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    Patient Safety: An Introduction: Jhessie L. Abella, RN, RM, MAN, Cpso

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    prinsepejesse
    This document discusses patient safety and reducing medical errors. It begins by defining patient safety as freedom from accidental injury due to medical care according to the IOM. Most medical errors are caused by systemic issues that set healthcare workers up to make mistakes, not individual incompetence. The document then outlines six aims for improving patient safety: making care safe, timely, effective, efficient, equitable and patient-centered. It provides policies and procedures for correctly identifying patients, such as using two patient identifiers and identification bands. It also describes ensuring accurate identification of mothers and newborns after birth through a dual identification system. The document concludes by listing improvement strategies for high alert medications, communication, healthcare associated infections, and falls.

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    Patient Safety: An Introduction: Jhessie L. Abella, RN, RM, MAN, Cpso

    Uploaded by

    prinsepejesse
    126 views22 pages
    This document discusses patient safety and reducing medical errors. It begins by defining patient safety as freedom from accidental injury due to medical care according to the IOM. Most medical errors are caused by systemic issues that set healthcare workers up to make mistakes, not individual incompetence. The document then outlines six aims for improving patient safety: making care safe, timely, effective, efficient, equitable and patient-centered. It provides policies and procedures for correctly identifying patients, such as using two patient identifiers and identification bands. It also describes ensuring accurate identification of mothers and newborns after birth through a dual identification system. The document concludes by listing improvement strategies for high alert medications, communication, healthcare associated infections, and falls.

    Original Description:

    Patient Safety and the IPSG

    Original Title

    Patient Safety

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    This document discusses patient safety and reducing medical errors. It begins by defining patient safety as freedom from accidental injury due to medical care according to the IOM. Most medical errors are caused by systemic issues that set healthcare workers up to make mistakes, not individual incompetence. The document then outlines six aims for improving patient safety: making care safe, timely, effective, efficient, equitable and patient-centered. It provides policies and procedures for correctly identifying patients, such as using two patient identifiers and identification bands. It also describes ensuring accurate identification of mothers and newborns after birth through a dual identification system. The document concludes by listing improvement strategies for high alert medications, communication, healthcare associated infections, and falls.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    126 views22 pages

    Patient Safety: An Introduction: Jhessie L. Abella, RN, RM, MAN, Cpso

    Uploaded by

    prinsepejesse
    This document discusses patient safety and reducing medical errors. It begins by defining patient safety as freedom from accidental injury due to medical care according to the IOM. Most medical errors are caused by systemic issues that set healthcare workers up to make mistakes, not individual incompetence. The document then outlines six aims for improving patient safety: making care safe, timely, effective, efficient, equitable and patient-centered. It provides policies and procedures for correctly identifying patients, such as using two patient identifiers and identification bands. It also describes ensuring accurate identification of mothers and newborns after birth through a dual identification system. The document concludes by listing improvement strategies for high alert medications, communication, healthcare associated infections, and falls.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 22
    At a glance
    Powered by AI
    The key takeaways are the importance of patient safety and preventing medical errors, as emphasized by various definitions and organizations.

    The main policies require using at least two patient identifiers before any treatment or procedure. ID bands must be affixed with specific patient information. Staff must confirm patient identity before any action.

    The dual identification system uses two identical bracelets, one for the mother and one for the newborn, to ensure they are properly identified. Information recorded on the bracelets links them together.

    PATIENT SAFETY:

    An Introduction
    Jhessie L. Abella, RN, RM, MAN,
    CPSO
    “ First, do no harm …. It is a good
    therapy sometimes to give
    nothing”

    Hippocrates 420 BC
    “freedom from accidental injury due to
    medical care, or medical errors.”
    IOM, 2000
    The prevention of healthcare
    and the errors,
    elimination or injury
    mitigation of patient
    caused by healthcare errors.
    NPSF
    2004,
    Prevention of Errors and Adverse
    Effects to Patients that are
    Associated with Health Care.
    W.H.O.
    Make
    People Are Set-Up to
    Mistakes

    Incompetent people are, at most, 1% of


    the
    problem.The other 99% are good people
    trying to do a good job who make very
    simple
    mistakes and it's the processes that set
    them
    up to make these mistakes.
    Dr. Lucian Leape, Harvard School of Public Health
    SIX AIMS OF IMPROVEMENT

