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SIX INTERNATIONAL PATIENT SAFETY GOALS (IPSG)

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by

Ivan Cruz

on 27 September 2014

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Transcript of SIX INTERNATIONAL PATIENT SAFETY GOALS (IPSG)

Goal 1:
What is it ?
Identify Patients Correctly
Question:
1. To reliably identify the individual as the person for whom the service or treatment is intended.

2. To match the service or treatment to that individual.

Answer:
Acceptable identifiers – ( two identifiers )
1.
Patient complete name
2.

Birth date
3.
Patient medical records no. or bar-coded wrist band
4.
Gender
Not Acceptable identifier

Patients room number

Location or posting the patient's name above the bed or on the door
Question:
Answer:

Patients are identified
before
providing treatments and procedures/diagnostic.
What are the identifiers?
When do you identify your patient?

Administering medication.

Blood, or blood products.

Serving restricted diet.

Providing radiation therapy.

During time out - before a procedure.

Before taking and sending specimens for clinical testing.

And any interaction with the patient.
Question:
Do we have a policy?
Where is it located?
Yes, it is located in the accreditation portal.
Answer:
Goal 2:
Improve Effective Communication
What is it ?

Conveying of critical information in a way that is timely, accurate, complete, clear and understood by recipient.

Complete verbal and telephone test results from lab must be
“read back”
by recipient and must be confirmed by the conveyor.

Standardize abbreviations, acronyms, and symbols used throughout the organization, including a list of those not to be used.


Answer:
How do you communicate among Healthcare providers?

We have the policy on
Verbal and Telephone Orders (_______)
- available in the accreditation portal.

SBAR -
S
ituation
B
ackground
A
ssessment
R
ecommendation.
Goal 3:
Improve the Safety of High-Alert Medications
What are high alert medications (HAM)?

HAM - are those medications involved in a high percentage of errors and/or sentinel events, medications that carry higher risk for adverse outcomes, as well as look-alike, sound-alike medications. (LASA).
Question:
In which area the concentrated electrolytes are available? How are they stored?
Answer:
Concentrate electrolytes are available in ICU, ER, NICU, L&D and it is kept in separate, secured cabinet and labeled by Special warning label.

Can you show the list of HAM in the hospital?
Question:
Answer:
1.
There are high alert categories/ HAM list available on the notice board of the unit.

2.
Electrolytes standardized ordering table/insulin comparison chart.

3.
Look - alike and sound alike drug list is available on the portal or unit.
Question:
Answer:
How do you store the HAM?
We do not keep the HAM in general wards. We have only insulin in certain areas and kept in the fridge and the medication room is locked at all times.
Question:
Question:
Do we have a policy on HAM?
Yes,
Improve the safety of high alert medication (_____)
and it is located in the accreditation portal.
Answer:
Goal 4:
Ensure Correct-Site, Correct-Procedure, Correct-Patient Surgery
What is it ?

Use a checklist, including a
“Time-out"
just before starting a surgical procedure, to ensure the correct patient, procedure, and body part.


Develop a process or checklist to verify that all documents and equipment needed for surgery are on hand and correct and functioning properly before surgery begins.


Mark the precise site where the surgery will be performed. Use a clearly understood mark and involve the patient in doing this.
Goal 5:
Reduce the Risk of Health
Care –Associated Infections

What is it ?

Comply with current published and generally accepted hand hygiene guidelines.


Implement an effective hand hygiene program.


Develop policies and/or procedures that address reducing the risk of health care –associated infections.
Goal 6:
Reduce the Risk of Patient Harm Resulting from Falls
Question:
When do you assess the patient for fall risk?
Answer:
We reassess the patient for fall risk following;


Procedural sedation,

Medication effects, such as those

Anticipated with sedation or diuretics

Immediately postoperative (within 48 hours post surgery),

Narcotic administration,

Change in ambulation

Change in level of consciousness or mental status

After a fall

Transfer between units

Question:
When do you initiate the fall assessment (time frame)?
We initiate the fall risk assessment upon admission.
Answer:
What is it ?

Develop and Implement a process to reduce the risk of patient harm resulting from fall.
Question:
How can we reduce the risk patient harm resulting from falls in hospital settings?
Answer:
By assessing and reassessing all inpatients and those out patients whose condition diagnosis, situation, or location identifies them as at high risk for fall.
Why Patient Safety Goals

To promote specific improvements in patients safety.

To highlight problematic areas in health care and describe evidence - and expert-based consensus solutions to these problems.

List of Goals
Goal 1:

Identify Patients Correctly.
Goal 2:

Improve Effective Communication.

Goal 3:

Improve the Safety of High-Alert Medications.
Goal 4:

Ensure Correct-Site, Correct-Procedure, Correct-Patient Surgery.
Goal 5:

Reduce the Risk of Healthcare Associated Infections.
Goal 6:
Reduce the Risk of Patient Harm Resulting from Falls.
Full transcript