The document discusses the application of evidence-based nursing to support patient safety goals. It outlines six main patient safety goals: 1) correct patient identification, 2) improved communication effectiveness, 3) improved safety of high-alert medications, 4) ensuring correct-site, correct-procedure, correct-patient surgery, 5) reducing health care-associated infections, and 6) reducing patient harm from falls. For each goal, it provides evidence-based strategies nurses can implement, such as using patient identification bracelets, conducting time outs before procedures, and emphasizing hand hygiene to prevent infections. Overall, the document advocates applying best evidence from resources like the WHO to design, implement, and evaluate changes to nursing practice that enhance patient safety

1. APPLICATION OF EVIDENCE BASED NURSING
(EBN) ON PATIENT SAFETY GOALS
SUHARNO USMAN

2. IS THE PATIENT SAFETY GOAL NECESSARY

3. Pay attention & Stay
alert but don’t panic

4. https://id.pinterest.com/pin/68891069279174184/#/infographic.vengage.com

5. Patient Safety Berkaitan Dengan
Kualitas keperawatan : derajat u/ meningkatkan
pelayanan kesehatan  individu maupun populasi yang
ditentukan dari outcomes kesehatan & konsisten
berdasarkan penilaian pengetahuan profesional
Safety : derajat dimana pengembangan organisasi,
peralatan, bersikap tidak membahayakan, atau
mengurangi resiko pada pasien, staff, atau
pengunjung
Patient safety : pencegahan untuk tidak merugikan pasien

7. THEN, WHAT EFFORTS CAN BE MADE TO SUPPORT
READINESS IN NURSING CARE IN INDONESIA ?

8. 9. Improve hand hygiene to prevent nosocomial infections.
NINE PATIENT SAFETY SOLUTIONS AT THE HOSPITAL
(WHO Collaborating Centre for Patient Safety, 2 May 2007)
1. Pay attention to drug names, appearance and similar sayings
(look-alike, sound-alike medication names)
2. Ensure patient identification
3. Correct communication during patient handover
4. Make sure the right actions are
on the right side of the body
5. Control concentrated electrolyte
liquid
6. Ensure the accuracy of drug administration in
the transfer of services
7. Avoid the wrong catheter and wrong hose
8. Use a disposable injection tool

10. THE NEED TO CHANGE THE PARADIGM OF
THE IMPLEMENTATION OF NURSING CARE
Conventional Evidenced-based Nursing
©Intuition
©Clinical Experience
©Rational Pathophysiology
™A combination of clinical
expertise that integrates
the best evidence,
patient values and
choices, and clinical
conditions

11. ©LEVEL OF EVIDENCED

15. STEPS TAKEN TO APPLY EBN TO PATIENT
SAFETY GOALs
 Assessing the needs of
nursing practice
 Linking intervention
problems with results
 Evidence of the best
synthesis
 Design changes nursing
practice
 Implementation and
evaluation of changing
practices
 Integrate and safeguard EBN
changes
(Holleman. et al., 2006)

16. NURSING ROLE
STUDY IN THE
IMPLEMENTATION
OF EBN 
PATIENT SAFETY
GOALS

17. GOAL 1 : IDENTIFY PATIENT CORRECTLY

18. PATIENT IDENTITY BRACELET

19. GOAL 2 : IMPROVE EFFECTIVENESS OF COMMUNICATION

21. GOAL 3 : IMPROVE THE SAFETY OF HIGH-ALERT
MEDICATIONS

24. The Principle of
Drug
Administration

25. GOAL 4 : ENSURE CORRECT-SITE,CORRECT-
PROCEDURE, CORRECT-PATIENT SUGERY

26. 26

28. TIME OUT

29. TIME OUT

30. GOAL 5 : REDUCE RISK OF HEALTH CARE-
ASSOCIATED INFECTIONS

34. 5 5
5
WHO Patient Safety. World Alliance for a safer health care. Guide to Implementation. A Guide to the Implementation of the WH
Multimodal Hand Hygiene Improvement Strategy. 200

35. HANDWASHING

36. GOAL 6 : REDUCE RISK OF PATIENT HARM FROM FALLS

38. Referensi
• Fernandez, R., & Griffiths, R. (2008). Water for wound cleansing. Cochrane Database of
Systematic Reviews, (1). https://doi.org/10.1002/14651858.CD003861.pub2
• Forrest & Miller, 2016. EBDM in Action, Developing Competence in EB Practice
• Holleman, G., Eliens, A., van Vliet, M., & van Achterberg, T. (2006). Promotion of
evidence-based practice by professional nursing associations: literature review. Journal
of Advanced Nursing, 53(6), 702–709.
https://id.pinterest.com/pin/68891069279174184/#/infographic.vengage.com
• http://www.ismp.org/tools/highalertmedicationLists.asp
• Lippincott Williams & Wilkins. 2012. Nursing Drug handbook. Philadelphia,
Pennsylvania
• Moscati, R., Mayrose, J., Fincher, L., & Jehle, D. (1998). Comparison of normal saline
with tap water for wound irrigation. American Journal of Emergency Medicine, 16(4),
379–381. https://doi.org/10.1016/S0735-6757(98)90133-4
• Trautinger, F. (2018). Controversy on the Use of Povidone-Iodine in Chronic Wounds.
Skin Pharmacology and Physiology, 31(5), 261. https://doi.org/10.1159/000491641
• The Joint of Commition International (JCI). International Patient Safety Goals (IPSG)
• Usman, S., Irwan, A. M., & Arafat, R. (2019). Efficacy of the behavior of low-salt diets in
people with high blood pressure: "A review of literature ". International Journal of Caring
Sciences, 12(1), 542–552.
• WHO Collaborating Centre for Patient Safety, 2 May 2007

39. Safety First
Safety Patients It’s Like A Lock,
But You Are The Key