A brief Lecture on the International Patient Safety Goals (IPSG).

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2. INTERNATIONAL PATIENT SAFETY
GOALS
PREPARED & PRESENTED
MS. ALAA M ABDEEN
CQI COORDIINATOR, LSSGB

3. CONTENTS
IPSGs, CQI DEPARTMENT- GNP3
➢Introduction:
- Safety: Key Dimension of Quality
-To Err is Human, IOM, Sept.1999
➢ List of International Patients Safety Goals
➢Brief of Each Goal
➢Summary

4. INTRODUCTION
IPSGs, CQI DEPARTMENT- GNP4
One of the major quality concept
dimensions is
SAFETY
“which is the degree to which the provided
care/intervention Minimize the risks of adverse
outcome for both patient and provider”
 We ALL Do Mistakes, But the important part is
Do NO HARM.

5. INTRODUCTION
IPSGs, CQI DEPARTMENT- GNP5
In 1999, The Institute of Medicine (IOM) published
“To Err is Human: Building a Safer Health
System”:
 This report was considered one of the turning points
in the history of medicine.
 Report stated that:
“At least 44,000 people, and perhaps as many as
98,000 people, die in hospitals each year as a
result of medical errors that could have been
prevented.”

6. IPSGs, CQI DEPARTMENT- GNP6
INTRODUCTION

7. INTRODUCTION
IPSGs, CQI DEPARTMENT- GNP7
Patient Safety is:
A new healthcare discipline that
emphasizes the reporting, analysis, and
prevention of medical error that often
leads to adverse healthcare events.
 Patient Safety Goals are:
Set of goals with the purpose of
improving patient safety, through
focusing on problems in health care
safety and how to solve them.

8. IPSGs, CQI DEPARTMENT- GNP8
INTRODUCTION
 WHY International Patient Safety Goals:
- To promote specific improvements in
patient safety. (TheVital FEW)
- To highlight problematic areas in health
care and describe evidence- and expert-
based consensus solutions to these
problems.

9. LISTING OF IPSGs
IPSGs, CQI DEPARTMENT- GNP9
International
Patient
Safety Goals
Goal 1:
Identify Patients
Correctly
Goal 2:
Improve Effective
Communication.
Goal 6:
Reduce the Risk of
Patient Harm
Resulting
from Falls.
Goal 3:
Improve the Safety
of High-Alert
Medications.
Goal 5:
Reduce the Risk of Health
Care–Associated
Infections.
Goal 4:
Ensure Correct-Site,
Correct-Procedure,
Correct-Patient
Surgery.

10. Goal 1: IDENTIFY PATIENT
PROPERLY
IPSGs, CQI DEPARTMENT- GNP10
 REQUIRMENTS:
 Using two patient identifiers, NOT
including patient’s room or location
 Patients must be identified when:
1.Giving medicines, blood or blood
products.
2.Taking blood samples and other
specimens for clinical testing.
3.Providing any other treatments or
procedures.

11. Goal 1: IDENTIFY PATIENT
PROPERLY
IPSGs, CQI DEPARTMENT- GNP11
 FAILURESTO CORRECTLY
IDENTIFY THE PATIENTS LEAD
TO:
-MEDICATION ERROR
-TRANSFUSION ERROR
-TESTING ERROR
-WRONG PERSON PROCEDURE

12. Goal 2: Improve Effective
Communication
IPSGs, CQI DEPARTMENT- GNP12
 Requirement:
The organization should develop an
approach to improve the effectiveness of
communication among caregivers:
1.Verbal and telephone order or test
result
2. Endorsements
3. Reporting PanicValues

13. Goal 2: Improve Effective
Communication
IPSGs, CQI DEPARTMENT- GNP13

14. Goal 2: Improve Effective
Communication
IPSGs, CQI DEPARTMENT- GNP14

15. Goal 3: IMPROVE SAFETY OF
HIGH-ALERT MEDICATIONS
IPSGs, CQI DEPARTMENT- GNP15
 High-Alert Medications are:
- Medications involved in a high percentage of errors
and/or sentinel events
- Medications that carry a higher risk for adverse
outcomes
- Look-alike/sound-alike medications
 REQUIRMENTS:
 Policies and/or procedures are developed to
address the identification, location, labeling, and
storage of high-alert medications
 List of High-Alert medication in the Hospital

