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National Patient Safety Goals (NPSG) 1 National Patient Safety Goals – set forth by The Joint Commission • Identity patients correctly: – Use at least two ways to identify patients – at PSMH, it is the patient’s name and date of birth – This is done to make sure that each patient gets the medicine and treatment meant for them • Improve staff communication: – Ensure rapid communication of important test results to the appropriate caregiver for action – critical values – When patient moves from one level of care to the other, provide communication – Use a standardized approach to ‘hand off’ communications, including an opportunity to ask and respond to questions • Hall Pass; GPP; ED communication tool; Family Birthing Center communication tool 2 Hand-off Communication Process Nurse to Nurse Nurse to Physician • • • • • • I – introduce yourself S - situation B - background A - assessment R - recommendations Q - questions 3 National Patient Safety Goals • Use medications safely – List of look-alike, sound-alike(LASA) medications – review and update annually – Label all medicines that are not already labeled – i.e., medicines in syringes, cups, and basins – Patients receiving anticoagulation medicines (heparin, warfarin, Lovenox) must have appropriate ongoing monitoring • Order sets should be used • Record and pass along correct information about patient’s medicines • Reduce Harm associated with clinical alarm systems – Improve the safety of clinical alarm systems – Identify alarms and ability to prioritize action to alarm – clinical and physician input to develop the most appropriate use of alarm systems and parameters 4 National Patient Safety Goals • Prevent infection – Use safe hand hygiene principles – wash hands often and/or use alcohol-based hand gels – Use proven guidelines to prevent infections that are difficult to treat – i.e., bloodstream infections • Multi-drug resistant organism infections • Central line associated blood stream infection – Use safe practices to prevent surgical site infections – Use proven guidelines to prevent infections from urinary tract caused by catheters 5 National Patient Safety Goals • Prevent patients from falling – Assess every patient for risk of falling – i.e., is the patient receiving medications that would put him/her at risk to fall – dizziness, weakness, sleepiness? Take action to prevent falls. – All patients who are at risk for falling should have an YELLOW armband on and an “YELLOW Eye Watch” card inside/outside room – All students and instructors will have competency on the use of lift equipment for safe patient transfer • Encourgage patients’ active involvement in their own care as a patient safety strategy – Define and communicate the means for patients and their families to report concerns about safety and encourage them to do so • Help Us, Help You 6 National Patient Safety Goals • Identify patient safety risks – Conduct assessments upon entry into the organization, to identify patients at risk for suicide • Prevent errors in surgery – Universal Protocol – Pre-verification process before surgery begins – Surgeon or proceduralist marks the part/site of the body where the surgery will be done – patient must be involved in the process. Process will occur whether in the Operating Room or at the bedside. – Time out is performed immediately prior to the start of surgery or procedure 7