International Patient Safety Goals (IPSGs) Standard

JCI =Joint Commission International Accreditation standard

Maximo Malagayo BSN RNNursing Education & Training Officer

Purpose of IPSG: To promote specific

improvements in patient safety & quality of careThis goal is vital for the safety of the staff and the clients.

International Patient Safety Goals (IPSGs)

Tens of millions of patients suffer disabling injuries or death every year due to unsafe medical care. Behind these numbers lie the stories of devastated lives. Not to mention the billions of riyals that are spent on prolonged hospitalizations. Loss of income disability care and litigation, resulting from unsafe care.

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 Px. Surgery

5. Reduce Risk of Health Care associated

Infection

6. Reduce Risk of Patient Harm resulting from

Falls

Goal 1: Identify patient correctlyTWO IDENTIFIERS

Full name MR number D.O.B DO NOT USE ROOM NUMBER

Patient Identification before: Giving Medications Blood or Blood Products Taking Blood or any other sample

Goal 6: Reduce the Risk of Patient Harm Resulting from Falls

Fall risk is assessed upon patient admission using MORSE Scale

1. History: Falling

2. Secondary diagnosis

3. Ambulatory Aid (Crutches, walker…)

4. Intravenous Fluids

5. Gait (N – bed rest/weak/impaired)

6. Mental status (Oriented/Disoriented)

Fall prevention standard precautions

1. Safe environment : adequate lights, Alarms & Call bells

2. Bed ridden pts ( keep bed in low position, Bed brakes on, bed-side rails raised)

3. Fall precaution sign above pt’s bed.

4. Use ambulatory aids (crutches, walker)

Goal 4: Ensure Correct-Site, Correct-Procedure, Correct-Patient Surgery

Two essential processes to achieve this goal.

I. Before the day or hour prior to the procedure

1. Preoperative Verification 2. Marking the operative Site

II. IMMEDIATELY BEFORE THE PROCEDURE

3.Team “ time out” Involves confirmation of details by the members of Surgical team,

1. Preoperative Verification

To ensure that all relevant documents

(e.g. consent forms & assessment (Lab Investigations– Images) are present.

2. Marking the surgical site

Near incision siteSufficiently permanent to remain after skin prep.

Made by person performing procedureWith pt involved the patient must awake / aware

3. Team “Time Out”Involves the entire operative team

Held in the location the procedure will be done, just before starting the procedure

Involves the entire operative team Briefly documented (checklist) including: - Correct patient Identification - Correct site has been marked - Correct patient position - Agreement on the procedure to be done - Availability of any required special

equipment and/or implants.

Goal 5: Reduce the Risk of Health Care- Associated Infections

Hand washing The single most important means of

preventing spread of infection

Duration of Hand Washing 5 minutes + Hands scrub –preoperatively 15 seconds : Routine Hand washing

Routine Hand washing

Goal 2: Improve Effective Communication

Telephone / Verbal Order (In Emergency)

The receiver of order should write down the complete order, then read it back.

Panic value results Critical results were written down completely.

The lab. inform the result to nurse on duty

Entries must be readable Good Hand writing

Use Acceptable Abbreviations only. PRN orders should have an indication.

3.1 High alert medications

Drugs that carry high risk for significant adverse outcome when used in error.

keep in the secured cabinet with mark

Example:

Concentrated Electrolytes

KCl, NaCl > 0.9%,

Mg SO4,

Ca gluconate 10%)

Goal 3: Improve the Safety of High-Alert Medications

Goal 3: Improve the Safety of High-Alert Medications

.3 2 Before it is given the dose must be double-checked by two nurses.

Should NOT be kept in patient care unit. If necessary, such in ER or OR, they must be clearly labeled & stored in closed cabinets

THANK YOUFrom your

Nursing Education Department

Quality Care: Understaffed facilities lead to nurses working long hours and this adds to fatigue and increases the chance of patience errors. Hiring additional international nurse staff to lighten the load can lead to higher quality of care, better nurse engagement, improved retention and excellent satisfaction ratings from patients.