NPSG Powerpoint - Presence Health

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Transcript NPSG Powerpoint - Presence Health

National Patient Safety Goals
(NPSG)
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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
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Hand-off Communication Process
Nurse to Nurse
Nurse to Physician
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I – introduce yourself
S - situation
B - background
A - assessment
R - recommendations
Q - questions
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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
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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
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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
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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
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