PATIENT SAFETY It’s Everyone’s Business

1. PATIENT SAFETYIt’s Everyone’s Business How can you help??

2. National Patient Safety Goal 1 • 1a. Two patient identifiers: • In-Patient Identifiers • Name • Hospital Number • Out-Patient Identifiers • Name • Birth Date or Hospital Number • Use two patient identifiers whenever you: • Draw blood samples • Administer medication • Administer blood products National Patient Safety Goal 1:Improve the Accuracy of Patient Identification I I I I I I I Actively involve the patient in this check.

3. National Patient Safety Goal 1 (cont.) Time Out Correct Patient? Correct Procedure? Correct Procedure Site? Patient Safety Goal 1 (continued):Improve the Accuracy of Patient Identification 1b. Prior to starting a surgical or invasive procedure, conduct a “Time Out”. I I I Document this time out.

4. National Patient Safety Goal 2 • VerbalOrders • TelephoneOrders Verbal Orders ONLY IN EMERGENCIES Write the order & read back • CriticalResults Documentation of this read back is important. Patient Safety Goal 2:Improve the Effectiveness of Communication Among Caregivers Write down, then Read Back and Verify (RBAV): I I I I

5. National Patient Safety Goal 2 (cont.) Patient Safety Goal 2 (continued):Improve the Effectiveness of Communication Among Caregivers We should all speak the same language! I I I I I • Standardize! • Abbreviations • Acronyms • Symbols

6. National Patient Safety Goal 2 (cont.) Patient Safety Goal 2 (continued):Improve the Effectiveness of Communication Among Caregivers a Examples of dangerous abbreviations s A COMPLETE LIST of dangerous abbreviations can be found in the UIHC Formulary: s http://www.vh.org/formulary/Form/dangerousmedicalabbrev.html

7. National Patient Safety Goal 3 Patient Safety Goal 3:Improve the Safety of Using High-Alert Medications • Remove concentrated electrolytes from patient care units. • Standardize and limit the number of drug concentrations. I I

8. National Patient Safety Goal 4 • Mark the surgical site and involve the patient in the marking process. Prior to a procedure: Surgical site must be initialed by the physician. Patient Safety Goal 4:Eliminate Wrong-site, Wrong-Patient, Wrong-Procedure • Verify that all appropriate pre-procedure documents are complete and available. I I

9. National Patient Safety Goal 5 • Intravenous infusion pumps must have free-flow protection on all general-use and PCA devices. All IV pumps at UIHC have safe guards to eliminate free-flow. Patient Safety Goal 5:Improve the Safety of Using Infusion Pumps I I

10. National Patient Safety Goal 6 • Are the monitor alarms set properly according to the patient condition ? ? ? • Can you hear the monitor alarms ? ? ? Patient Safety Goal 6:Improve the Effectiveness ofClinical Alarm Systems • Assure that critical patient alarms are: • activated, • set properly for each patient , and • can be heard by the patient care staff. • Perform regular preventive maintenance and testing. a I I a a a a

11. National Patient Safety Goal 7 Patient Safety Goal 7:Reduce the Risk of Health Care-Acquired Infection Practice good hand hygiene • Use an alcohol-based hand-rub or • Wash your hands with soap and water I I I I

12. When to use Hand Hygiene? Before • patient contact • putting on gloves before an invasive procedure a a a After • contact with a patient, patient’s secretion or patient’s environment • contact with a dirty site and before going to a clean site on the same patient • removing gloves a

13. Hand Hygiene is the most effective thing you can do to protect your patient and yourself! a If you have questions regarding the 7 National Patient Safety Goals, contact yoursupervisor.

14. Thank you! Good Work! Pat yourself on your back for doing the right thing!*!*!