Audit 14 Inspiro Patient Identification Observational Audit

• Site conducted

  Select

• Document No.

• DHSV Patient Identification Observational Audit for Dental Practices

• Client / Site

• Conducted on

  Date

• Marrianne Beaty (DHSV Oral Health National Standards Advisor)

• Location
  Address

• Personnel

Patient ID observation 1

• When ID established

  Prior to seating

  After seating

• Asked to provide full name

  Yes

  No

• Asked to provide date of birth (DOB)

  Yes

  No

• Asked to provide address

  Yes

  No

• Asked to provide another unique identifier or gender ascertained

  Yes

  No

• Patient identification established using at least three unique identifiers

  Acceptable

  Not acceptable

Patient ID observation 2

• When ID established

  Prior to seating

  After seating

• Asked to provide full name

  Yes

  No

• Asked to provide date of birth (DOB)

  Yes

  No

• Asked to provide address

  Yes

  No

• Asked to provide another unique identifier or gender ascertained

  Yes

  No

• Patient identification established using at least three unique identifiers

  Acceptable

  Not acceptable

Patient ID observation 3

• When ID established

  Prior to seating

  After seating

• Asked to provide full name

  Yes

  No

• Asked to provide date of birth (DOB)

  Yes

  No

• Asked to provide address

  Yes

  No

• Asked to provide another unique identifier or gender ascertained

  Yes

  No

• Patient identification established using at least three unique identifiers

  Acceptable

  Not acceptable

Patient ID observation 4

• When ID established

  Prior to seating

  After seating

• Asked to provide full name

  Yes

  No

• Asked to provide date of birth (DOB)

  Yes

  No

• Asked to provide address

  Yes

  No

• Asked to provide another unique identifier or gender ascertained

  Yes

  No

• Patient identification established using at least three unique identifiers

  Acceptable

  Not acceptable

Patient ID observation 5

• When ID established

  Prior to seating

  After seating

• Asked to provide full name

  Yes

  No

• Asked to provide date of birth (DOB)

  Yes

  No

• Asked to provide address

  Yes

  No

• Asked to provide another unique identifier or gender ascertained

  Yes

  No

• Patient identification established using at least three unique identifiers

  Acceptable

  Not acceptable

Patient ID observation 6

• When ID established

  Prior to seating

  After seating

• Asked to provide full name

  Yes

  No

• Asked to provide date of birth (DOB)

  Yes

  No

• Asked to provide address

  Yes

  No

• Asked to provide another unique identifier or gender ascertained

  Yes

  No

• Patient identification established using at least three unique identifiers

  Acceptable

  Not acceptable

Patient ID observation 7

• When ID established

  Prior to seating

  After seating

• Asked to provide full name

  Yes

  No

• Asked to provide date of birth (DOB)

  Yes

  No

• Asked to provide address

  Yes

  No

• Asked to provide another unique identifier or gender ascertained

  Yes

  No

• Patient identification established using at least three unique identifiers

  Acceptable

  Not acceptable

Patient ID observation 8

• When ID established

  Prior to seating

  After seating

• Asked to provide full name

  Yes

  No

• Asked to provide date of birth (DOB)

  Yes

  No

• Asked to provide address

  Yes

  No

• Asked to provide another unique identifier or gender ascertained

  Yes

  No

• Patient identification established using at least three unique identifiers

  Acceptable

  Not acceptable

Patient ID observation 9

• When ID established

  Prior to seating

  After seating

• Asked to provide full name

  Yes

  No

• Asked to provide date of birth (DOB)

  Yes

  No

• Asked to provide address

  Yes

  No

• Asked to provide another unique identifier or gender ascertained

  Yes

  No

• Patient identification established using at least three unique identifiers

  Acceptable

  Not acceptable

Patient ID observation 10

• When ID established

  Prior to seating

  After seating

• Asked to provide full name

  Yes

  No

• Asked to provide date of birth (DOB)

  Yes

  No

• Asked to provide address

  Yes

  No

• Asked to provide another unique identifier or gender ascertained

  Yes

  No

• Patient identification established using at least three unique identifiers

  Acceptable

  Not acceptable

Patient ID observation 11

• When ID established

  Prior to seating

  After seating

• Asked to provide full name

  Yes

  No

• Asked to provide date of birth (DOB)

  Yes

  No

• Asked to provide address

  Yes

  No

• Asked to provide another unique identifier or gender ascertained

  Yes

  No

• Patient identification established using at least three unique identifiers

  Acceptable

  Not acceptable

Patient ID observation 12

• When ID established

  Prior to seating

  After seating

• Asked to provide full name

  Yes

  No

• Asked to provide date of birth (DOB)

  Yes

  No

• Asked to provide date of birth (DOB)

  Yes

  No

• Asked to provide another unique identifier or gender ascertained

  Yes

  No

• Patient identification established using at least three unique identifiers

  Acceptable

  Not acceptable

Patient ID observation 13

• When ID established

  Prior to seating

  After seating

• Asked to provide full name

  Yes

  No

• Asked to provide date of birth (DOB)

  Yes

  No

• Asked to provide address

  Yes

  No

• Asked to provide another unique identifier or gender ascertained

  Yes

  No

• Patient identification established using at least three unique identifiers

  Acceptable

  Not acceptable

Patient ID observation 14

• When ID established

  Prior to seating

  After seating

• Asked to provide full name

  Yes

  No

• Asked to provide date of birth (DOB)

  Yes

  No

• Asked to provide address

  Yes

  No

• Asked to provide another unique identifier or gender ascertained

  Yes

  No

• Patient identification established using at least three unique identifiers

  Acceptable

  Not acceptable

Patient ID observation 15

• When ID established

  Prior to seating

  After seating

• Asked to provide full name

  Yes

  No

• Asked to provide date of birth (DOB)

  Yes

  No

• Asked to provide address

  Yes

  No

• Asked to provide another unique identifier or gender ascertained

  Yes

  No

• Patient identification established using at least three unique identifiers

  Acceptable

  Not acceptable