patient safety it’s everyone’s business how can you help??
TRANSCRIPT
PATIENT SAFETYIt’s Everyone’s Business
How can you help??
National Patient Safety Goal 1:
Improve the Accuracy of Patient Identification
Use two patient identifiers whenever you:
• Draw blood samples• Administer medication• Administer blood products
1a. Two patient identifiers:
In-Patient Identifiers
• Name
• Hospital Number
Out-Patient Identifiers
• Name
• Birth Date or Hospital Number
Actively involve the patient in this check.
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National Patient Safety Goal
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Patient Safety Goal 1 (continued):
Improve the Accuracy of Patient Identification
1b. Prior to starting a surgical or invasive procedure, conduct a “Time Out”.
Document this time out.
Time Out
Correct Patient?
Correct Procedure?
Correct Procedure Site?
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National Patient Safety Goal
1 (cont.)
Patient Safety Goal 2:Improve the Effectiveness of Communication Among Caregivers
Write down, then Read Back
and Verify (RBAV):
Verbal Orders
Telephone Orders
Critical Results
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Documentation of this read back is important.
Verbal Orders
ONLY IN EMERGENCIES
Write the order & read back
National Patient Safety Goal
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Standardize!
Abbreviations
Acronyms
Symbols
Patient Safety Goal 2 (continued):Improve the Effectiveness of Communication Among Caregivers
We should all speak the same language!
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National Patient Safety Goal
2 (cont.)
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Patient Safety Goal 2 (continued):Improve the Effectiveness of Communication Among Caregivers
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http://www.vh.org/formulary/Form/dangerousmedicalabbrev.html
A COMPLETE LIST of dangerous abbreviations can be found in the UIHC Formulary:
aExamples of dangerous
abbreviations
National Patient Safety Goal
2 (cont.)
DANGEROUS ABBREVIATIONS
Do not use: Write orders as:
qd / QD Daily
qod / QOD Every other day
U Units(s)
IU International Units
TIW Specify days of the week
µg Micrograms or mcg
MS04 , MS Morphine
MgSO4 Magnesium Sulfate
MTX Methotrexate
Patient Safety Goal 3:Improve the Safety of Using High-Alert Medications
Remove concentrated electrolytes from patient care units.
Standardize and limit the number of drug concentrations.
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National Patient Safety Goal
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Patient Safety Goal 4:Eliminate Wrong-site, Wrong-Patient, Wrong-Procedure
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Mark the surgical site and involve the patient in the marking process.
Verify that all appropriate pre-procedure
documents are complete and available.
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Prior to a procedure:
Surgical site must be initialed by the physician.
National Patient Safety Goal
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Patient Safety Goal 5:
Improve the Safety of Using Infusion Pumps
All IV pumps at UIHC have safe guards to eliminate free-flow.
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Intravenous infusion pumps must have free-flow protection on all general-use and PCA devices.
National Patient Safety Goal
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Patient Safety Goal 6:Improve the Effectiveness ofClinical Alarm Systems
Assure that critical patient alarms are:
activated, set properly for each
patient , and can be heard by the
patient care staff.
Perform regular preventive maintenance and testing.
• Are the monitor alarms set properly according to the patient condition ? ? ?
• Can you hear the monitor alarms ? ? ?
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National Patient Safety Goal
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Patient Safety Goal 7:Reduce the Risk of Health Care-Acquired Infection
Practice good hand hygiene
Use an alcohol-based hand-rub
or Wash your hands with soap and water
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National Patient Safety Goal
7
Before
patient contact
putting on gloves before an invasive procedure
When to use Hand Hygiene?
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contact with a patient, patient’s secretion or patient’s environment
contact with a dirty site and before going to a clean site on the same patient
removing gloves
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Hand Hygiene is the most effective thing you can do to protect your patient and yourself!
If you have questions regarding the 7 National Patient Safety Goals, contact your supervisor.
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Thank you!
Good Work!Pat yourself on your back for doing the right thing!*!*!