. Rame JD, MSW The HOPE of Wisconsinkendra Jacobsen, MS - Madison Patient Safet Collaborative

    Rosemarie Forster, MSOLQ, RHIA, EMT-P - Milwaee Cont Emerenc Medical Services

    kath Leonhardt, MD, MPH - Milwaee Patient Safet Collaborative

    Eric Streicher, MD - Safe Care Wisconsin: MetaStarDennis Tomcz State of Wisconsin: Division of Pblic Health

    Nanc Breeman, MSN, RN - Wisconsin Association of Homes and Services for the AinDana Richardson, RN, MHA Wisconsin Hospital Association

    Charles Shabino, MD - Wisconsin Hospital Association

    Noel Deep, MD - Wisconsin Medical Societ

    Jdi Nelson, ARM, CPHRM - Wisconsin Societ for Healthcare Ris Manaementkathie Lensen, RN, CPHQ Wisconsin Societ for Healthcare Ris Manaement

    WHA also wishes to acnowlede the Pennslvania Color of Safet Tas Force, which developed the initial policthat is the basis for this docment and the Arizona Hospital and Healthcare Association for their wor to develop

    the initial implementation toolit, which has been modified for se in Wisconsin.

    For more information, contact:Dana Richardson RN, MHA, Vice President, Qalit

    Wisconsin Hospital Association

    P.O. Bo 259038, Madison, WI 53725Phone: 608-274-1820; Fa: 608-274-8554; email: [email protected]

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    Signage If sinae is sed, the color schema

    shold be consistent with recommended colors:

    white or clear for Patient Identification, prple forDNR, red for Aller and ellow for Fall Ris.

    Hand-off Communication Accordin to The

    Joint Commission, ineffective commnication is

    the most freqentl cited cateor for root cases

    of sentinel events. Effective commnication, whichis timel, accrate, complete, nambios, and

    nderstood b the recipient, redces error and

    reslts in improved patient safet. Implementina standardized approach to hand-off

    commnications is one of The Joint CommissionsNational Patient Safet goals. The primar objectiveof a hand-off is to provide accrate information

    abot a patients care, treatment and services,

    crrent condition, and an recent or anticipated

    chanes. This wold inclde commnication alerts.

    Situation-Background-Assessment-

    Recommendation (SBAR) is one techniqeto address hand-off commnication. The main

    prpose of the SBAR techniqe is to improve

    the effectiveness of commnication throhstandardization of the commnication process.

    Nrses often tae more of a narrative and

    descriptive approach to eplainin a sitation,while phsicians sall want to hear onl the e

    points of a sitation. The SBAR techniqe closes

    the ap between these two approaches, allowin

    commnicators to nderstand each other better.Michael Leonard, M.D., phsician coordinator

    of Clinical Informatics, alon with colleaes

    Do Bonacm and Szanne graham at kaiser

    Permanente of Colorado in Everreen, Colorado,developed the (SBAR) techniqe.

    APPENDIx A - ALTERNATIVE METHODS FOR COMMuNICATINg ALERTS

    More information on hand-off commnication andSBAR can be fond at http://www.jcipatientsafet.

    or/15274/ and http://www.jcipatientsafet.or/15398/.

    Stickers Placin a sticer on the patients chart

    is an alternative method to commnicate alerts.If sticers are sed, the color schema shold be

    consistent with recommended colors: prple for

    DNR, red for Aller and ellow for Fall Ris.

    Technology Bar codin: The FDA issed a final

    rle in 2004 that reqires a bar code incldin the

    National Dr Code (NDC) on most prescriptiondrs and on certain over-the conter drs. Bar

    codes on drs wold help prevent medication

    errors when sed with a bar code scannin sstemand compterized database. The FDA estimates

    that the bar code will reslt in more than 500,000

    fewer adverse events over the net 20 ears. More

    information on bar codin can be fond at http://www.fda.ov/oc/initiatives/barcode-sadr/fs-

    barcode.html.

    Computer Practitioner Order Entry (CPOE) With CPOE, practitioners enter orders into

    a compter rather than on paper. Orders areinterated with patient information, incldin

    laborator and prescription data. The order is

    then atomaticall checed for potential errorsor problems. Specific benefits of CPOE inclde

    prompts that warn aainst the possibilit of dr

    interaction or aller. More information on CPOE

    can be fond at http://www.leapfrorop.or/media/file/Leapfro-Compter_Phsician_Order_

    Entr_Fact_ Sheet.pdf.

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    Within healthcare, the science of hman factors

    addresses hman performance within medical

    sstems, particlarl as it relates to processes ofcare, error manaement, and patient safet. Error

    manaement indicates not onl decreasin errorsthemselves, bt also decreasin the opportnit

    for error-casin sitations to arise, b desinin

    safe sstems that tae a hmans capabilities and

    limitations into accont throhot the desinprocess. This is of primar importance when

    addressin the desin of alerts, a tool sed dail in

    healthcare b ever provider.

    To fll interate hman factors into alert desin,there are a few e points to emphasize:

    Hman error most freqentl arises fromstressfl, bs, ncommon sitations.

    Becase of the dnamic natre of healthcare,

    it is important to create or sstems to helpstaff do their wor. B standardizin alerts

    across the state, staff no loner needs to

    remember smbols or colors specific tohospitals; the are able to learn a sinle set

    of rles for ever hospital.

