International

patient safety goals

Students Names:
Abeer Alhaddad.
Khetam Alnaamneh.
Alhareth Alshorman.
Ghadeer Awawdeh.
 • At the end of this presentation,
you will be able to:
• List the international patient
safety goals.
• Identify the importance of
international patient safety
goals.
Objectives • Identify the purpose of
international patient safety
goals.
• List the benefits of
implementing international
patient safety goals.
 Introduction
International patients' safety goals aims to:

• Promote specific improvements in

patient safety.
• Highlight problematic areas in health
care.
• Describe evidence- and expert-based
consensus solutions to these problems.
 International patient safety goals
The clinical competencies of nurses are
essential for improving patient safety.
Nurse competency and patient safety are
influenced by personal and professional
characteristics. To improve patient safety,
hospital administration should mandate
that nurses' competencies be
improved(Kalsoom et al, 2022).
 Is the process of “correctly
matching a patient to
appropriately intended
interventions and
1. Identify communicating information
patient about the patient’s identity
correctly accurately and reliably
throughout the continuum of
care”. (Riplinger et al. 2020).
 mentioned by the joint
commission in 2021.
1. Identify -Joint Commission’s
patient sentinel event statistics
indicate( 37) out of (436 )
correctly have occurred due to mis-
identification in 2019
including:
• surgical procedures.
• invasive procedure
events involving wrong
patient.
• wrong procedure, and
 1. Identify patient correctly

The verification process

should carry out
It is important to confirm whenever a history is
patient's identity to make taken, a medical record is
sure the right person is chosen, a procedure is
receiving the appropriate carried out, medication is
medical care. given, or the patient is
transported to another
area within the hospital.
Based on the WHO
recommendation it is
important to:
• Use, at least, two identifiers to
verify patient's identity.
• Implementation of
technological resources and
tools.
• Education of frontline staff
regarding
correct identification band;
and partnering with families
and patients through
education.
 Proposed strategies regarding patient identification
1. Leadership Role:
• Teach employees that identifying patients is essential for providing safe care
and should be given top attention.
• Ask questions about the organization’s patient identification practices and
experiences to identify strengths and opportunities for improvement.
• Provide support for the organization’s patient identification improvement
initiatives.
2. Policies and Procedures:
• Patient identification done by
using at least tow of these
elements (Name of three parts,
Last five digest of the national ID,
Medical number, Date of birth).
Note:
The Deep Dive analysis found that
failures to adhere to an
organization's patient identification
policy were a contributing factor for
events that resulted in patient harm.
3. Patient and Family
Engagement:
• Engage patients and their
family members in patient
identification by highlighting
the importance of their
participation in ensuring
accurate.
• Encourage patients to tell the
head nurse at the morning
round if staff doesn’t ask for
patient identifiers or if they are
approached for unexpected tests
4. Standardizations:
• Ensure that all providers adhere to and utilize the Joint Commission
Universal Protocol to Prevent Wrong-Person Procedures, including the
time-out protocol.
• List invasive operations and high-risk procedures that should be done
according to the Universal Protocol to avoid selecting the wrong patient.
• To increase readability and usability, adopt standard features for patient
identification bands (such as information display, location of patient).
5. Use Technology:
• Barcoding identification, to
support patient identification.
• Use patient ID band with name
of three parts, medical record
number and barcode for each
patient.
• Display patient names on
adjacent lines of a computer
screen in a visually distinct way.
• Conduct periodic audits of
patient identification processes .
2. Improve Effective
Communication
 2. Improve
Effective
Communication
When it comes to executing
responsibilities like handovers
by nurses and guaranteeing
patient safety throughout
communication, people's
actions are influenced by patient
safety. This affects the standard
of nursing care. (Dewi
Mulfiyanti and Andi Satriana,
• Effective communication is crucial
as it ensures that vital information is
accurately transmitted and
understood, thereby minimizing the
risk of errors, misinterpretations, and
adverse events.
seven C of effective communication
1. Completeness: Information should
be complete and include all
necessary details to avoid
confusion or misunderstanding.

2. Conciseness: Messages should be

concise and to the point, avoiding
unnecessary and overly complex
information.

3. Clarity: Communication should be

clear and easy to understand,
• Courtesy: Communication
should be polite, respectful,
and considerate. This helps
to build trust and positive
relationships with others.
• Correctness: Messages
should be accurate and free
from errors. It is important
to double-check facts and
grammar before sending or
presenting information.
• Consistency:
Communication should be
• Consideration:
Communication
should consider
the needs and
expectations of
the audience. It is
important to
consider their
perspective and
choose
appropriate
For each sort of handover, there are
standards forms, tools, and manner that
are utilized as well as the substance of
the communication.
-Various sorts of handovers inside the
hospital may require different procedures
for the handover process.
Example:
Handovers of patient care from the
emergency department to a medical ward
can call for a different procedure or
different material than handovers from
the operation room to the critical care
Safe practices for effective communication
include the following:
1. Use of standardized, critical content and
processes for communication between the patient,
family, health care practitioner, and others involved
in the patient’s care during handovers of patient
care

