2. Definition of patient safety
Patient safety is the absence of preventable
harm to a patient during the process of health care.

3. safety
s : sense the error
A: act to prevent it
F : follow safety guidelines
E : enquire into accidents/ death
T : take appropriate remedial measure
Y : your responsabilities

4. International patient safety
goals
 1) why patient safety goals.
2) list of the goals

5. 1 ) why patient safety goals
I. to promote specific improvement in patient safety .
II. To focus on problems in health care safety and how to
solve them.

6. 2) List of patient safety goals
1. Identify patients correctly
2. Improve effective communication
3. Improve the safety of high – Alert Medications
4. Ensure correct site , correct procedure ,correct patient
surgery.
5. Reduce the risk of health care –associated infections
6. Reduce the risk of patient harm resulting from falls.

7. Identify patients correctly
 Use at least two patients identification, the patient’s room
number is not used of patient identified.
 Before administering medication, or blood transfusion .
 Before taking blood and other specimens for testing .
 Before providing treatments and procedures.

8.  To ensure patients safety correctly identifying , every
patient in all aspects of diagnosis , treatment and
administrative process .

9. Improve effective communication
 Communication is the process of sharing information.
 Communication is the act of transmitting information
Ideas and attitudes from one person to other by speech ,
signals, writing, or behavior , electronic ( email)..
 Nurses notes type of writing communication between
nurses.

10. Improve effective communication
 To be a successful nurse, excellent communication skills
are required. The ability to communicate and connect with
patients and health care professionals can help build
relationships prevent mistakes and provide a higher level
of care .
 Nurses communication can less and decrease medical
errors and mistakes.

11. Improve effective communication
 The patient and nurse work together , these
interactions provide the basis for understanding.

12. Improve the safety of high – Alert
medications
 High – Alert medications that are most likely to cause
SIGNIFICANT HARM , TO THE PATIENTS & any
medication used improperly can cause harm.
 Policies to address the location, labeling and storage.

13. Improve the safety of high – Alert
medications
 High - Alert medications are: Dopamine , Dobutrex,
Heparin, Morphine, Digoxin, KCL, Insulin, Atropine,
Adrenaline , Levophed , Midazolam …..

14. Improve the safety of high – Alert
medications
 Poorly written medication & not accepted to use an
abbreviation
 Incorrect dilution
 Confusion between IV or IM.
 Look alike & sound alike
 Wrong infusion rate
 No label during preparation & administration of medication
 Unknown the indications and contraindications & side effects
of the medications given for the patients.
 No observation before or during & after administered of the
medications.

15. Ensure correct-site , correct –
procedure & correct –patient
surgery
 wrong site or wrong procedure is the errors related to an
Ineffective or inadequate communication between
members of the surgical team.
 Wrong procedure related to lack of procedure, or lack of
patient involvement & ineffective patient assessment .
 Surgery safety by consent of the patient /relative in
writing & proper identification of patient & ensure no
foreign body left inside & prevention of surgical wound
infections & pre anesthetic check-up.

16. Ensure correct-site , correct –
procedure & correct –patient
surgery
 The joint commission’s universal protocol are:
i. Making the surgical site involve by the patient.
ii. A pre-operative verification process by verify the
correct site & procedure to ensure that all
documents , images , and studies are available to
verify any required special equipment and or
implants are present.

17. Reduce the risk of health care-
associated infections
 Adopt or adapt currently published and generally accepted
hand hygiene guidelines.
 Implement an affective hand hygiene program.
 Develop policies and procedures that address receiving the
risk of health care associated infections.

18. Reduce the risk of patient harm
resulting from fall
 Implement initial assessment of patients for fall risk and
reassessment when indicated.
 Implement measures to reduce fall risk for those assessed
to be at risk

19. Scenario
 Patient X Name , 60 years old “ identify patient” admitted to ER with sever chest
pain , ECG and cardiac enzyme done , the ECG shown MI and the cardiac enzymes
were critically high “ improve effective communication” , patient transferred
urgently to cardiac catheterization lab which indicated the need for open heart
surgery , as result of left main 95% occlusion , therefore , after doing the success
surgery “ ensure correct site , correct procedure , correct patient “ , patient was
transferred to the cardiac vascular intensive care unit which was assessed by the
registered nurse found that the patient of high risk of fall “ reduce the risk of
patient harm resulting from fall “ , in the next day the Lab technician called to
notify low potassium level “ improve effective communication” , and the doctor not
in the hospital , resident medicine called the attending , and he ordered to give 20
meq kcl for the patient “ improve effective communication “ 20 meq kcl given for
the patient and double signatures by two Registered nurse applied “ improve safety
of high – alert medication “ , the patient was transferred to the floor considering the
documented risk of all precaution by assisting him ambulation , proper teaching ,
bedsides apllied and low bed level done “ reduce patient harm resulting from fall “ ,
finally patient was discharged with free of infection related to the doctors and
nurses were strict to follow hand hygiene “ reduce the risk of health care associated
infections” ….

20. Ahmad Al Jamil
Thank you