The document outlines 6 international patient safety goals aimed at reducing medical errors and promoting patient safety. The goals are to: 1) correctly identify patients to prevent wrong-patient errors; 2) improve communication between healthcare providers; 3) improve safety practices around high-alert medications; 4) ensure the correct procedure is performed on the correct patient and site; 5) reduce healthcare-associated infections through hand hygiene and other practices; and 6) reduce the risk of patient falls through risk assessment and prevention strategies.
The document outlines 6 international patient safety goals aimed at reducing medical errors and promoting patient safety. The goals are to: 1) correctly identify patients to prevent wrong-patient errors; 2) improve communication between healthcare providers; 3) improve safety practices around high-alert medications; 4) ensure the correct procedure is performed on the correct patient and site; 5) reduce healthcare-associated infections through hand hygiene and other practices; and 6) reduce the risk of patient falls through risk assessment and prevention strategies.
The document outlines 6 international patient safety goals aimed at reducing medical errors and promoting patient safety. The goals are to: 1) correctly identify patients to prevent wrong-patient errors; 2) improve communication between healthcare providers; 3) improve safety practices around high-alert medications; 4) ensure the correct procedure is performed on the correct patient and site; 5) reduce healthcare-associated infections through hand hygiene and other practices; and 6) reduce the risk of patient falls through risk assessment and prevention strategies.
The document outlines 6 international patient safety goals aimed at reducing medical errors and promoting patient safety. The goals are to: 1) correctly identify patients to prevent wrong-patient errors; 2) improve communication between healthcare providers; 3) improve safety practices around high-alert medications; 4) ensure the correct procedure is performed on the correct patient and site; 5) reduce healthcare-associated infections through hand hygiene and other practices; and 6) reduce the risk of patient falls through risk assessment and prevention strategies.
OBJECTIVE To promote specific improvement in patient safety Represent strategies to reduce the risk of medical errors Provide clear solutions for improving patient safety
Patient SAFETY GOALS
1. Identify patients correctly 2. Improve effective communication 3. Improve safety of high alert medications 4. Ensure correct Site, Correct Procedure, Correct Patient Surgery 5. Reduce the risk of health care associated infections 6. Reduce the risk of patient harm resulting from falls
1. Identify patients correctly
Wrong-patient errors occur in virtually all aspects of diagnosis and treatment Do’s 2 Identifiers- Patient Name & Avitis Number For unknown/ comatose patient brought in Emergency identify as unknown 1 or 2.
Patients are Identified
Giving medicines, blood or blood products. Taking blood samples and other specimens for clinical testing Before all surgical, invasive and diagnostic procedures
Don’t Use- Patient Room, location
2. Improve effective communication
Do’s 2.1. Verbal/Telephonic Order Use write and read back 2.2. Reporting critical results of diagnostic tests Use write and read back Verbal and telephone order or test result is written down – read back by the receiver of the order or test result those must be confirmed by the individual who gave the order or test result.
2.3. Handover Communication
ISBAR
IDENTIFICATION: Patient Identification
SITUATION: What is happening at the moment? BACKGROUND: What are the issues that led up to this situation? ASSESSMENT: What do you believe the problem is? RECOMMENDATION: What should be done to correct this situation. EXAMPLE I – Krishnan.M, Avitis No-01-25689 16M Male, Room No-506 S – presents with choking event post feed B – previous well term baby, event preceded by 2-3 days fever, irritability and poor sleep A – thriving, examined well R – reassure with likely discharge today if remains well WHEN? Shift changes Inter-hospital transfers Intra-hospital transfers Time-critical situations such as medical emergencies or evacuations Procedure documents ADVANTAGES: Ensures completeness of information and reduces likelihood of missing data Is an easy and focused way to set expectations for what will be communicated Ensures a recommendation is clear and professional Gives confidence in communication , focuses not on the people who are communicating but on the problem itself.
3. Improve the Safety of High-alert medications
High-alert medications are those medications involved in a high percentage of errors and/or sentinel events, medications that carry a higher risk for adverse outcomes Do’s HIghAlert Medications / Look Alike & Sound Alike Medications Double Checks HIgh Alert Medications ,Look alike and sound alike medications are stored with proper labeling List of high-alert medications / Look alike and sound alike medications High-alert medications - Stored and kept in a locked cabinet High-alert medicationsSeparated from other medications and stored in boxes with lids Labeled in Red with “High Alert Medication / Concentrated Electrolyte” Proper Orientation to Staff 4. Ensure correct Site, Correct Procedure, Correct Patient Surgery Wrong-site, wrong-procedure, wrong-patient surgery is an alarmingly common occurrence in health care organizations. Factors Ineffective or inadequate communication between members of the surgical team. Lack of patient involvement in site marking. Lack of procedures for verifying the operative site. Inadequate patient assessment. Inadequate medical record review. Problems related to illegible handwriting. The use of abbreviations. Preoperative verification Prior to the induction of Anesthesia The start of an invasive procedure Ensure Patient’s identity (two identifiers) Procedure to be performed Correct procedure side/site Necessary imaging ,equipment , Implants or special requirements are present Timeout Prior to the start of the procedures Innvolves the entire operative team.
5. Reduce the Risk of Health Care Associated infections
Infection Prevention and control Common Infections- Catheter-associated urinary tract infections,Bloodstream infections, Ventilator Associated pneumonia (often associated with mechanical ventilation Do’s Proper hand hygiene. Comply with current published and generally accepted hand hygiene guidelines. Implements an effective hand hygiene program.
6. Reduce the Risk of Patient Harm Resulting from falls
Falls account for a significant portion of injuries Do’s Evaluate its patients’ risk for falls and take action to reduce the risk of falling The evaluation includes fall history medications and alcohol consumption review gait and balance screening, walking aids used by the patient. Assess and periodically reassess each patients risk for falling, including the potential risk associated with the patients medication regimen, and take action to decrease or eliminate any identified risks. Fall RisK reduction program Prevention of Patient Falls Educating patient and patient families on Not to leave bed without any help To wear non skid foot wear . Nurses Call Bell Bed height to be fixed at the lowest lowel All side rails in the up postion Proper lighting