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Transcript
Online Orientation
National Patient Safety Goals
(NPSG)
- the purpose is to improve patient safety
- the goals focus on problems in health
care safety and how to solve them
National Patient Safety Goals
-set forth by The Joint Commission
Identify patients correctly
Improve staff communication
Use medications safely
Reduce harm associated with clinical alarm systems
Prevent infection
Identify patient safety risks
Prevent errors in surgery
2
Identify patients correctly
Use at least two ways to identify patients.
– Name and date of birth
• This is done to make sure the correct patient gets the intened
medications and treatments
3
Improve staff communications
Use a standardized approach to “hand off” communications
– ISBARQ: nurse to nurse, nurse to physician
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Introduce yourself
Situation of patient
Background conditions and what has been done
Assessment of patient
Recommendations
Questions
Ensure rapid communication of critical results
– So important test results are reported immediately to caregiver for
action
4
Use Medication Safely
Annual review and updated list of look-alike, sound alike
medications
Patients receiving anticoagulation medicines (i.e., Heparin,
Warfarin, & Lovenox) must have appropriate ongoing monitoring
– Order sets should be used
– Record and pass along correct information about patient’s
medicines
Label all medicines that are not already labeled
– Syringes
– Cups
– Basins
5
Reduce harm associated with clinical alarm systems
Improve the safety of clinical alarm systems
Identify alarms and prioritize action to alarms
Clinical and physician input to develop the most appropriate use
of alarm system and parameters
6
Prevent Infection
Use safe hand hygiene principles
– Wash hands often and/ or use alcohol based hand gels as
appropriate
Use proven guidelines to prevent infections that are difficulty to
treat
– Blood stream infections
– Multi drug resistant organism infections
– Central line associated blood stream infections
Use safe practices to prevent surgical site infections
– Pre operative bathing
– Antibiotic protocols
Use proven guidelines to prevent infections from urinary tract
caused by catheters
– CAUTI (Catheter Acquired Urinary Tract Infections)
– prevention bundles
7
Identify patient safety risks
Conduct assessments upon entry into the organization to
identify patient at risk for suicide
– Screening done with admission
– Assessments called to physician
8
Prevent errors in surgery
Universal Protocol
– Pre-verification process before surgery begins
– Surgeon marks the part/ site of the body where the surgery will be
done
– Patient must be involved in the process
– Process will occur in the operating room or at the bedside
– TIME OUT is performed immediately prior to the start of surgery or
procedure
9