International patient safety rems lecture
Transcript of International patient safety rems lecture
INTERNATIONAL PATIENT SAFETY
RAHIMA M. SALENDAB, BSN, RN
PATIENTS SAFETY,,,,????
Prevent medical errors
Protect patient from harm
INTERNATIONAL PATIENT SAFETY GOALS
AUTHORED BY JCI (JOINT COMMISSION INTERNATIONAL)
STARTED AT JANUARY 1, 2007
INTERNATIONAL PATIENT SAFETY GOALS:
1. IDENTIFY PATIENT CORRECTLY2. IMPROVE EFFECTIVE COMMUNICATION3. IMPROVE THE SAFETY OF HIGH ALERT MEDICATION4. ENSURE CORRECT – SITE, CORRECT – PROCEDURE,
CORRECT – PATIENT SURGERY5. REDUCE THE RISK OF HEALTH CARE ASSOSIATED
INFECTION6. REDUCE THE RISK OF PATIENT HARM RESULTING FROM
FALLS
IPSG – 1 (IDENTIFY PATIENT CORRECTLY)
WHEN GIVING ANY TREATMENT
WHEN DOING ANY PROCEDURE
(PATIENT ROOM CANNOT BE USED AS AN IDENTIFIER)
FAILURES TO CORRECTLY IDENTIFY THE PATIENTS LEAD TO:
MEDICATION ERRORTRANSFUSION ERRORTESTING ERRORWRONG PERSON PROCEDURE
IPSG – 2 (IMPROVE EFFECTIVE COMMUNICATION)
COMMUNICATION AMONG NURSEENDORSEMENT
NURSING DOCUMENTATIONCLEAR AND LEGIBLE HAND WRITINGDATE, TIME & SIGNATURE FOR EACH ENTRY
TELEPHONE ORDER
WRITE DOWN THE ENTIRE ORDER READ BACK WITNESS SIGN WITHIN 24 HOURS
VERBAL ORDER
REPEAT BACK START THE ORDER SIGN AFTER SITUATION IS OVER
OR BEFORE PHYSICIAN LEAVE THE AREA
IPSG – 2 (IMPROVE EFFECTIVE COMMUNICATION)
IPSG – 3 (IMPROVE THE SAFETY OF HIGH ALERT MEDICATIONS)
(DRUGS THAT BEAR A HIGHTENED RISK CAUSING SIGNIFICANT PATIENT HARM
WHEN USED IN ERROR)
TOP FIVE HIGH ALERT MEDICATIONS ARE:
1. INSULIN2. NARCOTICS3. INJECTABLE POTASSIUM CHLORIDE (PHOSPHATE)
CONCENTRATED4. INTRAVENOUS ANTICOAGULANTS5. SODIUM CHLORIDE SOLUTION ABOVE 0.9 %
IPSG – 3 (IMPROVE THE SAFETY OF HIGH ALERT MEDICATIONS)
LOOK ALIKE MEDICINE
Example of SOUND ALIKEFolinic Acid Folic AcidAmidaron Amlor
Zinnat ZantacFlumazenil Flamazine
Parlodel PanadolTazocin PrazocinFerrosac FerriproxKafocid KeflexLasix Losec
Aldactone AldometRanitidine Loratidinevoltarin ventolin
7 RIGHTS
1.RIGHT PATIENT2.RIGHT MEDICATION3.RIGHT TIME4.RIGHT ROUTE5.RIGHT DOSAGE6.RIGHT FREQUENCY7.RIGHT DOCUMENATION
IPSG – 3 (IMPROVE THE SAFETY OF HIGH ALERT MEDICATIONS)
IPSG – 4 (ENSURE CORRECT – SITE, CORRECT – PROCEDURE, CORRECT – PATIENT SURGERY)
UNIVERSAL PROTOCOL FOR WRONG SITE, PROCEDURE,
AND SURGERY PREVENTION
MARKING THE SURGICAL SITE A PRE – OPERATIVE VERIFICATION
PROCESS A TIME – OUT THAT IS HELD
IMMEDIATELY BEFORE THE START OF A PROCEDURE
(The pause before surgery begins is known as "time out" and is intended to make everyone
slow down for a few moments and double check what they are about to do.)
IPSG – 5 (REDUCE THE RISK OF HEALTH CARE ASSOCIATED INFECTION
EFFECTIVE HAND – HYGIENE COMPLY WITH THE CURRENT PUBLISHED & GENERAL
ACCEPTED HAND – HYGIENE GUIDELINES
IPSG – 6 (REDUCE THE RISK OF PATIENT HARM RESULTING FROM FALLS)
INITIAL ASSESSMENT OF PATIENT FALL RISK & REASSESSMENT OF PATIENT WHEN INDICATED BY A
CHANGE IN CONDITION OR MEDICATIONS
Document and report your observations and your interventions
THANK YOU
INTERNATIONAL PATIENT SAFETY GOALS
(USE CAPITAL LETTERS OF EACH WORD TO REMIND YOU OF THE GOAL)
IDENTIFY patients correctly (patient’s room cannot be used) when giving / doing any treatment or procedure.
COMMUNICATION – improved effective communication through implementation of a process or procedure for taking verbal or telephone orders or for reporting critical test results that require a verification “read back” of the complete order or test result by the person receiving the information. MEDICATION – IMPROVE THE SAFETY OF HIGH ALERT MEDICATIONS. Remove concentrated electrolytes (including but not limited to Potassium chloride, Potassium Phosphate, Sodium Chloride ˃ 0.9% from patient care units. ELIMINATE – WRONG SITE, WRONG PATIENT, WRONG – PROCEDURE IN SURGERY INFECTION – reduce the risk of Health Care – Acquired Infections comply with the current published and generally accepted hand hygiene guidelines. FALL – reduce the risk of patient harm resulting from FALL. Take action to decrease or eliminate any identified risks.
I
CAN
MEMORIZE
EVERY THING I
FANCY