IPSG 10 Goals

Internation Patient Safety Goal 2017

1. International Patient Safety Goals Santosh Kumar Sr Manager Quality (MP Cluster)

2. First Do no Harm Its our moral and ethical responsibility to ensure patient will not get harm due to any wrong practices like: Wrong procedure Medication error HAI Sentinel event etc.

3. IPSG Overview Goal 1 : Reduce the risk of Health Care – Associated Infections Goal 2 :Improve Effective Communications and Handovers Goal 3 : Surgical Safety Goal 4 : Medication Safety Goal 5 : Patient Fall Prevention Goal 6 : Patient Identification Goal 7 : Perinatal Safety Goal 8 : Safety Culture Goal 9 : Rapid Response Team Goal 10 : Transfusion Safety

4. Goal 1 : Reduce the risk of Health Care – Associated Infections All staff are consistently following the hand hygiene protocols during patient care Hand washing facility with soap and sterile napkin for all Hand washing posters Training of staffs in hand washing. Hand hygiene audit as per WHO checklist 5 moments of hand hygiene

5. Cont…. All health care associated infection are identified and reported All HAI should be reported by care worker for improvement CAUTI VAP SSI HAP CLBSI Adherence to all infection control Bundles a) Bundle compliance for all HAI

6. Goal 2 : Improve Effective Communications and Handovers Continuity of care, hand over process between the caregivers includes all essential information Nursing hand over including medicine reconciliation MO Hand over in each shift including vitals, diagnostic investigations, any changes in care plan & condition of patient. Other depts. Handovers like: BME, Engineering & others also.

7. Goal 3 : Surgical Safety Perform Time – out procedure& site marking before every surgery is followed. T ake a “time out” immediately before starting the procedure to perform a final check to make sure that the correct patient is about to undergo the correct procedure , on the correct site.   Comply with all WHO surgical safety guidelines Sign In (Before Skin Incision) Time out (Before Procedure) Sign out (Before leaving OT)

8. Goal 4 : Medication Safety Improve the safety of High Alert Medications- anticoagulant therapy, insulin, concentrated electrolytes, chemotherapy drugs, narcotics and Infusion Oxytocin . LASA Medication identification High alert medication marking, double check before administration Implementation of 10 R’s Double check of sound alike/ look alike medicines . 100% reporting of medication errors Near misses .

9. Goal 5 : Patient Fall Prevention Accurate initial assessment and re- assessment of the patients for fall risk .

10. Cont… Adequate safety measures are taken to prevent patients fall Patient and attender education in fall prevention. Bed side rail compliance Antiskid tiles Grab bars in washroom Dedicated washroom for PH Identification of vulnerable patients Frequent care for vulnerable patients

11. Goal 6: Patient Identification Each and every staff member thoroughly and repeatedly verifies the identity of each patient, using two identifiers before starting any patient care activity

12. Goal 7 :Perinatal Safety Timely and accurate assessment and reassessment of obstetric patients . Dedicated format for obstetric patients Initial assessment Regular Re-assessment Implementation of all elective induction bundle and augmentation bundle

13. Goal 8 : Safety Culture All adverse incidents / near misses are identified and reported and corrective and preventive actions are taken promptly . All staff has the skills required for the delivery of safe patient care

14. Goal 9 : Rapid Response Team Early detection and quick response with in( 5 minutes) when a patient’s condition worsens MEWS Scoring RRT Including : Intensivist MO (ICU & ER) Internal Medicine Consultant Time frame for RRT will be 5 mints Strengthening of “ First responder Training ”

15. Goal 10 :Transfusion Safety Ensures rational use of blood and blood products . Robust policy for use of blood & blood products Internal audit by PTC committee Committee meeting of PTC committee

16. Continuous monitoring of patients vital signs by Medical Officer during first 15 minutes of transfusion followed by periodic monitoring of vitals till end of blood transfusion (as per policy ) Base line BP Recording before transfusion Vital recording in every 15 mints