ALWAYS Check Two Identifiers – In a Hospital or a Casino

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In hospitals, there's a big emphasis on healthcare professionals always checking TWO patient identifiers to help avoid getting the wrong patient. You might have two patients with the same name, so you should also check the birth date (since it's less likely to have two people with the same name and birth date… but not impossible!). This “always” checking two identifiers, sadly, doesn't always happen.

What we do in hospitals is such important work – it can be a matter of life and death. But, when a casino makes a mistake, it's sort of funny (unless you're the casino owner, of course). See this article:

Casino awards two men $1 million prizes after name mix-up

Two guys named Kevin Lewis… the casino announced a winner verbally… hilarity ensued… I'll give credit to the casino for owning up to their mistake and giving the prize to BOTH Kevins.

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Mark Graban
Mark Graban

Mark Graban helps leaders build workplaces where people speak up and improvement sticks, through Lean management, psychological safety, and better use of metrics. He is a keynote speaker, advisor, and host of the Lean Blog Interviews and My Favorite Mistake podcasts.

He is the author of The Mistakes That Make Us, Measures of Success, Lean Hospitals, and Healthcare Kaizen, and a three-time recipient of the Shingo Publication Award. His next book is The Silence Tax.

Mark is also a Senior Advisor to KaiNexus. Get his free ebooks.

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