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patient safety and enviroments 2 (1).pptx
- 1. When it comes to healthcare, patient safety is the most important aspect to consider β’ Find the patient, give high quality healthcare according to international standards, not according to your local situation or what you think of as high quality, provide the service within your community and reach all your patientβs needs and concerns then gather testimonials and complains and use both to improve your service even more. β’ now that technology has advanced so much, there are many different types of solutions which are being sought after or created by various professionals in the field.
- 2. 70%-80% of JCI standards directly address patient safety. Compliance with IPSG has been monitored in JCI- accredited hospitals since January 2006.
- 4. Why International patient safety goals important?
- 8. β’ What identifiers can be used for newborns or nonverbal children? β’ all patients are identified using two patient identifiers. Most hospitals have chosen to incorporate the motherβs name into newborn identification. β’ The chosen method must be used consistently with all newborns in the hospital.
- 10. 7 th edition change IPSG.1 β’ Intent: Revised to address the labeling of elements associated with patient care (for example, dietary trays, motherβs milk) and clarified expectations for using two patient identifiers β’ ME 1: Added requirement to include the labeling of elements related to patient care, using the same two identifiers
- 11. Measurement formula Indicator title IPSG π₯ = ππ ππ ππππππ‘ππ πππ‘ππππ‘ πΌπ· π΅πππ / ππππ‘β ππ ππ πππ‘ππππ‘ πΌπ· πβπππππ /ππππ‘β Monitoring of patient ID BAND compliance rate IPSG .1 IPSGs Indicators performance
- 12. IPSG.2: Improve effective communication. β’ Verbal or telephone communication among caregivers (Read back process). β’ Reporting critical results of diagnostic tests (Read back process). A critical result is defined as a variance from normal range that represents a high-risk or life- threatening state, is considered urgent or emergent in nature, and in which immediate medical action is likely necessary to preserve life or prevent a catastrophic occurrence β’ Hand over communication (SBARR)
- 13. Telephone orders: β’ When a physician is not present in the office, orders are taken over the phone to the nursing station. Telephone orders are only accepted at the nursing station if the patient care action is required immediately or immediately after the call. The telephone is not an accepted option of placing routine orders. β’ Orders for the following medicines cannot be made or received over the phone. β’ Hazardeous Medications β’ TPN β’ Narcotics or Controlled items
- 14. Verbal order β’ When a verbal order is received, the physician is on site but is preoccupied with emergency situations such as Code Blue or is engaged in a sterile operation, the physician is considered unavailable. Verbal instructions are only to be used in emergency circumstances β’ Verbal instructions for narcotics or restricted medications from the treating physician are only acceptable in emergency circumstances. β’ All telephone orders and verbal orders must be signed, timed, and dated by all nurses and physicians who are involved in the procedure.
- 15. Reporting of critical results When a call from the lab for a critical result is received, the nursing staff must record the critical result and promptly validate the result in the Hospital Information System. If the nursing staff is unable to reach the oncall physician, the nursing staff must follow the escalation procedure. ISBAR The isbar technique below should be used in every communication between the staff.
- 17. Measurement formula Indicator title IPSG π₯ = ππ ππ πππππππ‘ππ πππ ππππππ πππππ / ππππ‘β ππ ππ πππ πππππ πππππ πβπππππ/ππππ‘β Monitoring of Tel/verbal order compliance rate IPSG .2` IPSGs Indicators performance
- 18. IPSG.3: Improve safety of high alert medication β’ Standard IPSG.3 β’ The hospital develops and implements a process to improve the safety of high-alert medications. β’ Standard IPSG.3.1 β’ The hospital develops and implements a process to improve the safety of look-alike/sound-alike medications. β’ Standard IPSG.3.2 β’ The hospital develops and implements a process to manage the safe use of concentrated electrolytes.
- 23. Measurement formula Indicator title IPSG π₯ = ππ ππ πππππππ‘π π€ππ‘β ππππππππ¦ π π‘ππππ π»ππβ πππππ‘ πππππππ‘ππππ / ππππ‘β πππ‘ππ ππ ππ π»ππβ πππππ‘ πππππππ‘ππππ πππππππ‘π /ππππ‘β Compliance to proper storage of High alert medications IPSG .3` IPSGs Indicators performance
- 28. Measurement formula Indicator title IPSG π₯ = ππ ππππππππ‘ππ πππ‘ππππ‘π π€ππ‘β π‘πππ ππ’π‘ ππππππ π πππππππππ / ππππ‘β πππ‘ππ ππ ππ ππππππ‘ππππ πππππππππ /ππππ‘β Time out process compliance rate IPSG .4 IPSGs Indicators performance
- 29. HAIs, are infections that people acquire while they are receiving treatment for another condition in a health care setting. HAIs can be acquired anywhere health care is delivered, Serious HAIs that lead to extended hospital stays, and ultimately increased cost and risk of mortality, include blood stream infections (BSIs), catheter-associated urinary tract infections (CAUTIs), surgical site infections (SSIs), and ventilator-associated pneumonia (VAP). These four infections account for more than 80 percent
- 30. β’ Several factors can cause health care-associated infections. Some of these factors are present regardless of the resources available: β’ prolonged and inappropriate use of invasive devices and antibiotics; β’ high-risk and sophisticated procedures. β’ Some determinants are more specific to settings with limited resources: β’ inadequate environmental hygienic conditions and waste disposal; β’ poor infrastructure; β’ insufficient equipment; β’ understaffing; β’ overcrowding; β’ poor knowledge and application of basic infection control measures; β’ lack of procedure; β’ lack of knowledge of injection and blood transfusion safety; β’ lack of knowledge of local and national guidelines and policies.
- 31. INFECTION CONTROL TEAM evaluate how effective the cleaning practices. The followings are the major steps to consider for targeting Zero infection within the hospital β’ hand hygiene according to the "5 moments" for hand hygiene β’ appropriate use of personal protective equipment according to risk of body fluid exposure β’ use of aseptic technique where required β’ appropriate reprocessing of re-useable instruments and equipment β’ safe handling and disposal of sharps and potentially infectious material β’ safe handling of waste and linen β’ environmental controls including cleaning and spills management.
- 32. Measurement formula Indicator title IPSG π₯ = ππ ππ πππ‘ππππ‘π π€ππ‘β π»πππ‘β ππππ ππ π πππππ‘ππ ππππππ‘ππππ ππ πΌπΆπ/ ππππ‘β πππ‘ππ ππ ππ πππ‘ππππ‘π πππππ‘π‘ππ ππ πΌπΆπ/ππππ‘β Health care associated infections rate in ICU IPSG .5 IPSGs Indicators performance
- 33. Performing the first Fall Risk Assessment and filling out the Fall Risk Assessment Tool are both the responsibility of the admitting nursing staff. IT shall be done during transfer from one unit to another within the facility, following any change of status or condition, following a fall episode and following administration of a medications prescribed or drug interaction increases the likelihood of risks for Fall.
- 35. Measurement formula Indicator title IPSG π₯ = ππ ππ πππππππ‘ππππππ πππ π ππ π ππ π ππππ‘ π‘πππ π’π πππ πππ ππΈ π ππππ/ππππ‘β πππ‘ππ ππ ππ ππππ πππ π ππ π ππ π ππππ‘ /ππππ‘β Fall Risk Assessment compliance rate IPSG .6 IPSGs Indicators performance