International patient safety rems lecture
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International patient safety rems lecture

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Lecture by sr.Rahima Salendab

Lecture by sr.Rahima Salendab

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International patient safety rems lecture International patient safety rems lecture Presentation Transcript

  • INTERNATIONALPATIENT SAFETY RAHIMA M. SALENDAB, BSN, RN
  • PATIENTS SAFETY,,,,???? Prevent medical errors Protect patient from harm
  • INTERNATIONAL PATIENT SAFETY GOALSAUTHORED BY JCI (JOINT COMMISSIONINTERNATIONAL)STARTED AT JANUARY 1, 2007
  • INTERNATIONAL PATIENT SAFETY GOALS:1. IDENTIFY PATIENT CORRECTLY2. IMPROVE EFFECTIVE COMMUNICATION3. IMPROVE THE SAFETY OF HIGH ALERT MEDICATION4. ENSURE CORRECT – SITE, CORRECT – PROCEDURE, CORRECT – PATIENT SURGERY5. REDUCE THE RISK OF HEALTH CARE ASSOSIATED INFECTION6. REDUCE THE RISK OF PATIENT HARM RESULTING FROM FALLS
  • IPSG – 1 (IDENTIFY PATIENT CORRECTLY) WHEN GIVING ANY TREATMENT WHEN DOING ANY PROCEDURE (PATIENT ROOM CANNOT BE USED AS AN IDENTIFIER)
  • FAILURES TO CORRECTLY IDENTIFY THE PATIENTS LEAD TO:MEDICATION ERRORTRANSFUSION ERRORTESTING ERRORWRONG PERSON PROCEDURE
  • IPSG – 2 (IMPROVE EFFECTIVE COMMUNICATION) COMMUNICATION AMONG NURSE ENDORSEMENT NURSING DOCUMENTATION CLEAR AND LEGIBLE HAND WRITING DATE, TIME & SIGNATURE FOR EACH ENTRY
  • IPSG – 2 (IMPROVE EFFECTIVE COMMUNICATION) TELEPHONE ORDER VERBAL ORDER  WRITE DOWN THE ENTIRE  REPEAT BACK ORDER  START THE ORDER  READ BACK  SIGN AFTER SITUATION IS  WITNESS OVER OR BEFORE PHYSICIAN  SIGN WITHIN 24 HOURS LEAVE THE AREA
  • IPSG – 3 (IMPROVE THE SAFETY OF HIGH ALERT MEDICATIONS) (DRUGS THAT BEAR A HIGHTENED RISK CAUSING SIGNIFICANT PATIENT HARM WHEN USED IN ERROR)
  • IPSG – 3 (IMPROVE THE SAFETY OF HIGH ALERT MEDICATIONS)TOP FIVE HIGH ALERT MEDICATIONS ARE:1. INSULIN2. NARCOTICS3. INJECTABLE POTASSIUM CHLORIDE (PHOSPHATE) CONCENTRATED4. INTRAVENOUS ANTICOAGULANTS5. SODIUM CHLORIDE SOLUTION ABOVE 0.9 %
  • LOOK ALIKE MEDICINE
  • Example of SOUND ALIKE Folinic Acid Folic Acid Amidaron Amlor Zinnat Zantac Flumazenil Flamazine Parlodel Panadol Tazocin Prazocin Ferrosac Ferriprox Kafocid Keflex Lasix Losec Aldactone Aldomet Ranitidine Loratidine voltarin ventolin
  • IPSG – 3 (IMPROVE THE SAFETY OF HIGH ALERT MEDICATIONS) 7 RIGHTS 1.RIGHT PATIENT 2.RIGHT MEDICATION 3.RIGHT TIME 4.RIGHT ROUTE 5.RIGHT DOSAGE 6.RIGHT FREQUENCY 7.RIGHT DOCUMENATION
  • IPSG – 4 (ENSURE CORRECT – SITE, CORRECT – PROCEDURE, CORRECT – PATIENT SURGERY) UNIVERSAL PROTOCOL FOR WRONG SITE, PROCEDURE, AND SURGERY PREVENTION MARKING THE SURGICAL SITE A PRE – OPERATIVE VERIFICATION PROCESS A TIME – OUT THAT IS HELD IMMEDIATELY BEFORE THE START OF A PROCEDURE (The pause before surgery begins is known as"time out" and is intended to make everyone slow down for a few moments and double check what they are about to do.)
  • IPSG – 5 (REDUCE THE RISK OF HEALTH CARE ASSOCIATED INFECTION EFFECTIVE HAND – HYGIENE COMPLY WITH THE CURRENT PUBLISHED & GENERAL ACCEPTED HAND – HYGIENE GUIDELINES
  • IPSG – 6 (REDUCE THE RISK OF PATIENT HARM RESULTING FROM FALLS) INITIAL ASSESSMENT OF PATIENT FALL RISK & REASSESSMENT OF PATIENT WHEN INDICATED BY A CHANGE IN CONDITION OR MEDICATIONS Document and report your observations and your interventions
  • INTERNATIONAL PATIENT SAFETY GOALS (USE CAPITAL LETTERS OF EACH WORD TO REMIND YOU OF THE GOAL) I I D E NT I F Y patients correctly (patient’s room cannot be used) when giving / doing any treatment or procedure. CAN COM M UNI CAT I ON – improved effective communication through implementation of a process or procedure for taking verbal or telephone orders or for reporting critical test results that require a verification “read back” of the complete order or test result by the person receiving the information.MEMORIZE M E D I CAT I ON – IMPROVE THE SAFETY OF HIGH ALERT MEDICATIONS. Remove concentrated electrolytes (including but not limited to Potassium chloride, Potassium Phosphate, Sodium Chloride ˃0.9% from patient care units.EVERYTHING E LI M I NAT E – WRONG SITE, WRONG PATIENT, WRONG – PROCEDURE IN SURGERY I I NF E CT I ON – reduce the risk of Health Care – Acquired Infections comply with the current published and generally accepted hand hygiene guidelines. FANCY F ALL – reduce the risk of patient harm resulting from FALL. Take action to decrease or eliminate any identified risks.