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    Script and PPT IPSG

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    Audreey Gwen
    The document discusses the International Patient Safety Goals issued by the Joint Commission International. It outlines 6 goals of patient safety in hospitals: 1) Identify patients correctly, 2) Improve effective communication, 3) Improve safety of high-alert medications, 4) Ensure safety surgery, 5) Reduce risk of healthcare-associated infections, 6) Reduce risk of falls. Each goal is then further described, outlining specific protocols around patient identification, communication techniques, high-risk drugs, surgical safety checks, infection control measures, and fall risk assessment.

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    Script and PPT IPSG

    Uploaded by

    Audreey Gwen
    2K views19 pages
    The document discusses the International Patient Safety Goals issued by the Joint Commission International. It outlines 6 goals of patient safety in hospitals: 1) Identify patients correctly, 2) Improve effective communication, 3) Improve safety of high-alert medications, 4) Ensure safety surgery, 5) Reduce risk of healthcare-associated infections, 6) Reduce risk of falls. Each goal is then further described, outlining specific protocols around patient identification, communication techniques, high-risk drugs, surgical safety checks, infection control measures, and fall risk assessment.

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    The document discusses the International Patient Safety Goals issued by the Joint Commission International. It outlines 6 goals of patient safety in hospitals: 1) Identify patients correctly, 2) Improve effective communication, 3) Improve safety of high-alert medications, 4) Ensure safety surgery, 5) Reduce risk of healthcare-associated infections, 6) Reduce risk of falls. Each goal is then further described, outlining specific protocols around patient identification, communication techniques, high-risk drugs, surgical safety checks, infection control measures, and fall risk assessment.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    2K views19 pages

    Script and PPT IPSG

    Uploaded by

    Audreey Gwen
    The document discusses the International Patient Safety Goals issued by the Joint Commission International. It outlines 6 goals of patient safety in hospitals: 1) Identify patients correctly, 2) Improve effective communication, 3) Improve safety of high-alert medications, 4) Ensure safety surgery, 5) Reduce risk of healthcare-associated infections, 6) Reduce risk of falls. Each goal is then further described, outlining specific protocols around patient identification, communication techniques, high-risk drugs, surgical safety checks, infection control measures, and fall risk assessment.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 19

    International Patient Safety Goals

    (IPSG)
    Citra Anisa Syahriel

    2106762830
    International Patient Safety Goals (IPSG)

    IPSG or International Patient Safety Goals is a standard


    issued by the Joint Commission International (JCI) as part
    of the quality and safety standard of patient-focused health
    service.

    there are 6 goals of patient safety in hospital.

    1. Identity patient correctly


    2. Improve effective communication
    3. Improve the safety of high-alert medications
    4. Ensure safety surgery
    5. Reduce the risk of healthcare-associated infections
    6. Reduce the risk of patient harm resulting from falls
    Goal One: Identify Patient Correctly

    By means of positive identification.

    Patient identification is carried out at:

    • Before administering all drugs

    • Before administering blood transfusions and other specimens for


    laboratory examination.

    • Prior to medical procedures, such as radiological procedures, patient


    transfers etc.

    Patients who are unconscious or uncooperative, infants or children,


    identification is done by matching the patient's bracelet identity on the
    medical record or other verifier by two nurses who will carry out the
    procedure.
    Identity bracelets

    • The blue color for male patients contains


    the patient's identity

    • The pink color for female patients


    contains the patient's identity

    • Red color for patients who are allergic to


    drugs, food and others containing the
    type of allergy

    • Purple color for DNR patients

    • Orange color for patients at risk of falling


    Goal Two: Improve effective communication

    S
    Situation
    T Write
    Background

    B B
    Assesment Read back
    A Response A
    Confirm
    R Recommendation
    K
    Goal Three: Improve the safety of high-alert medications

    High alert medications are drugs that require high alertness, are
    listed in the high risk category, which can cause serious injury to
    patients, if an error occurs in their use.

    Drugs that are categorized as high alert medications include:

    • Concentrated electrolyte liquid with a high concentration of


    KCL in ampoules of 25 ml, NaCl 3% in 500 ml.

    • Narcotic analgesics: morphine, pethidine, fentanyl, sufentanyl

    • LASA drugs
    Goal Four: Ensure safety surgery
    Goal Five: Reduce the risk of health care-associated
    infections
    Goal Six: Reduce risk of pastient harm resulting from falls

    • All patients who


    come to the
    outpatient and to
    inpatients are
    assessed for fall risk.

    • Actions that can be


    taken to prevent the
    patient from falling
    must be carried out
    in accordance with
    the patient's fall risk
    scoring based on
    the results of the
    assessment
    Thank You
    Script

    Good afternoon class, first of all, let me introduce my self, my name is Citra, this afternoon I will discuss about
    International Patient Safety Goals
    Previously, does anyone know what International Patient Safety Goals are?
    IPSG or International Patient Safety Goals is a standard issued by the Joint Commission International (JCI) as part of
    the quality and safety standard of patient-focused health service.
    The intended standard is an expected level of quality of health service and patient safety, as much as possible.
    One of these standards is the International Patient Safety Goals (IPSG) which consists of 6 standards. Here are 6 Goals
    of Patient Safety in Hospitals (IPSG) quoted from the JCI:
    1. Identify patients correctly
    2. Improve effective communication
    3. Improve the safety of high-alert medications
    4. Ensure safety surgery
    5. Reduce the risk of health care-associated infections
    6. Reduce the risk of patient harm resulting from falls
    Goal One: Identify Patient Correctly
    How to identify a patient correctly?
    By means of positive identification
    Ask the patient to state their full name and date of birth, then verify the patient's speech by looking at the patient's full name and
    date of birth on the patient identification bracelet and other appropriate verifiers (eg drug lists in patient files).
    When is patient identification done?
    • Before administering all drugs
    • Before administering blood transfusions and other specimens for laboratory examination.
    • Prior to medical procedures, such as radiological procedures, patient transfers etc.
    What identification should be printed on the patient's identification bracelet?
    The identity bracelet contains at least 2 identities, name and date of birth.

