A procedure room RN accidentally placed the wrong patient label on a pathology specimen due to mixed-up labels between two patients, requiring manual correction via affidavit and causing significant distress and fear of repetition.

Workarounds Described

• manually filled out affidavit form to correct labeling error after the fact

Implied Software Gaps

• Real-time patient-specimen label verification system with barcode scanning

SpecimenSecure Verify

A mobile app that uses barcode scanning and real-time patient verification to ensure correct labeling of pathology specimens at the point of collection. It prevents mismatches by requiring a scan of both the patient wristband and the specimen label, audibly alerting if they don't match. Integrates with electronic health records to auto-populate pathology sheets, eliminating manual form errors.