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Mikayla Dexter and
Ada Robinson
Competition!
Accreditation is needed to treated many of our commercially insured patients
Note: These are the hospital-based NPSGs. There are many others for other settings (Ex. homecare, skilled nursing facilities)
NPSG 01.01.01: Use at least two patient identifiers when providing care, treatment, and services.
NPSG 02.03.01: Report critical results of tests and diagnostic procedures on a timely basis.
NPSG 03.04.01: Label all medications, medication containers, and other solutions.
NPSG 03.05.01: Reduce the likelihood of patient harm associated with the use of anticoagulant
therapy.
NPSG 03.06.01: Maintain and communicate accurate patient medication information.
NPSG 06.01.01: Improve the safety of clinical alarm systems.
NPSG 07.01.01: Comply with either current CDC or WHO hand hygiene guidelines.
NPSG 07.04.01: Use evidence-based practices to prevent infection of the blood from central lines.
NPSG 07.06.01: Use evidence-based practices to prevent infections of the urinary tract that are caused by catheters.
NPSG 09.02.01: Reduce the risk of falls.
NPSG.14.01.01: Assess and periodically reassess each patient’s and resident’s risk for developing a pressure ulcer and take action to address any identified risks.
NPSG 15.01.01: Reduce the risk for suicide.
NPSG.16.01.01: Improving health care equity for the organization’s patients is a quality and safety priority.
UP 01.01.01: Conduct a preprocedure verification process.
UP 01.02.01: Mark the procedure site.
UP 01.03.01: A time-out is performed before the procedure.
NSPG VIOLATED:
Goal 1: Improve the accuracy of patient identification.
Goal 1: Improve the accuracy of patient identification.
Goal 1: Improve the accuracy of patient identification.
Goal 1: Improve the accuracy of patient identification.
Goal 3: Improve the safe use of medications.
Goal 3: Improve the safe use of medications.
Goal 3: Improve the safe use of medications.
Goal 3: Improve the safe use of medications.
Goal 3: Improve the safe use of medications.
Goal 6: Reduce patient harm associated with clinical alarm systems.
Goal 7: Reduce the risk of healthcare-associated infections.
Goal 7: Reduce the risk of healthcare-associated infections.
Goal 7: Reduce the risk of healthcare-associated infections.
Goal 7: Reduce the risk of healthcare-associated infections.
Goal 7: Reduce the risk of healthcare-associated infections.
Goal 9: Reduce the risk of patient harm resulting from falls.
Goal 9: Reduce the risk of patient harm resulting from falls
Goal 9: Reduce the risk of patient harm resulting from falls.
Universal Protocol Goals
Universal Protocol Goals
Goal 14: Prevent healthcare-associated pressure ulcers.
Goal 14: Prevent healthcare-associated pressure ulcers.
SAFETY CONCERNS:
Two different ID bands
Unlabeled time out sheet
Name on monitor does not match wristband
Unlabeled blood tubes
Unlabeled syringe of medication
Unlabeled saline drip
Saline drip not on an IV pump
Heparin drip not on an IV pump
Home medication bottle on the bedside table
O2 monitor flashing, alarm silenced
Central line without a dressing
IV has no dressing
Foley catheter wrapped around bed rail
Foley catheter still in on day 5 post-op
Foley catheter not secured in the stat lock
Bed not locked
Bed in high position
Call bell on the floor
Time-out sheet incomplete
Wrong limb marked for surgical procedure
Heel resting on hard surface
Sheet bunched under patient