    The tet information contained on the alertshold not wrap arond the entire wrist. This

    decreases the chance that information will

    be missed becase it is on the other side ofthe band and was not seen.

    The MINIMAL amont of information that isreqired shold be displaed on the alert.

    ke data shold be placed where it is seenfirst.

    Alerts shold be desined so that thehihliht specific, pertinent information.

    Too mch information can be difficltto distinish and can et misread or

    misinterpreted, especiall when in a hrr.Visal ces, sch as hihlihtin, can be sed

    to mae the information pop ot. However,

    the ce shold be sed consistentl. Also,

    the stle and placement of information

    APPENDIx B - HuMAN FACTORS CONSIDERATIONS

    shold remain consistent for ever alert.

    Aain, onl the absolte minimal amont ofinformation shold be placed on the alert.

    Limit abbreviations.

    Icons can facilitate visal search for

    information: HOWEVER, the icon mst maesense to the ser. In other words, if choosin

    to se an icon, se somethin the majorit

    of sers reconize as representative of theinformation trin to be conveed.

    Nmbers can be read more qicl if theare in a colmn than in a row. However,remember that information shold not wrap

    arond the entire wrist.

    If sin an etended tet, font shold neverbe smaller than 8 pt. Spacin between lines

    is ver important. This is called white

    space. Lines shold alwas be at least

    sinle spaced. For short, factal information,

    a table with lines is helpfl to eepinformation separate.

    Smith, Joseph Birth date: 09-05-47

    Male

    The std of hman capabilities andlimitations

    How we thin

    How we act / What we doWhat we se to do it

    The application of those principles to thedesin of tools, sstems, tass, jobs andenvironments

    For comfortable, effective, and safehman se

    Human Factors

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    If sin tet on the alert, be sre to se lare

    letters that are NOT italicized. Italics aremore difficlt for the ees to qicl read

    and interpret.

    The tet shold alwas be in a color that

    contrasts the color of the bracelet. For

    eample: ble print on a blac bacrond or

    vice versa is difficlt to read. Bt blac printon a ellow bracelet is ver eas to read

    Readin improves with an increase in tetsize, bt onl p to a critical point, at which

    it levels off. That critical point is dependenton tas. Therefore, it wold be beneficial

    to observe the tas and determine how

    readable the tet on the bracelets needs to

    be to allow for optimal performance.

    In closin, tain hman factors hman

    capabilities and limitations into accont will

    allow for a safer and more intitive sstem. Asa rle of thmb, SIMPLER is ALWAyS better. The

    recommendations here are based on a broadspectrm of possible bracelet desins, hihldependent on the amont of tet and the lenth

    of tet. The recommendations here are based on

    scientific research into hman abilities to see, read,

    and perceive and interpret information.

    Helpin clinicians to find data and avoid delas. The Lancet, Volme 352, Isse 9138, Paes 1462-1466,

    E. Nren, J. Watt, P. Wriht.

    How to limit clinical errors in interpretation of data. The Lancet, Volme 352, Isse 9139, Paes 1539-1543,

    P. Wriht, C. Jansen, J. Watt.

    Human Factors Resources

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    Product Order Information

    Wristband Type Color Specification Text Specification Font Style and Size

    DNR Wristband Prple-PMS 254 DNR in WhiteArial Bold,

    48 pt. All Caps

    Aller Wristband Red-PMS 1788 ALLERgy in BlacArial Bold,

    48 pt. All Caps

    Fall Ris Wristband yellow-PMS 102 FALL RISk in BlacArial Bold,

    48 pt. All Caps

    Vendor Information

    Vendor Alert Wristbands Part Number

    The St. John Companies

    25167 Anza Drive

    Valencia, CA 91355

    karen Joseph, Senior Prodct Manaer

    800-435-4242

    Fa:661-257-2587

    AllerRed- WBCALA-5

    Red Narrow-WBCNAA-5

    Fall Risyellow-WBCFRA-3

    yellow Narrow-WBCNFA-3

    DNR

    Prple-WBCDNA-8

    Prple Narrow-WBCNDA-13

    Prple Dove-WBCDVA-13

    Patient Identification Cstomization available

    Standard Register

    P.O. Bo 1167Daton, OH 45401-1167

    Sherr Bannister. Label Prodct Maretin Manaer

    800-755-6405

    937-221-1299 office

    www.standardreister.com

    Aller

    Fall Ris

    Patient Identification

    APPENDIx C PRODuCT ORDER AND VENDOR INFORMATION

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    Posey

    5635 Pec Road

    Arcadia, CA 91006

    Jim Minda, District Manaer

    800-447-6739412-779-6667

    [email protected]

    AllerRed 6247R-Embossed

    with Aller

    Fall Risyellow 6247y-Embossed

    with Fall Ris

    Patient Identification

    EndurID

    360 Merrimac Street, Bildin 9

    Lawrence, MA 01843

    Stephanie goldschmidt

    978-686-9700Fa: 978-686-9710

    www.endrid.com

    Mltiple choices available

    PDC (Precision Dynamics Corporation)

    13880 Del Sr Street

    San Fernando, CA 91340

    Dave Stevens

    630-450-5749www.pdccorp.com

    AllerMltiple choices available-

    Embossed with Aller

    Fall RisMltiple choices available-

    Embossed with Fall Ris

    Patient Identification Mltiple choices available