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INTERNATIONALPATIENT SAFETY RAHIMA M. SALENDAB, BSN, RN
PATIENTS SAFETY,,,,???? Prevent medical errors Protect patient from harm
INTERNATIONAL PATIENT SAFETY GOALSAUTHORED BY JCI (JOINT COMMISSIONINTERNATIONAL)STARTED AT JANUARY 1, 2007
INTERNATIONAL PATIENT SAFETY GOALS:1. IDENTIFY PATIENT CORRECTLY2. IMPROVE EFFECTIVE COMMUNICATION3. IMPROVE THE SAFETY OF HIGH ALERT MEDICATION4. ENSURE CORRECT – SITE, CORRECT – PROCEDURE, CORRECT – PATIENT SURGERY5. REDUCE THE RISK OF HEALTH CARE ASSOSIATED INFECTION6. REDUCE THE RISK OF PATIENT HARM RESULTING FROM FALLS
IPSG – 1 (IDENTIFY PATIENT CORRECTLY) WHEN GIVING ANY TREATMENT WHEN DOING ANY PROCEDURE (PATIENT ROOM CANNOT BE USED AS AN IDENTIFIER)
FAILURES TO CORRECTLY IDENTIFY THE PATIENTS LEAD TO:MEDICATION ERRORTRANSFUSION ERRORTESTING ERRORWRONG PERSON PROCEDURE
IPSG – 2 (IMPROVE EFFECTIVE COMMUNICATION) COMMUNICATION AMONG NURSE ENDORSEMENT NURSING DOCUMENTATION CLEAR AND LEGIBLE HAND WRITING DATE, TIME & SIGNATURE FOR EACH ENTRY
IPSG – 2 (IMPROVE EFFECTIVE COMMUNICATION) TELEPHONE ORDER VERBAL ORDER WRITE DOWN THE ENTIRE REPEAT BACK ORDER START THE ORDER READ BACK SIGN AFTER SITUATION IS WITNESS OVER OR BEFORE PHYSICIAN SIGN WITHIN 24 HOURS LEAVE THE AREA
IPSG – 3 (IMPROVE THE SAFETY OF HIGH ALERT MEDICATIONS) (DRUGS THAT BEAR A HIGHTENED RISK CAUSING SIGNIFICANT PATIENT HARM WHEN USED IN ERROR)
IPSG – 3 (IMPROVE THE SAFETY OF HIGH ALERT MEDICATIONS)TOP FIVE HIGH ALERT MEDICATIONS ARE:1. INSULIN2. NARCOTICS3. INJECTABLE POTASSIUM CHLORIDE (PHOSPHATE) CONCENTRATED4. INTRAVENOUS ANTICOAGULANTS5. SODIUM CHLORIDE SOLUTION ABOVE 0.9 %
IPSG – 3 (IMPROVE THE SAFETY OF HIGH ALERT MEDICATIONS) 7 RIGHTS 1.RIGHT PATIENT 2.RIGHT MEDICATION 3.RIGHT TIME 4.RIGHT ROUTE 5.RIGHT DOSAGE 6.RIGHT FREQUENCY 7.RIGHT DOCUMENATION
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.)
IPSG – 5 (REDUCE THE RISK OF HEALTH CARE ASSOCIATED INFECTION EFFECTIVE HAND – HYGIENE COMPLY WITH THE CURRENT PUBLISHED & GENERAL ACCEPTED HAND – HYGIENE GUIDELINES
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
INTERNATIONAL PATIENT SAFETY GOALS (USE CAPITAL LETTERS OF EACH WORD TO REMIND YOU OF THE GOAL) I I D E NT I F Y patients correctly (patient’s room cannot be used) when giving / doing any treatment or procedure. CAN COM M UNI CAT I 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.MEMORIZE M E D I CAT I 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.EVERYTHING E LI M I NAT E – WRONG SITE, WRONG PATIENT, WRONG – PROCEDURE IN SURGERY I I NF E CT I ON – reduce the risk of Health Care – Acquired Infections comply with the current published and generally accepted hand hygiene guidelines. FANCY F ALL – reduce the risk of patient harm resulting from FALL. Take action to decrease or eliminate any identified risks.