PATIENT SAFETYIt’s Everyone’s Business

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National Patient Safety Goal 1:

Improve the Accuracy of Patient Identification

Use two patient identifiers whenever you:

• Draw blood samples• Administer medication• Administer blood products

1a. Two patient identifiers:

In-Patient Identifiers

• Name

• Hospital Number

Out-Patient Identifiers

• Name

• Birth Date or Hospital Number

Actively involve the patient in this check.

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National Patient Safety Goal

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Patient Safety Goal 1 (continued):

Improve the Accuracy of Patient Identification

1b. Prior to starting a surgical or invasive procedure, conduct a “Time Out”.

Document this time out.

Time Out

Correct Patient?

Correct Procedure?

Correct Procedure Site?

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National Patient Safety Goal

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Patient Safety Goal 2:Improve the Effectiveness of Communication Among Caregivers

Write down, then Read Back

and Verify (RBAV):

Verbal Orders

Telephone Orders

Critical Results

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Documentation of this read back is important.

Verbal Orders

ONLY IN EMERGENCIES

Write the order & read back

National Patient Safety Goal

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Standardize!

Abbreviations

Acronyms

Symbols

Patient Safety Goal 2 (continued):Improve the Effectiveness of Communication Among Caregivers

We should all speak the same language!

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National Patient Safety Goal

2 (cont.)

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Patient Safety Goal 2 (continued):Improve the Effectiveness of Communication Among Caregivers

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http://www.vh.org/formulary/Form/dangerousmedicalabbrev.html

A COMPLETE LIST of dangerous abbreviations can be found in the UIHC Formulary:

aExamples of dangerous

abbreviations

National Patient Safety Goal

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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

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.

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National Patient Safety Goal

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Patient Safety Goal 4:Eliminate Wrong-site, Wrong-Patient, Wrong-Procedure

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Mark the surgical site and involve the patient in the marking process.

Verify that all appropriate pre-procedure

documents are complete and available.

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Prior to a procedure:

Surgical site must be initialed by the physician.

National Patient Safety Goal

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Patient Safety Goal 5:

Improve the Safety of Using Infusion Pumps

All IV pumps at UIHC have safe guards to eliminate free-flow.

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Intravenous infusion pumps must have free-flow protection on all general-use and PCA devices.

National Patient Safety Goal

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Patient Safety Goal 6:Improve the Effectiveness ofClinical 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.

• Are the monitor alarms set properly according to the patient condition ? ? ?

• Can you hear the monitor alarms ? ? ?

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National Patient Safety Goal

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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

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National Patient Safety Goal

7

Before

patient contact

putting on gloves before an invasive procedure

When to use Hand Hygiene?

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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

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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.

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Thank you!

Good Work!Pat yourself on your back for doing the right thing!*!*!