4. INTERNATIONAL PATIENT SAFETY
GOALS:
1. IDENTIFY PATIENT CORRECTLY
2. IMPROVE EFFECTIVE COMMUNICATION
3. IMPROVE THE SAFETY OF HIGH ALERT MEDICATION
4. ENSURE CORRECT – SITE, CORRECT – PROCEDURE,
CORRECT – PATIENT SURGERY
5. REDUCE THE RISK OF HEALTH CARE ASSOSIATED
INFECTION
6. REDUCE THE RISK OF PATIENT HARM RESULTING FROM
FALLS
5. IPSG – 1 (IDENTIFY PATIENT CORRECTLY)
WHEN GIVING ANY TREATMENT
WHEN DOING ANY PROCEDURE
(PATIENT ROOM CANNOT BE USED AS AN
IDENTIFIER)
6. FAILURES TO CORRECTLY IDENTIFY THE
PATIENTS LEAD TO:
MEDICATION ERROR
TRANSFUSION ERROR
TESTING ERROR
WRONG PERSON PROCEDURE
7. IPSG – 2 (IMPROVE EFFECTIVE COMMUNICATION)
COMMUNICATION AMONG NURSE
ENDORSEMENT
NURSING DOCUMENTATION
CLEAR AND LEGIBLE HAND WRITING
DATE, TIME & SIGNATURE FOR EACH ENTRY
8. TELEPHONE ORDER
WRITE DOWN THE ENTIRE ORDER
READ BACK
WITNESS
SIGN WITHIN 24 HOURS
VERBAL ORDER
REPEAT BACK
START THE ORDER
SIGN AFTER SITUATION IS OVER
OR BEFORE PHYSICIAN LEAVE
THE AREA
IPSG – 2 (IMPROVE EFFECTIVE COMMUNICATION)
9. IPSG – 3 (IMPROVE THE SAFETY OF HIGH ALERT MEDICATIONS)
(DRUGS THAT BEAR A HIGHTENED RISK
CAUSING SIGNIFICANT PATIENT HARM WHEN
USED IN ERROR)
10. TOP FIVE HIGH ALERT MEDICATIONS ARE:
1. INSULIN
2. NARCOTICS
3. INJECTABLE POTASSIUM CHLORIDE (PHOSPHATE)
CONCENTRATED
4. INTRAVENOUS ANTICOAGULANTS
5. SODIUM CHLORIDE SOLUTION ABOVE 0.9 %
IPSG – 3 (IMPROVE THE SAFETY OF HIGH ALERT MEDICATIONS)
14. 7 RIGHTS
1.RIGHT PATIENT
2.RIGHT MEDICATION
3.RIGHT TIME
4.RIGHT ROUTE
5.RIGHT DOSAGE
6.RIGHT FREQUENCY
7.RIGHT DOCUMENATION
IPSG – 3 (IMPROVE THE SAFETY OF HIGH ALERT MEDICATIONS)
15. IPSG – 4 (ENSURE CORRECT – SITE, CORRECT – PROCEDURE, CORRECT –
PATIENT SURGERY)
UNIVERSAL PROTOCOL FOR WRONG SITE,
PROCEDURE,
AND SURGERY PREVENTION
MARKING THE SURGICAL SITE
A PRE – OPERATIVE VERIFICATION
PROCESS
A TIME – OUT THAT IS HELD
IMMEDIATELY BEFORE THE START
OF A PROCEDURE
(The pause before surgery begins is known as "time
out" and is intended to make everyone slow down
for a few moments and double check what they are
about to do.)
16. IPSG – 5 (REDUCE THE RISK OF HEALTH CARE ASSOCIATED INFECTION
EFFECTIVE HAND – HYGIENE
COMPLY WITH THE CURRENT PUBLISHED & GENERAL
ACCEPTED HAND – HYGIENE GUIDELINES
17. IPSG – 6 (REDUCE THE RISK OF PATIENT HARM RESULTING FROM FALLS)
INITIAL ASSESSMENT OF PATIENT FALL RISK &
REASSESSMENT OF PATIENT WHEN INDICATED BY A
CHANGE IN CONDITION OR MEDICATIONS
Document and report your observations and your
interventions
18.
19. INTERNATIONAL PATIENT SAFETY GOALS
(USE CAPITAL LETTERS OF EACH WORD TO REMIND YOU OF THE GOAL)
I DENTI FY patients correctly (patient’s room cannot be used) when giving / doing
any treatment or procedure.
COMMUNI CATI ON – improved effective communication through
implementation of a process or procedure for taking verbal or telephone
orders or for reporting critical test results that require a verification
“read back” of the complete order or test result by the person receiving
the information.
MEDI CATI ON – IMPROVE THE SAFETY OF HIGH ALERT MEDICATIONS.
Remove concentrated electrolytes (including but not limited to Potassium
chloride, Potassium Phosphate, Sodium Chloride ˃ 0.9% from patient
care units.
ELI MI NATE – WRONG SITE, WRONG PATIENT, WRONG –
PROCEDURE IN SURGERY
I NFECTI ON – reduce the risk of Health Care – Acquired Infections comply with
the current published and generally accepted hand hygiene guidelines.
FALL – reduce the risk of patient harm resulting from FALL. Take action to decrease
or eliminate any identified risks.
I
CAN
MEMORIZE
EVERYTHING
I
FANCY