The document outlines 10 International Patient Safety Goals for hospitals to implement in order to prevent patient harm. The goals address reducing healthcare-associated infections, improving communications during handoffs, ensuring safety during surgical procedures, medication safety, fall prevention, proper patient identification, perinatal safety, developing a culture of safety, establishing a rapid response team, and blood transfusion safety. Specific protocols and practices are described for implementing each goal, such as hand hygiene protocols, infection reporting and bundles, surgical checklists, identifying high-alert medications, fall risk assessments, patient identifiers, assessment tools for obstetric patients, incident reporting, response times for deteriorating patients, and monitoring during blood transfusions.

1. International Patient Safety Goals
Santosh Kumar
Sr Manager Quality (MP Cluster)

2. First Do no Harm
Its our moral and ethical responsibility to ensure patient will
not get harm due to any wrong practices like:
Wrong procedure
Medication error
HAI
Sentinel event etc.

3. IPSG Overview
Goal 1: Reduce the risk of Health Care – Associated Infections
Goal 2:Improve Effective Communications and Handovers
Goal 3: Surgical Safety
Goal 4: Medication Safety
Goal 5: Patient Fall Prevention
Goal 6: Patient Identification
Goal 7: Perinatal Safety
Goal 8: Safety Culture
Goal 9: Rapid Response Team
Goal 10: Transfusion Safety

4. Goal 1: Reduce the risk of Health Care – Associated Infections
 All staff are consistently following the hand hygiene protocols during
patient care
a) Hand washing facility with soap and sterile napkin for all
b) Hand washing posters
c) Training of staffs in hand washing.
d) Hand hygiene audit as per WHO checklist
e) 5 moments of hand hygiene

5. Cont….
 All health care associated infection are identified and reported
• All HAI should be reported by care worker for improvement
a) CAUTI
b) VAP
c) SSI
d) HAP
e) CLBSI
 Adherence to all infection control Bundles
a) Bundle compliance for all HAI

6. Goal 2: Improve Effective Communications and Handovers
 Continuity of care, hand over process between the caregivers includes
all essential information
a) Nursing hand over including medicine reconciliation
b) MO Hand over in each shift including vitals, diagnostic investigations, any
changes in care plan & condition of patient.
c) Other depts. Handovers like: BME, Engineering & others also.

7. Goal 3: Surgical Safety
 Perform Time – out procedure& site marking before every surgery is
followed.
• Take a “time out” immediately before starting the
procedure to perform a final check to make sure that
the correct patient is about to undergo the correct
procedure, on the correct site.
• Comply with all WHO surgical safety guidelines
• Sign In (Before Skin Incision)
• Time out (Before Procedure)
• Sign out (Before leaving OT)

8. Goal 4: Medication Safety
 Improve the safety of High Alert Medications- anticoagulant therapy,
insulin, concentrated electrolytes, chemotherapy drugs, narcotics and
Infusion Oxytocin.
a) LASA Medication identification
b) High alert medication marking, double check
before administration
a) Implementation of 10 R’s
 Double check of sound alike/ look alike medicines.
 100% reporting of medication errors Near misses.

9. Goal 5: Patient Fall Prevention
 Accurate initial assessment and re- assessment of the patients for fall
risk.

10. Cont…
 Adequate safety measures are taken to prevent patients fall
 Patient and attender education in fall prevention.
 Bed side rail compliance
 Antiskid tiles
 Grab bars in washroom
 Dedicated washroom for PH
 Identification of vulnerable patients
 Frequent care for vulnerable patients

11. Goal 6: Patient Identification
 Each and every staff member thoroughly and repeatedly verifies the
identity of each patient, using two identifiers before starting any patient
care activity

12. Goal 7:Perinatal Safety
 Timely and accurate assessment and reassessment of obstetric patients.
• Dedicated format for obstetric patients
• Initial assessment
• Regular Re-assessment
 Implementation of all elective induction bundle and augmentation
bundle

13. Goal 8: Safety Culture
 All adverse incidents / near misses are identified and reported and
corrective and preventive actions are taken promptly.
 All staff has the skills required for the delivery of safe patient care

14. Goal 9: Rapid Response Team
 Early detection and quick response with in( 5 minutes) when a patient’s
condition worsens
• MEWS Scoring
• RRT Including :
a) Intensivist
b) MO (ICU & ER)
c) Internal Medicine Consultant
• Time frame for RRT will be 5 mints
• Strengthening of “ First responder
Training”

15. Goal 10:Transfusion Safety
 Ensures rational use of blood and blood products.
• Robust policy for use of blood & blood products
• Internal audit by PTC committee
• Committee meeting of PTC committee

16.  Continuous monitoring of patients vital signs by Medical Officer during
first 15 minutes of transfusion followed by periodic monitoring of vitals
till end of blood transfusion (as per policy)
 Base line BP Recording before transfusion
 Vital recording in every 15 mints