1. PATIENT SAFETY It’s Everyone’s Business
How can you help??

2. 1 1a. Two patient identifiers:
National Patient Safety Goal 1
National Patient Safety Goal 1: Improve the Accuracy of Patient Identification I
1a. Two patient identifiers:
In-Patient Identifiers
Name
Hospital Number
Out-Patient Identifiers
Birth Date or Hospital Number I I I I I I
Use two patient identifiers whenever you:
Draw blood samples
Administer medication
Administer blood products
Actively involve the patient in this check.

3. National Patient Safety Goal
1 (cont.)
Patient Safety Goal 1 (continued): Improve the Accuracy of Patient Identification
1b. Prior to starting a surgical or invasive procedure, conduct a “Time Out”. I I I
Time Out
Correct Patient?
Correct Procedure?
Correct Procedure Site?
Document this time out.

4. National Patient Safety Goal2
Patient Safety Goal 2: Improve the Effectiveness of Communication Among Caregivers
Write down, then Read Back
and Verify (RBAV): I I I
Verbal Orders
Telephone Orders
Critical Results I
Documentation of this read back is important.
Verbal Orders
ONLY IN EMERGENCIES
Write the order & read back

5. National Patient Safety Goal We should all speak the same language!
2 (cont.)
Patient Safety Goal 2 (continued): Improve the Effectiveness of Communication Among Caregivers
We should all speak the same language! I I I I I
Standardize!
Abbreviations
Acronyms
Symbols

6. National Patient Safety Goal
2 (cont.)
Patient Safety Goal 2 (continued): Improve the Effectiveness of Communication Among Caregivers
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 a
Examples of
dangerous
abbreviations s
A COMPLETE LIST of dangerous abbreviations can be found in the UIHC Formulary: s

7. National Patient Safety Goal3
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. I I

8. National Patient Safety Goal4
Patient Safety Goal 4: Eliminate Wrong-site, Wrong-Patient, Wrong-Procedure
Verify that all appropriate pre-procedure
documents are complete and available. I I
Prior to a procedure:
Surgical site must be initialed by the physician.
Mark the surgical site and involve the patient in the marking process.

9. Patient Safety Goal 5: Improve the Safety of Using Infusion Pumps
National Patient Safety Goal 5
Intravenous infusion pumps must have free-flow protection on all general-use and PCA devices. I I
All IV pumps at UIHC have safe guards to eliminate free-flow.

10. National Patient Safety Goal6
Patient Safety Goal 6: Improve the Effectiveness of Clinical 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. a I I a a a a
Are the monitor alarms set properly according to the patient condition ? ? ?
Can you hear the monitor alarms ? ? ?

11. National Patient Safety Goal Practice good hand hygiene7
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 I I I I

12. When to use Hand Hygiene?
Before
patient contact
putting on gloves before an invasive procedure a a a
After
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 a

13. 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.

14. Pat yourself on your back for doing the right thing!*!*!
Thank you!
Good Work!
Pat yourself on your back for doing the right thing!*!*!