    There are several colors of identity bracelets used for patient identification, namely:
    • The blue color for male patients contains the patient's identity
    • The pink color for female patients contains the patient's identity
    • Red color for patients who are allergic to drugs, food and others containing the type of allergy
    • Purple color for DNR patients
    • Orange color for patients at risk of falling
    Patients who are unconscious or uncooperative, infants or children, identification is done by matching the patient's bracelet identity
    on the medical record or other verifier by two nurses who will carry out the procedure.
    Goal Two: Improve effective communication
    Effective communication methods used when verbal or telephone communication between officers are using 2 methods
    • SBAR Technique (Situation, Background, Assessment, Response, Recommendation)
    This technique is used when communicating verbally directly or via telephone.
    • TBAK (Write, Read back, Confirm)
    This technique is used when receiving instructions/critical test results verbally or by telephone

    How do we use the TBAK technique?


    Tulis (write), write the message conveyed on the appropriate form.
    Baca (read back), reread the written message.
    Put a read back stamp under the message.
    Konfirmasi (confirm), re-confirm the truth of the message written to the informer
    Things that must be considered for effective written communication:
    • Writing instructions must be complete, legible, so that the source of the instructions can be traced if verification is needed.
    • Avoid using non-standard abbreviations, acronyms and symbols, so as not to cause patient safety problems.
    • Perform hand over between shifts, as well as between units (when transferring patients) correctly.
    Goal Three: Improve the safety of high-alert medications
    What is a high alert drug/medication?
    High alert medications are drugs that require high alertness, are listed in the high risk category, which can cause serious injury
    to patients, if an error occurs in their use.
    Drugs that are categorized as high alert medications include:
    • Concentrated electrolyte liquid with a high concentration of KCL in ampoules of 25 ml, NaCl 3% in 500 ml.
    • Narcotic analgesics: morphine, pethidine, fentanyl, sufentanyl.
    • LASA drugs
    High alert drugs are stored in the medicine cabinet and marked with a red sticker with the words “High Alert”, except that KCL
    and narcotics are stored in a double-locked cupboard. For KCL, use stickers with the words "High Alert" and "CONCENTRATED
    KCL" MUST BE DILUTED BEFORE USING
    Goal Four: Ensure safety surgery
    To prevent the occurrence of the wrong surgery location, wrong patient and wrong
    procedure, before the procedure the surgeon must:
    • Conduct assessment and determine preoperative diagnosis.
    • Explain and educate the patient or family to participate in decision making in the action
    plan (making informed consent).
    • Order imaging examinations if necessary, such as: CT scan, MRI.
    • Make an order for prophylactic drugs (if needed).
    • Marking the surgical site using a marker
    • Play a role in carrying out the “Time Out” procedure
    As nurses, what we have to do is:
    • Verify the completeness of the documents and the patient's readiness by using the Pre Op Checklist before the patient will be
    escorted to the operating room.
    • Things to verify include:
     Correct patient, by identifying the patient positively.
     Checking whether the informed consent is filled out completely, has been signed by the doctor and patient.
     Checking whether there is a site marking
     Marking is done by the surgeon on:
     Organs that have laterals (have two sides, right and left)
     Organs that have multiple digits such as on the fingers or toes
     The spine at the front of the cervical, thoracal, lumbar and sacrum
     Marking is not done on the anatomy or technically can not be marked, such as on the mucosal surface, perineum, premature
    babies
     For teeth, marking is affixed on panoramic photos
     Marking is not performed on endoscopic procedures, gastroenterology, tonsillectomy
     
    • Checking whether there are photos, MRI, CT scan needed during surgery.
    • Checking if any prophylactic drugs have been given 1 hour before.
    • Checking whether there is blood preparation to be included in the operating room.
    • Has the patient been given a pre-op visit by an anesthesiologist?
    What must be done in the operating room by the surgical team (surgeon, anesthesiologist, scrub/instrument nurse
    and anesthesiologist) to prevent the wrong operation site, wrong patient, and wrong procedure, are:

    Checking the completeness of documents and patient readiness using the Safety Surgery Checklist which includes:

    Sign In; verify the completeness of the documents and the patient's preparation before anesthesia

    Time Out ; verification of completeness, documents, patient preparation, preparation of procedures and tools, is
    carried out before the surgeon incisions the surgical site

    Sign Out; Verify the patient before the patient leaves the operating room

    It is not allowed to perform surgery without performing a Time Out.


    Goal Five: Reduce the risk of health care-associated infections

    To reduce the risk of infection associated with health services, all hospital staff, including doctors, must wash their
    hands in six steps at five predetermined moments, namely:

    Before contact with the patient

    After contact with the patient

    Before the asepsis procedure

    After being exposed to the patient's body fluids

    After contact with the patient's surroundings


    Goal Six: Reduce risk of pastient harm resulting from falls

    All patients who come to the outpatient and to inpatients are assessed for fall risk.

    Actions that can be taken to prevent the patient from falling must be carried out in accordance with the patient's fall
    risk scoring based on the results of the assessment.

    That’s all from me, thank you and see you next time

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