Transcript National Patient Safety Goals 2007

National Patient Safety Goals
2008
The University of Toledo Medical Center
Toledo, Ohio
Goal 1
Improve the accuracy of patient identification.
• Use at least 2 patient identifiers
 Administering medications or blood products
 Collecting blood or other specimens
 Providing treatments or procedures
 Patient’s room # is not used as an identifier
 Blood or specimens are labeled in front of the
patient
• Conduct a final verification process
 “Timeout”, correct patient, correct procedure,
correct site with patient involvement
Goal 2
Improve the effectiveness of communication among caregivers.
• Receiver writes down, reads back and receives
confirmation of accuracy.
• Standardize a list of abbreviations, acronyms and
symbols NOT to be used
• Measure the timeliness of critical test results reported
to responsible caregivers
• Collect data on the timeliness of critical tests and
results
• Standardize an approach to communication
“handoffs” with an opportunity to ask and answer
questions
Goal 3
Improve the safety of using medications.
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Identify look alike / sound alike drugs
Standardize and limit drug concentrations
Label medications on and off the sterile field
Reduce the likelihood of patient harm associated with
the use of anticoagulation therapy.
Goal 7
Reduce the risk of health care-associated infections.
• Comply with CDC or WHO hand hygiene guidelines
• Identify cases of unanticipated death or permanent
loss of function related to healthcare associated
infection
Goal 8 - Accurately & completely
reconcile medications across continuum of care.
• Implement a process for obtaining and documenting
a complete list of the patient’s current medications
• A complete list of the patient’s medications is
communicated to the next healthcare provider
• A complete list of medications is provided to the
patient on discharge from the facility
Goal 9
Reduce the risk of patient harm resulting from falls.
• Implement a fall reduction program and evaluate its
effectiveness
 Nursing Assessment
 Pharmacy reviews medication
 Toileting Advance Need – TAN Program
 Patient Walkers
 Bed Alarms
Goal 13 - Encourage 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
Goal 15 - The organization identifies
safety risks inherent in its patient population.
• The organization identifies patients at risk for suicide
 Primary diagnosis is an emotional or behavioral
disorder
 Drug or alcohol issues
Goal 16 - Improve recognition
and response to changes in a patient’s condition.
• The organization selects a suitable method that
enables health care staff members to directly request
additional assistance from a specially trained
individual(s) when the patient’s condition appears to
be worsening.
For questions, contact:
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Mike Allison, RT-R, BS, MBA
Clinical Safety Coordinator, Quality Management
[email protected]
419.383.6856