2. Use of standardized methods, forms, or tools to

facilitate consistent and complete handovers of
patient care

3. The handover process must allow for the

participants to have an opportunity to clarify
information during the handover process, by
providing the opportunity to ask questions, or for
discussion between the giver and the receiver of
information. However, it is acceptable for the
discussion to take place outside of in-person
interactions, such as by phone, text, or other
4.The health care
practitioner would
record that he or she
completed the handover
and to whom he or she
transferred responsibility
for care, and then sign,
date, and time the entry.
5. The hospital collects,
analyzes, tracks and
 3. Improve the Safety of
Medications
• High‐alert medications are
defined as medications that
have an in‐ creased risk of
causing patient harm when
used in error (Institute for
Safe Medication Practices,
2018).
• High-alert medication errors
can lead to patient injury or
death and potentially
additional costs associated
with caring for these patients.
 Medication safety
definition
• It refers to the processes
and measures implemented
to minimize the risk of
harm associated with the
use of medications. It
involves multiple
components such as
prescribing, dispensing,
administering, and
monitoring medications to
ensure their safe and
The most frequently cited examples of
high-alert
• Insulin. medications
• Opioids.
• Chemotherapeutic agents.
• Antithrombotic agents.
• Anticoagulants.
• Thrombolytic medication.
• medications with a narrow
therapeutic range (for
example, digitalis).
• neuromuscular blocking
agents.
• epidural or intrathecal
 goal of
medication
safety
Helps in preventing medication errors,
adverse drug events, and other
preventable harm that may occur
during the medication use process. It
includes strategies such as accurate
medication reconciliation, proper
labeling and packaging, appropriate
use of technology systems, patient
education, and healthcare provider
training to promote safe and optimal
medication use.

(Donaldson et al., 2021)

• According to the World Health
Organization (WHO), medication
errors are a significant global
public health concern. Here are
some statistics related to
medication errors:
 medication errors cause at least one death
every day and harm approximately 1.3
million people annually.
 It costs healthcare system billions of
dollars each year.
 high-income countries, it is estimated that
around 50% of medication errors causing
harm are preventable. In low- and
middle-income countries, this number is
even higher, ranging from 60% to 70%.
• Medication errors can occur at any point
along the medication use process,
including prescribing, transcribing,
dispensing, administering, and
monitoring.

• Studies have shown that medication

errors are more likely to occur in older
adults, pediatric patients, and
individuals with multiple chronic
conditions.
• The most common types of medication
errors include prescribing errors,
dispensing errors, administration errors,
and monitoring errors.
Factors contributing to
medication errors 1. Inadequate communication
between healthcare
professionals.
2. Lack of standardized
processes,
3. Poor labeling and packaging,
fatigue and workload
4. Patient-related factors such as
low health literacy.
5. Complex medication
regimens.
6. Similar drug names.
8. Human factors:
These include knowledge gaps, lack of attention
and concentration, fatigue, and emotional factors
such as stress and burnout. Healthcare
professionals may also make errors due to
distractions, multitasking, and lack of training.
9. Communication issues:
Poor communication between healthcare
professionals or between healthcare professionals
and patients can lead to medication errors.
Misunderstandings, misinterpretations, and lack
of clear instructions can all contribute to errors.
• Proposed strategies regarding
Safety of Medications
Verification Process:
Medication Barcode Scanning.
Multi-check System.
Medication Reconciliation.
Storage and Labeling.
Continuous Education.
Error Reporting and Learning
Culture.
Patient Education.
Proper Documentation.
Proposed strategies
regarding Safety of
Medications  The hospital identifies in writing
its list of high-alert medications
 The hospital implements a risk
mitigation strategy for reducing
the risk of harm from high-alert
medications that is uniform
throughout the hospital and, in
addition, includes tailored
strategies for specific
medications when necessary.
 The hospital reviews and, as
necessary, revises its list of high-
alert medications annually at
 • It refers to the practice
of performing surgical
procedures in a manner
4.Safe surgery that prioritizes patient
well-being and
minimizes the risk of
complications or harm
before, during, and after
surgery.
• Also, It involves a
comprehensive approach
NOTE
• Wrong-patient,
wrong-site, and
wrong-procedure
surgery events can
result from
ineffective or
inadequate
communication
between members
Common risk factors surgery
error:
• lack of a standardized process for
marking the procedure site
• Use of materials or media that
can easily be removed, such as
tape, or ink that washes off during
the skin preparation process.
• lack of patient involvement in
the site marking • inadequate
patient assessment.
• inadequate medical record
review.
• a culture that does not support
Surgical and invasive
procedures include all
procedures involving an
incision or puncture,
including, but not limited to:
• Open surgical procedures.
• Percutaneous aspiration.
• Selected injections.
• Biopsy.
• Percutaneous cardiac and
vascular. diagnostic or
interventional procedures.
NOTE:
• The Safe Surgery initiative was
started by the WHO in 2008 to
encourage surgical systems all
over the world to conform to
established criteria.
Importance of safe surgery :
• Patient Safety.
• Reduction of
Complications.
• Enhanced Recovery.
• Prevention of Errors.
• Improvement in
Healthcare Quality.
• Cost-Effectiveness.
• Trust and Confidence.
• Global Health Impact.
• Regulatory and
Outline highlighting key
aspects of safe surgery
within the IPSGs:
 Patient Identification.
 Surgical Site Marking.
 Surgical Safety Checklist.
 Infection Prevention.
 Safe Anesthesia Administration.
 Postoperative Care and
Monitoring.
 Communication Among Team
Members.
 Patient Education and
Involvement.
The purpose of the preoperative
verification process is to:
• Verify the correct
patient, procedure, and
site.
• Ensure that all
relevant documents,
images, and studies are
available, properly
labeled, and displayed.
• Verify that any
 Proposed strategies regarding ensure safe
The hospital implements
surgery a preoperative
verification process using a checklist or other
mechanism to document that includes:
-verification.
-the informed consent is appropriate to the
procedure.
-the correct patient.
-correct procedure.
-correct site are verified.
-all required documents, blood products, medical
equipment, and implantable medical devices are
Proposed strategies regarding ensure safe
surgery
-The surgical/invasive site
marking process includes:
marking is done by the person
performing the procedure with
involving the patient in the
marking process.
-alternative site-marking process
for cases where marking may
result in harm
-alternative site-identification
process for patients who refuse
site-marking
 • Healthcare-associated
infections (HAIs) are
Goal 5: infections that patients acquire
Reduce the while receiving medical
treatment in a healthcare
Risk of Health facility. These infections can
Care– occur in various settings,
Associated including hospitals, clinics,
nursing homes, and surgical
The risk of HAIs depends
on several factors:
• Exposure to Pathogens:
• Compromised Immune
Systems.
• Invasive Procedures.
• Length of Hospital Stay.
• Use of Antibiotics.
• Poor Infection Control
Practices.
• Understaffing or
Overcrowding.
Preventive
measures:
-strict adherence to
infection control
protocols.
-proper hand hygiene
-sterilization of
equipment.
-appropriate antibiotic
use.
-Infection Control Protocols.
-Antibiotic Stewardship.
-Patient and Staff Education.
-Surveillance and
Monitoring.
-Adherence to Sterile
Practices.
-Isolation Precautions.
-Vaccination Programs.
-Quality Improvement
Initiatives.
-Environmental Controls.
 Goal 6: According to WHO
Reduce the fall: an event that results in
risk of patient a person coming to rest
harm inadvertently on the ground
resulting from or floor or other lower
 6. Reduce the risk of patient harm
resulting from falls.

