1. 1 National Patient Safety Goals (NPSG)

2. 2 National Patient Safety Goals – set forth by The Joint Commission Identity patients correctly: – Use at least two ways to identify patients – at PSMH, it is the patient’s name and date of birth – This is done to make sure that each patient gets the medicine and treatment meant for them Improve staff communication: – Ensure rapid communication of important test results to the appropriate caregiver for action – critical values – When patient moves from one level of care to the other, provide communication – Use a standardized approach to ‘hand off’ communications, including an opportunity to ask and respond to questions Hall Pass; GPP; ED communication tool; Family Birthing Center communication tool

3. 3 Hand-off Communication Process Nurse to Nurse Nurse to Physician I – introduce yourself S - situation B - background A - assessment R - recommendations Q - questions

4. 4 National Patient Safety Goals Use medications safely – List of look-alike, sound-alike(LASA) medications – review and update annually – Label all medicines that are not already labeled – i.e., medicines in syringes, cups, and basins – Patients receiving anticoagulation medicines (heparin, warfarin, Lovenox) must have appropriate ongoing monitoring Order sets should be used Record and pass along correct information about patient’s medicines Reduce Harm associated with clinical alarm systems – Improve the safety of clinical alarm systems – Identify alarms and ability to prioritize action to alarm – clinical and physician input to develop the most appropriate use of alarm systems and parameters

5. 5 National Patient Safety Goals Prevent infection – Use safe hand hygiene principles – wash hands often and/or use alcohol-based hand gels – Use proven guidelines to prevent infections that are difficult to treat – i.e., bloodstream infections Multi-drug resistant organism infections Central line associated blood stream infection – Use safe practices to prevent surgical site infections – Use proven guidelines to prevent infections from urinary tract caused by catheters

6. 6 National Patient Safety Goals Prevent patients from falling – Assess every patient for risk of falling – i.e., is the patient receiving medications that would put him/her at risk to fall – dizziness, weakness, sleepiness? Take action to prevent falls. – All patients who are at risk for falling should have an YELLOW armband on and an “YELLOW Eye Watch” card inside/outside room – All students and instructors will have competency on the use of lift equipment for safe patient transfer Encourgage patients’ active involvement in their own care as a patient safety strategy – Define and communicate the means for patients and their families to report concerns about safety and encourage them to do so Help Us, Help You

7. 7 National Patient Safety Goals Identify patient safety risks – Conduct assessments upon entry into the organization, to identify patients at risk for suicide Prevent errors in surgery – Universal Protocol – Pre-verification process before surgery begins – Surgeon or proceduralist marks the part/site of the body where the surgery will be done – patient must be involved in the process. Process will occur whether in the Operating Room or at the bedside. – Time out is performed immediately prior to the start of surgery or procedure