16. IPSGs, CQI DEPARTMENT- GNP16
 Top five high alert medications are:
1. Insulin
2. Narcotics
3. Injectable potassium chloride (phosphate)
concentrated
4. Intravenous anticoagulants
5. Sodium chloride solution above 0.9 %
Goal 3: IMPROVE SAFETY OF
HIGH-ALERT MEDICATIONS

17. IPSGs, CQI DEPARTMENT- GNP17
 Example of LOOK ALIKE Medications:
Goal 3: IMPROVE SAFETY OF
HIGH-ALERT MEDICATIONS

18. IPSGs, CQI DEPARTMENT- GNP18
 Examples of SOUND ALIKE Medications
Goal 3: IMPROVE SAFETY OF
HIGH-ALERT MEDICATIONS
Folinic Acid Folic Acid
Zinnat Zantac
Parlodel Panadol
Tazocin Prazocin
Lasix Losec
Aldactone Aldomet
Ranitidine Loratidine
voltarin ventolin

19. IPSGs, CQI DEPARTMENT- GNP19
 The (US) Joint Commission’s
Universal Protocol is:
›Marking the surgical site
›A preoperative verification
process; and
›A time-out that is held
immediately before the start of
a procedure.
Goal 4:ENSURE CORRECT SITE,
PROCEDURE AND PATIENT SURGERY

20. IPSGs, CQI DEPARTMENT- GNP20
 Requirement:
The organization develops an approach
to ensure meeting the goal through
1. Mark surgical site identification and
involve the patient in the marking
process
2.Verify that all documents and
equipment needed are on hand,
correct, and functional
3. Use time-out procedure before
starting a surgical procedure
Goal 4:ENSURE CORRECT SITE,
PROCEDURE AND PATIENT SURGERY

21. IPSGs, CQI DEPARTMENT- GNP21
Goal 4:ENSURE CORRECT SITE,
PROCEDURE AND PATIENT SURGERY

22. IPSGs, CQI DEPARTMENT- GNP22
 Requirement:
The organization develops an approach to
reduce the risk of health care–associated
infections
1. Policies to reduce the risk of health care–
associated infections
2.Adopt or adapt currently published and
generally accepted hand hygiene guidelines
3. Implement an effective hand hygiene
program
Goal 5: REDUCE THE RISK OF HEALTH
CARE–ASSOCIATED INFECTIONS

23. IPSGs, CQI DEPARTMENT- GNP23
 Requirement:
The organization develops an approach to
reduce the risk of patient harm resulting
from falls.
1. Policies to reduce the risk of patient
harm resulting from falls.
2. Implement initial assessment of
patients for fall risk and reassessment
when indicated.
3. Implement measures to reduce fall
risk for those assessed to be at risk.
Goal 6: Reduce the Risk of Patient
Harm Resulting from Falls

24. IPSGs, CQI DEPARTMENT- GNP24
Goal 1: Identify Patients
Correctly
Goal 2: Improve Effective
Communication
Goal 3: Improve the Safety of
High-Alert Medications
SUMMARY

25. IPSGs, CQI DEPARTMENT- GNP25
Goal 4: Ensure Correct-Site,
Correct-Procedure, Correct
Patient Surgery
Goal 5: Reduce the Risk of
Health Care-Associated
Infections
Goal 6: Reduce the Risk of
Patient Harm Resulting from
Falls
SUMMARY

26. REFERENCES
IPSGs, CQI DEPARTMENT- GNP26
 Slideshare.com
 Janet Brown
 NAHQ
 JCI Educationala Sources
 WHO

27. IPSGs, CQI DEPARTMENT- GNP27
QUESTIONS