Inpatient falls are a significant concern for

hospitals and post-acute care facilities. They can
lead to increased length of stay, injuries, and
death. Healthcare facilities have a duty to
provide safe environments for patients, which
includes taking measures to minimize the risk of
falls.
 Which Patients Are a Fall Risk?
• Mobility challenges
• Medication use
• Mental status
All can affect a person’s ability to move around
safely in the healthcare setting. The majority of
falls occur in elderly patients, particularly those
with impaired mobility or experiencing delirium.
 Proposed strategies to Reduce the risk
of patient harm resulting from falls.

1. Establish Fall Prevention Committees

Depending on the size of your healthcare
institution, consider creating one or more
committees in charge of managing fall prevention
strategies. You might choose to have
representatives from each unit serve as Fall Risk
Champions to discuss the needs of their patient
population.
 Proposed strategies to Reduce the risk of
patient harm resulting from falls.

2. Create a Policy
Guide Next, healthcare leaders should create a
policy guide for staff explaining the rationale and
indications for elements of the fall risk bundle.
3. Incorporate a Flow sheet Once your
organization decides which fall risk assessment
tool to incorporate into the nursing workflow,
decide how it will be documented. One example
is having a flow sheet embedded in the nursing
shift assessment.
 Proposed strategies to Reduce the risk of
patient harm resulting from falls.

4. Provide Staff Education

Finally, provide education to nurses about the
use of the fall risk assessment tool. Education
can be customized based on the nature of each
nursing unit. Include items from the policy guide
such as Morse Fall Scale score interpretation
guidelines.
Any question ?
 References

• Kalsoom, Zubia, et al. “What Really Matters for Patient Safety: Correlation of Nurse Competence With
International Patient Safety Goals.” Journal of Patient Safety and Risk Management, vol. 28, no. 3, SAGE
Publications, Oct. 2022, pp. 108–15. Crossref, https://doi.org/10.1177/25160435221133955.
• Dewi Mulfiyanti, and Andi Satriana. “The Correlation Between the Use of the SBAR Effective
Communication Method and the Handover Implementation of Nurses on Patient Safety.” International
Journal of Public Health Excellence (IJPHE), vol. 2, no. 1, PT Inovasi Pratama Internasional, Dec. 2022, pp.
376–80. Crossref, https://doi.org/10.55299/ijphe.v2i1.275.

• Donaldson, L., Ricciardi, W., Sheridan, S. E., & Tartaglia, R. (2021). Textbook of Patient Safety and Clinical
Risk Management. In Springer eBooks. https://doi.org/10.1007/978-3-030-59403-9