JCI : IPSG

IPSG 6 :Reduce the Risk of Patient

Harm Resulting from falls.

”Safety First Program” 

Requirement :

The organization develops an approach to reduce the risk of patient harm resulting from falls.

Policies to reduce the risk of patient harm resulting from falls.

IPSG 6 :Reduce the Risk of Patient

Harm Resulting from falls.

5 Moments of Hand-Hygiene

IPSG 4 : Ensure Correct Site, Correct-Procedure,

Correct Patient

IPSG 2 -Improve Effective Communication

IPSG 2.1 The hospital develops and implements a process for reporting critical results of diagnostic tests

MARKING the surgical and invasive procedure site involves the patient and is done with an instantly recognizable mark.

IPSG 5 : Reduce the Risk of Health

Care Associated infections

Follow the WHO 2009 hand hygiene guidelines.

The hospital adopts and implements currently published evidence-based hand-hygiene guidelines.

Hand-hygiene guidelines are posted in appropriate areas, and staff are educated in proper hand-washing and hand-disinfection procedures.

IPSG 1 and 2

IPSG 5 : Reduce the Risk of Health Care Associated infections

IPSG 4 : Ensure Correct Site, Correct-Procedure,

Correct Patient

Patient Surgery Follow pre-surgical site marking with a downwards arrow, pre-operative checklist and time out in OT and Bedside procedures.

Proper Handwashing

IPSG 2 -Improve

Effective Communication

IPSG 3 :Improve The Safety

Of High-Alert Medications

IPSG 1- IDENTIFY

PATIENTS CORRECTLY

IPSG 4 - SURGICAL TIME -OUT

IPSG 2 -Improve Effective Communication

IPSG 1- IDENTIFY PATIENTS CORRECTLY

IPSG 2.0 Use read back and verify policy for verbal order and laboratory test result obtained on the phone and the process

• Use two identifiers;
• Name and BH Number for both IPD and OPD. ( as per policy )

• For unknown/ comatose patient brought in ER identify as per organizational

protocol.

Theresa Gay Dimacali- Calingo BSAR , RN ,MAN ,PhD.C

IPSG 3.1 : Concentrated Electrolytes

The hospital develops and implements a process to manage the safe use of concentrated electrolytes

IPSG 1 - IDENTIFY PATIENTS CORRECTLY

• 2 patient identifiers are required in circumstances involving patient interventions and treatments.

Eg. administering medications, blood and blood products, restricted diet, radiation therapy, diagnostic procedures such as taking blood and other specimen for clinical testing , cardiac catheterization, diagnostic radiology and surgical procedures

IPSG DO's and DONT's

nurse.education@burjeel.com

0501995392

IPSG 3 :Improve The Safety Of High-Alert Medications

IPSG 6 :Reduce the Risk of Patient

Harm Resulting from falls.

Look alike and sound alike medications are stored with proper labeling with tall man method.

JCI : FALL Prevention

IPSG 2 - Effective Communication

IPSG 2 - IMPROVE EFFECTIVE COMMUNICATION

IPSG 2.2 Comply to handover communication policy.

Breakdown in communication can occur during any handover of patient care and can result in adverse events.

HIGH ALERT MEDICATIONS INCLUDE :

Medications whose names, packaging and labeling or clinical use, look alike and or sound alike, such as Xanax and Zantac .

HIGH ALERT MEDICATIONS INCLUDE :

Medications whose names, packaging and labeling or clinical use, look alike and or sound alike, hydralazine and hydroxyzine.

IPSG 6 :Reduce the Risk of Patient Harm

Resulting from falls.

” Implement initial assessment of patients for fall risks and reassessment when indicated.

Implement measures to reduce fall risks for those assessed to be at risks.

5 Moments of Hand-Hygiene

IPSG

International Patient Safety Goals

Theresa Gay Dimacali-Calingo BSAR, RN, MAN,PhD.

Lead Nurse for Clinical Practice Development