     SAFE
     TIMELY
     EFFECTIVE
     EFFICIENT
     EQUITABLE
     PATIENT CENTERED
    IPSG No.1: Identify Patient Correctly

    Standard:
    Use at least two (2) patient identifiers.
    Patient Identifiers must be used….
     When administering medications
     When administering blood products
     When taking blood samples & other specimens
     When providing any other treatments or procedures
    Identification Band

    Identification Band (ID Band) is a water-resistant band containing the


    patient’s identification information, such as name, health record number, etc.
    Policy on Patient Identification

    POLICY:
    • All patients shall be identified using two patient identifiers, not including the use of the patient’s
    room number or location.
    • Patients shall be identified before administering medications, blood, or blood products.
    • Patients shall be identified before taking blood and other specimens for clinical testing.
    • Patients shall be identified before providing treatments and procedures.
    • Al-Khafji National Hospital shall initiate and maintain a medical record for every patient assessed or
    treated, such that:
    • Sufficient information to identify the patient, support the diagnosis, justify the treatment,
    document the course and results of treatment, and promote continuity of care among health care
    providers is included.
    • The medical record of every patient receiving emergency care shall include the time of arrival,
    the conclusions at termination of treatment, the patient’s condition at discharge, and follow-
    up care instructions;
    • As part of its performance improvement activities, Al-Khafji National Hospital regularly assesses
    patient health record content and the completeness of patient clinical information.
    • Identification of newborn infants born in Al-Khafji National Hospital shall be in compliance with
    Ministry of Health (MOH).
    Procedures

    • All patients are provided with a unique medical record MR number that is automatically
    generated by the hospital Information System when a patient registers.
    • An ID band is affixed to all inpatients, same-day (short-stay) patients, and Emergency
    Room patients.
    • The following information should be included on the identification band:
    • Patient’s name
    • Health record number
    • Date of Birth DOB
    • Gender M or F
    • If the patient’s medical condition prohibits the application of the ID band to the
    patient’s extremity (wrist or ankle) e.g., in cases of burns, the ID band must be attached
    to a visible part of the patient’s body appropriate to the patient’s condition and
    allergies.
    • The patient’s full name must be used. Shortened versions are not acceptable.
    Procedures

     If the patient’s medical condition prohibits the application


    of the ID band to the patient’s extremity (wrist or ankle)
    e.g., in cases of burns, the ID band must be attached to a
    visible part of the patient’s body appropriate to the
    patient’s condition and allergies.
     The patient’s full name must be used. Shortened
    versions are not acceptable.
     Staff must confirm the patient’s identity prior to
    performing any procedure:
    Same name and similar name patients:

     Being alert to the potential risk of misidentification when


    patients have similar names.
     Taking responsibility for activating the alert notice through
    the unit nursing staff.
     Paying close attention to the patient’s medical record
    number in communication, care, and treatment, when the
    patient ID Alert sign is placed on the front of a patient’s
    medical record.
     Communicating to colleagues during shift change or patient
    handover.
    Mothers and newborns are accurately identified

    • Each mother and newborn infant will be accurately identified


    immediately after birth while the mother and infant are still in
    the birth room. These procedures include a dual identity bracelet
    system
    • Al-Khafji National Hospital Newborn Identification will be used for
    documentation and completed before transfer from the birth
    area.
    Dual Identification System

    • A dual identification bracelet system will be utilized and will remain in place
    until the discharge of both mother and infant.
    • The mother will receive instructions on infant security and the importance of
    checking her identification bracelet with her infant’s identification bracelet
    at every interaction.
    • Two bracelets with preprinted identical identification numbers are prepared.
    • The following information is recorded by the nurse using an indelible pen to
    prevent smudging or loss of text due to water immersion when bathing:
    • Baby (gender) of (mother’s full name),
    • Mother’s health record number,
    • Date and time of birth.
    • One bracelet is placed on the wrist of the mother. This should be the same
    wrist that holds the mother’s inpatient identification band.
    • The other bracelet is placed on the right ankle of the newborn infant.
    IPSG No.2: Improve Effective Communication
    IPSG No.3: Improve the Safety of High Alert
    Medication
    IPSG No.4: Improve the Safety of High Alert
    Medication
    IPSG No.5: Reduce the Incidence of Health Care
    Associated Infection
    IPSG No.6: Reduce the Risk of Patient Harm
    Resulting from Falls

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