International Patient Safety Goals (IPSG) help accredited organizations address specific areas of concern in some of the most problematic areas of patient safety.

1. JCI =Joint
Commission
International
Accreditation
standard
Maximo Malagayo BSN RN
Nursing Education & Training Officer

2. Purpose of IPSG:
To promote specific
improvements in patient
safety & quality of care
This goal is vital for the
safety of the staff and the
clients.

3. International Patient Safety Goals
(IPSGs)
Tens of millions of patients suffer disabling
injuries or death every year due to unsafe
medical care. Behind these numbers lie the
stories of devastated lives. Not to mention
the billions of riyals that are spent on
prolonged hospitalizations. Loss of income
disability care and litigation, resulting from
unsafe care.

4. PATIENT SAFETY
GOALS
1.Identify Patients Correctly
2.Improve Effective Communication
3.Improve safety of High Alert Medications
4.Ensure Correct Site, Correct
Procedure,Correct Px. Surgery
5.Reduce Risk of Health Care associated
Infection
6.Reduce Risk of Patient Harm resulting from
Falls

5. Goal 1: Identify patient correctly
TWO IDENTIFIERS
 Full name
 MR number
 D.O.B
 DO NOT USE ROOM NUMBER
Patient Identification before:
 Giving Medications
 Blood or Blood Products
 Taking Blood or any other sample

6. Goal 6: Reduce the Risk of Patient Harm
Resulting from Falls
Fall risk is assessed upon patient
admission using MORSE Scale
1. History: Falling
2. Secondary diagnosis
3. Ambulatory Aid (Crutches, walker…)
4. Intravenous Fluids
5. Gait (N – bed rest/weak/impaired)
6. Mental status (Oriented/Disoriented)

7. Fall prevention standard precautions
1. Safe environment : adequate lights, Alarms &
Call bells
2. Bed ridden pts ( keep bed in low position, Bed
brakes on, bed-side rails raised)
3. Fall precaution sign above pt’s bed.
4. Use ambulatory aids (crutches, walker)

10. Goal 4: Ensure Correct-Site, Correct-Procedure,
Correct-Patient Surgery
Two essential processes to achieve this goal.
I. Before the day or hour prior to the
procedure
1. Preoperative Verification
2. Marking the operative Site
II. IMMEDIATELY BEFORE THE PROCEDURE
3.Team “ time out” Involves
confirmation of details by the members
of Surgical team,

12. 1. Preoperative Verification
To ensure that all relevant documents
(e.g. consent forms & assessment (Lab
Investigations– Images) are present.
2. Marking the surgical site
Near incision site
Sufficiently permanent to remain after skin
prep.
Made by person performing procedure
With pt involved the patient must awake /
aware

13. 3. Team “Time Out”
Involves the entire operative team
 Held in the location the procedure will be
done, just before starting the procedure
 Involves the entire operative team
 Briefly documented (checklist) including:
- Correct patient Identification
- Correct site has been marked
- Correct patient position
- Agreement on the procedure to be done
- Availability of any required special
equipment and/or implants.

15. Goal 5: Reduce the Risk of Health Care-
Associated Infections
 Hand washing
The single most important means of
preventing spread of infection

16. Duration of Hand Washing
 5 minutes + Hands scrub –preoperatively
 15 seconds : Routine Hand washing
Routine Hand washing

19. Goal 2: Improve Effective Communication
 Telephone / Verbal Order (In
Emergency)
The receiver of order should write down the
complete order, then read it back.
 Panic value results
Critical results were written down completely.
The lab. inform the result to nurse on duty
 Entries must be readable
Good Hand writing
 Use Acceptable Abbreviations only.
 PRN orders should have an indication.

20. 3.1 High alert medications
Drugs that carry high risk for
significant adverse outcome when used in
error.
keep in the secured cabinet with mark
Example:
Concentrated Electrolytes
KCl, NaCl > 0.9%,
Mg SO4,
Ca gluconate 10%)
Goal 3: Improve the Safety of High-Alert
Medications

21. Goal 3: Improve the Safety of High-Alert
Medications
.3 2Before it is given the dose must be double-
checked by two nurses.
Should NOT be kept in patient care unit.
If necessary, such in ER or OR, they must be
clearly labeled & stored in closed cabinets

22. THANK YOU
From your
Nursing Education Department

23. Quality Care: Understaffed facilities lead
to nurses working long hours and this adds
to fatigue and increases the chance of
patience errors. Hiring additional
international nurse staff to lighten the load
can lead to higher quality of care, better
nurse engagement, improved retention and
excellent satisfaction ratings from patients.