National Patient Safety Goals (NPSG)

1

• Online Orientation

• National Patient Safety Goals (NPSG)

• the purpose is to improve patient safety
• the goals focus on problems in health care safety
  and how to solve them

2

• National Patient Safety Goals
• -set forth by The Joint Commission

• Identify patients correctly
• Improve staff communication
• Use medications safely
• Reduce harm associated with clinical alarm
  systems
• Prevent infection
• Identify patient safety risks
• Prevent errors in surgery

3

• Identify patients correctly

• Use at least two ways to identify patients.
• Name and date of birth
• This is done to make sure the correct patient
  gets the intened medications and treatments

4

• Improve staff communications

• Use a standardized approach to hand off
  communications
• ISBARQ nurse to nurse, nurse to physician
• Introduce yourself
• Situation of patient
• Background conditions and what has been done
• Assessment of patient
• Recommendations
• Questions
• Ensure rapid communication of critical results
• So important test results are reported
  immediately to caregiver for action

5

• Use Medication Safely

• Annual review and updated list of look-alike,
  sound alike medications
• Patients receiving anticoagulation medicines
  (i.e., Heparin, Warfarin, Lovenox) must have
  appropriate ongoing monitoring
• Order sets should be used
• Record and pass along correct information about
  patients medicines
• Label all medicines that are not already labeled
• Syringes
• Cups
• Basins

6

• Reduce harm associated with clinical alarm systems

• Improve the safety of clinical alarm systems
• Identify alarms and prioritize action to alarms
• Clinical and physician input to develop the most
  appropriate use of alarm system and parameters

7

• Prevent Infection

• Use safe hand hygiene principles
• Wash hands often and/ or use alcohol based hand
  gels as appropriate
• Use proven guidelines to prevent infections that
  are difficulty to treat
• Blood stream infections
• Multi drug resistant organism infections
• Central line associated blood stream infections
• Use safe practices to prevent surgical site
  infections
• Pre operative bathing
• Antibiotic protocols
• Use proven guidelines to prevent infections from
  urinary tract caused by catheters
• CAUTI (Catheter Acquired Urinary Tract
  Infections)
• prevention bundles

8

• Identify patient safety risks

• Conduct assessments upon entry into the
  organization to identify patient at risk for
  suicide
• Screening done with admission
• Assessments called to physician

9

• Prevent errors in surgery

• Universal Protocol
• Pre-verification process before surgery begins
• Surgeon marks the part/ site of the body where
  the surgery will be done
• Patient must be involved in the process
• Process will occur in the operating room or at
  the bedside
• TIME OUT is performed immediately prior to the
  start of surgery or procedure

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