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Two-person, three-way check documentation


Data Element ID: DE126
Name: Two-person, three-way check documentation
Version: 1.1
Data Element ISO Name: Two person three way check-Documentation,CD
Synonym: None defined at this time
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?
Conditionality: Reserved for future use
Multiple Choice: Not Applicable
Form Name: Blood or Blood Product
Data Set: Reserved for future use
Setting: Hospitals, including outpatient pharmacies and outpatient departments located within the hospital
Language: U.S. English
Comments: None defined at this time
Description of Change: Not applicable for this release
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: Not Applicable
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 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A18 b No 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
UNK c Unknown 2.16.840.1.113883.5.1008 AHRQ Common Formats
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: 03/31/2010
Responsible Organization: Agency for Healthcare Research and Quality (AHRQ)
Creator: John C. Moquin
Data Steward: Agency for Healthcare Research and Quality (AHRQ)
References: No specific reference at this time
Rationale for Change: Not Applicable
Administrative Status: Final
Administrative Status Date: 03/31/2010
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