Take this scary case, reported a few years back:
A patient nearly died in cardiac arrest because she had been mistakenly designated as “do not resuscitate (DNR).” The source of the confusion was the yellow wristband which the nurse had applied to the patient, thinking it signified “restricted extremity” for blood draw, as it did in a nearby hospital where she also worked. Fortunately, another clinician identified the error and the patient was resuscitated. (source)
Another case:
A hospitalized patient with a known allergic reaction to latex was given a green bracelet which, at that hospital, signaled a latex allergy. During his stay, he was transported to a diagnostic center for a test. Staff at the center were not aware that green bracelets meant a
“latex allergy,” so they performed the test using latex-containing vials/syringes. The patient experienced an anaphylactic reaction and required medical treatment to correct the situation.(source)
Pennsylvania conducted a study, and discovered that nearly 87 percent of hospitals and 67 percent of ambulatory surgical facilities use color-coded patient wristbands. Yet, there was little consistency in the colors used to communicate specific clinical information. For example, while DNR status was most commonly associated with the color blue, the same color was used to designate nine other patient conditions.
Further complicating the situation are patients who wear their own colored wristbands, such as the popular yellow “Livestrong” bracelets worn in support of cancer survivors.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg495QfTY_r3oBdjoMrWbE0ITYr2DW5HfrEOxUvlV1Vtl3oycp5-IwyFWwrKnZRYteJiqfLIH4DZqknfZX5AXIjNNUfAw5ELAbHCXq9JiZgGwvaX1kygnAHl0vxZsbc4b4ecT1rAqEWQnM/s400/colors_of_safety_implementation.jpg)
Can you imagine, there are no rules for color use within the hospital system. I'm appalled! Just think if street lights, or stop signs didn't use standardized colors. Yikes...