IPSG

1. International
Patient Safety
Goals (IPSG)- 2022
-Nursing educators

2. International Patient Safety
Goals (IPSG) - 2022
 GOAL 1: Identify patients correctly
 GOAL 2: Improve staff communication
 GOAL 3: Use medicines safely
 GOAL 4: Use alarms safely
 GOAL 5: Prevent infection
 GOAL 6: Identify patient safety risks
 GOAL 7: Prevent mistakes in surgery

3. Purpose
 The purpose of the National Patient Safety Goals is to
improve patient safety.
 The goals focus on problems in health care safety and how to
solve them.

4. Goal 1: Identify Patients
Correctly
 Use two patient identifiers
 UHID – Unique hospital identification number
 (P202203100923) and patient Name ( Ms. / Mr. xxx )
 Other patient identifications
 IP number – IP20220310182
 Wrist band
 Normal In- patient – Blue with white
 Newborn - Pink with white

5. Wrist band
Wrist Band name Color
Allergy Red
Fall risk Yellow
Latex Allergy Green
Restricted extremity Pink
Vulnerable patient Orange
DNR Purple

6. Triage band – Australasian
triage scale
Priority Category Color
0 Deceased Black
1 Immediate Red
2 Delayed Yellow
3 Minimal Green

7. Importance of patient
identification
 To prevent error and patient harm
 Patient identification to be checked in all aspects like
 Admission and Discharge
 Handover
 Shifting and receiving the patient
 All invasive and non – invasive procedure
 Invasive procedure – Any surgery
 Non invasive procedure - NST
 All investigations – Blood investigations, CT, MRI, X-ray

8.  Administering medications
 Loaded medication should be labeled with Name, UHID,
Drug name, Dose, Date, Time
 Blood transfusion
 Note: Patient room number and locations should not
use as identifications

9. Goal 2: Improve staff
communication
 Staff to staff communication – use SBAR method
 S - Situation
 B - Background
 A - Assessment
 R - Recommendation
 This method is used to give handovers and it will give
complete data of patient

10. Critical value intimation
 Use read back policy- Eg: Sodium : 135 mEq/L it should
be repeated by the staff like Sodium : 135 mEq/L with
Name and UHID
 Verbal medication orders and other information received
through phone call should use read back policy for better
conformation and to prevent error.

11.  Verbal orders should document in the case sheet with date,
time and Physician name
 Documentation should be legible and should not overwrite
 Only standard abbreviation should be used – HB
(Haemoglobin)
 Do not use any symbols and short cuts

12. Goal 3: Use medication safely
 Every medications should be labeled
 Use capital letter while writing medications
 Dual check for high- alert medications
 Document drug allergy, ADR and follow up
 Crash cart checklist to be updated and regular check at each
shift.

13.  Separate Adult and paediatric crash cart to be maintained
 Use Tallman method for identifying LASA drugs – Look alike
and Sound alike
 Eg: DOPAmine – DOBUTAmine
 Color coding
 High alert – RED
 Look alike - GREEN
 Sound alike – BLUE
 Emergency drugs - RED


14.  Do not use open medication
 Staff should aware of medication uses and side effects
 Nursing officer should not prescribe any medications
 Proper documentation for all medications with date, time
and signature
 Do not use any sample medications

15.  While receiving medication from pharmacy staff should cross
check with prescription order.
 Loaded medication should not store for long time, use as
earlier as possible
 Date of opening and valid date should be mentioned for all
multi load drug vial
 Multi load drug vial – maximum 10 prick and valid for 28
days
 Medication error to be documented

16. Goal 4: Use alarms safely
 Monitor alarms to be checked regularly about the sound
quality
 Aware about Normal and abnormal sounds
 Maintain checklist for all monitors

17. Goal 5: Prevent infection
Protocols for prevention of
infection

18. HIC - Forms
 Catheter related blood stream infection form
 VAP – Ventilator Associated pneumonia
 UTI – Urinary tract infection form
 Surveillance of surgical site infection

19.  HIC bundles ( VAP, SSI, UTI, CRBSI )
 Quality indicators
 Visiting guidelines for critical care
 Disinfection protocols
 Personal protection equipments
 Proper Biomedical waste segregation

20. Goal 6: Identify patient safety
risk
Safety measures
 Grab bars for steps and washrooms
 Side rails for all beds
 Anti skid floor, tiles and mats
 Bed height in low position
 Proper lightening
 Use caution board while mopping
 Remove unwanted equipment from patient area
 Fall risk alert band - Yellow

21. Reduce risk of fall
 Fall history
 Initial fall risk assessment – Morse fall scale
 Complete observation
 Not leaving patient alone
 Medication history
 Patient using walking aids need complete observation
 Incident form to be documented

22. Goal 7: Prevent mistakes in
surgery
 Use WHO surgery safety checklist to prevent error
 Sign in – before induction of anesthesia
 Time out – Before skin incision
 Sign out – before any member of the team leaves the
operating room and before patient leaves the operating room

23. Sign in – before induction of
anesthesia
 Patient identification
 Procedure name
 Informed consent
 NPO status
 Surgical site marking
 Test dose
 Type of Anaesthesia
 Multi Para monitor functioning status
 Drug allergy
 Pre medication confirmation

24.  Risk of blood loss
 Aspiration risk
 Resuscitation equipment
 Pre – assessment and diagnosis
 Parts preparation
 Use of anticoagulants
 Availability of blood product
 Any specific concern

25. Time out – Before skin
incision
 Patient identification
 Procedure name
 Sterilization indicators
 Additional concern
 Counts of sponge and instruments
 Antibiotic prophylaxis
 Introduction of team members by themselves by name and
role.
 Confirmation of side of incision

26.  Relevant investigation reports and images
 Equipment and implants checking
 Any specific equipment requirement
 Critical and unexpected steps
 Case duration
 Anticipated blood loss
 Surgical site infection bundle to be undertaken

27. Sign out – before any member
of the team leaves the operating
room and before patient leaves
the operating room
 Completion of instruments, sponge, needle, sharps and any
other counts
 Name of procedure done
 Key concern for recovery and management
 Specimen obtained from the patient

28.  Specific post procedure instruction
 Note: The checklist to be completely filled and signed
before patient leaving the OT

29. Thank you