For Behavioral Health Care

1. 2013 National Patient Safety Goals For Behavioral Health Care Improve the accuracy of the identification of individuals served. Goal 3 • NPSG.01.01.01: • Use at least two [patient] identifiers when administering medications or collecting specimens for clinical testing. • Label containers used for specimens in the presence of the individual served. • At UBHC: Name and Date of Birth are monitored • randomly by supervisors. • Laboratory staff review all specimens for • the labeling of two accurate patient • identifiers. • Check client id band for name and DOB for • individual served. • Specimen will be labeled in front of individual. • ANM randomly observes identification • process at time of medication administration. Goal 1 Reduce the risk of health care-associated infections. • NPSG.07.01.01 : • Comply with current Centers for Disease Control and Prevention (CDC) hand hygiene guidelines or the current World Health Organization (WHO) Centers for Disease Control and Prevention (CDC) hand hygiene guidelines. • At UBHC: Randomly monitored by Infection Control: Direct observation of staff compliance with CDC hand hygiene and patient care equipment sanitation guidelines. • Hands are sanitized before and • after each contact with individuals • served. • Hands are sanitized after each • contact with client • BP cuff/stethoscope sanitized • after each patient use. Goal 7 Goal 15 Improve the safety of using medications. Maintain and communicate accurate medication information for the individual served. • NPSG.03.06.01 : • Obtain and/or update information on the medications the individual served is currently taking. This information is documented in a list or other format that is useful to those who manage medications. • The organization obtains the individual’s • medication information during the first contact. • The information is updated when the individual’s • medications change. • Current medications include those taken at • scheduled times and those taken on an as- • needed basis. • It is often difficult to obtain complete information • on current medications from the individual • served. A good faith effort to obtain this • information from the individual and/or other • sources will be considered as meeting the intent. • Compare the medication information the individual served brought to the organization with the medications ordered for the individual by the organization in order to identify and resolve discrepancies. Discrepancies include omissions, duplications, contraindications, unclear information, and changes. • Provide the individual served (or family as needed) with written information on the medication the individual should be taking at the end of the encounter (for example, name, dose, route, frequency, purpose). • Explain the importance of managing medication information to the individual served. Examples include: • Instructing the individual served to give a list to • his or her primary care provider. • Update the information when medications are • discontinued, doses are changed, or new • medications (including over-the-counter) are • added. • Share information with next provider of services • Carry medication information at all times in the • event of an emergency situation • At UBHC: • Monthly peer review monitor of medication • reconciliation. The organization identifies safety risks inherent in the population of the individuals it serves. • NPSG.15.01.01: • The organization identifies individuals at risk for suicide. • Conduct a risk assessment that identifies specific characteristics of the individual served and environmental • features that may increase or decrease the risk of suicide. • Address the immediate safety needs and most appropriate setting for treatment of the individual served. • When an individual at risk for suicide leaves the care of the organization, provide suicide prevention information • (such as a crisis hotline) to the individual and his or her family. • At UBHC: • Completed in each program in the BASIS-24 and CASE Suicide Assessment at intake; the CASE Suicide Assessment is monitored through Chart Reviews. Nov. 2012 Revised