United States Health Information Knowledgebase


Two-person, three-way check documentation

Data Element ID: DE126
Name: Two-person, three-way check documentation
Version: Hospital Version 1.1, Hospital Version 1.2
Data Element ISO Name: Two person three way check-Documentation,CD
Definition: Determination if documentation was done of a two-person, three-way check with the incorrect action involved in the administering of the blood product.
Question: Was a two-person, three-way check documented?
Multiple Choice: No
Form Name: Blood or Blood Product
Setting: Hospitals, including outpatient pharmacies and outpatient departments located within the hospital
Comments: None defined at this time
Description of Change: N/A
Go-To Logic: Refer to Common Formats Flow Charts
Guide For Use: To meet the Common Formats definition, the two-person three-way check procedure, however denominated locally, must be specified in writing by the facility and must include, at a minimum, the following elements:
A. The check must be performed by two persons, either jointly or one right after the other, immediately before the blood product is administered to the patient. Each of the two must be either a healthcare professional or healthcare worker and be employed by, or on the staff of, the facility. Each must be familiar with the elements of the two-person three-way procedure.
B. The information checked must include 1) The patient's identity, including full name, sex, date of birth and medical record number; 2) the type of product ordered and the blood type and cross-match information, if relevant; and 3) the expiration date of the product.
C. The documentation checked for such information must include 1) the patient's identity band, 2) the label on the product, and 3) the requisition tag.
Format: N/A
HL7 Data Type: Concept Descriptor (CD)
Data Type: Character
Maximum Length: 3
Answer Code Answer ID Answer Value Code System Code System Name
A15 a Yes 2.16.840.1.113883. AHRQ Common Formats
A18 b No 2.16.840.1.113883. AHRQ Common Formats
UNK c Unknown 2.16.840.1.113883.5.1008 HL7 NullFlavor
Effective Date: 03/31/2010
Until Date: - -
Update Date: - -
Source: Agency for Healthcare Research and Quality
Submitting Organization: Agency for Healthcare Research and Quality (AHRQ)
Date of Submission: - -
Responsible Organization: Agency for Healthcare Research and Quality (AHRQ)
Creator: Amy Helwig, MD, MS
Data Steward: Agency for Healthcare Research and Quality (AHRQ)
References: No specific reference at this time
Rationale for Change: N/A
Administrative Status: Final
Administrative Status Date: 03/31/2010
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