national patient safety goals 2011
Post on 15-Jan-2016
25 Views
Preview:
DESCRIPTION
TRANSCRIPT
National National Patient Safety Patient Safety
GoalsGoals
20112011
Medical errors are one of the nation’s leading cause of Medical errors are one of the nation’s leading cause of death and injury.death and injury.
The Institute of Medicine estimates as many as 44,000 to The Institute of Medicine estimates as many as 44,000 to 98,000 people die each year as a result of medical errors.98,000 people die each year as a result of medical errors.
Beginning in 2003, The Joint Commission has enforced Beginning in 2003, The Joint Commission has enforced national patient safety goals for healthcare organizations national patient safety goals for healthcare organizations to strive for in order to increase patient safety. to strive for in order to increase patient safety.
The Joint Commission has identified five Patient Safety Goals & 1 Universal Protocol to improve patient safety:
1. Improve the Accuracy of Patient Identification2. Improve the Effectiveness of Communication
among Caregivers3. Improve the Safety of Using Medications4. Reduce the Risk of Healthcare-Associated
Infections5. The Organization Identifies Safety Risks
Inherent in its Patient Population U.P. Prevent wrong-site, wrong-procedure and
wrong patient procedures
1.1. Improve the Accuracy of Patient Improve the Accuracy of Patient IdentificationIdentificationStandard: Standard: Use at least two (2) patient identifiers.Use at least two (2) patient identifiers.
Patient Identifiers must be used….Patient Identifiers must be used…. When administering medicationsWhen administering medications
When administering blood productsWhen administering blood products
When taking blood samples & other specimensWhen taking blood samples & other specimens
When providing any other treatments or proceduresWhen providing any other treatments or procedures
At SLRHC……..At SLRHC…….. To confirm a
patient’s identity Ask the patient’s
name Ask for the patient’s
date of birth
Can you tell me your name and date of birth?
For a patient who cannot respond:
Check patient’s ID band
Compare ID band to PRISM record or requisition slip
In an emergency situation - patient may receive treatment prior to identification if the treatment is deemed necessary to stabilize the patient’s condition.
1.1. Improve the Accuracy of Patient Improve the Accuracy of Patient Identification Identification (cont’d) (cont’d)Standard:Standard: Eliminate transfusion errors related to patient Eliminate transfusion errors related to patient
misidentification.misidentification. Before initiating a transfusion, the patient is matched to Before initiating a transfusion, the patient is matched to
the blood / blood component the blood / blood component during a two-person during a two-person verification process.verification process.
2. Improve the Effectiveness of Communication among Caregivers
Standard:Standard: Report critical results of tests and diagnostic procedures Report critical results of tests and diagnostic procedures
on a timely basis.on a timely basis. Lab or diagnostic department personnel will notify appropriate
staff (MD/PA/NP or RN) as soon as possible, but no longer than 30 minutes after the result is available.
STAT requests are treated as alert requests and will be reported within 1 hour of receipt.
The nurse is responsible to notify the provider within 1 hour of the time the result is received.
3. Improve the Safety of Using Medications
Standards: Label all medications, medication containers (i.e.
syringes, medicine cups, basins) or other solutions on or off the sterile field.
Reduce the likelihood of harm associated with the use of anticoagulation therapy.
3. Improve the Safety of Using Medications (cont’d)
Standards:Standards: Maintain and communicate accurate patient Maintain and communicate accurate patient
medication information.medication information. Reconcile all medications the patient is currently taking
and document this information in the medical record.
Provide written information on the medications the patient should be taking upon discharge from the hospital.
4. Reduce the Risk of Healthcare-Associated Infections
Standards: Comply with CDC hand hygiene guidelines.
Our Hand Hygiene Team monitors staff compliance with hand hygiene.
At SLRHC……..
Signs are posted as a reminder to wash hands before and after patient contact.
Alcohol-based hand cleansers are placed in designated patient care areas.
4. Reduce the Risk of Healthcare-Associated Infections (cont’d)Standards: Implement evidence-based practices to prevent health
care-associated infections due to multidrug-resistant organisms.
Implement evidence-based practices to prevent central line-associated bloodstream infections.
Implement evidence-based practices for preventing surgical site infections.
5. The organization identifies safety risks 5. The organization identifies safety risks inherent in its patient populationinherent in its patient population
Standard: Standard: Identify patients at risk for suicide.Identify patients at risk for suicide.
At SLRHC….At SLRHC…. All patients admitted for emotional or behavioral All patients admitted for emotional or behavioral
disorders are assessed throughout their stay for disorders are assessed throughout their stay for
suicide risk.suicide risk. Patients on the general inpatient unit are Patients on the general inpatient unit are
assessed on admission for suicidal history or assessed on admission for suicidal history or
ideation.ideation.
Universal Protocol: Prevent Wrong-Site, Universal Protocol: Prevent Wrong-Site, Wrong-Procedure and Wrong Patient Wrong-Procedure and Wrong Patient
ProceduresProcedures Conduct a Conduct a pre-procedure verificationpre-procedure verification process. process. MarkMark the procedure site. the procedure site. Implement a Implement a TIME OUTTIME OUT immediately before immediately before
starting the procedure to confirm:starting the procedure to confirm: Correct patientCorrect patient Correct procedureCorrect procedure Correct site/locationCorrect site/location Correct sideCorrect side Correct positionCorrect position Correct implant (when applicable)Correct implant (when applicable) Correct supplies/equipment availableCorrect supplies/equipment available
At SLRHC……At SLRHC…… Verification is conducted by all of the team Verification is conducted by all of the team
membersmembers
Site is marked with the proceduralist’s initials Site is marked with the proceduralist’s initials for all procedures involving lateralityfor all procedures involving laterality
““TIME OUT”TIME OUT” is used prior to the start of the is used prior to the start of the procedure and involves procedure and involves ALLALL team members team members
top related