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Joint Commission International (JCI)

INTERNATIONAL
PATIENT SAFETY GOALS (IPSG)
International Patient
INTERNATIONAL Safety
PATIENT GoalsGOALS
SAFETY (IPSG)(IPSG)

Goal 1: Identify Patients Correctly

Goal 2: Improve Effective Communication

Goal 3: Improve the Safety of High-Alert Medications

Goal 4: Ensure Safe Surgery

Goal 5: Reduce the Risk of Health Care-Associated Infections

Goal 6: Reduce the Risk of Patient Harm Resulting from Falls


IPSG 1:
Goal 1 -Identify
IdentifyPatients
PatientsCorrectly
Correctly

Ensure Correct patient identification


1. BEFORE - Administration of medication, IV fluids
2. BEFORE - Administration of blood and blood products
3. BEFORE - Collection of blood and other samples
4. BEFORE - Shift hand over
5. BEFORE - Shifting patient location
6. BEFORE - Serving food
7. BEFORE - Radiation therapy
8. WHILE - Receiving the patient
9. BEFORE - Placing ID Band
10.BEFORE - Any procedure
Goal 2:IPSG 2: Improve
Improve Effective
Effective Communication
Communication

Reporting critical results

Handover communication

Verbal and/or telephone Order

Verbal /
Reporting critical results Handover communication
Telephone Order
 IDENTIFY -The Patient Correctly  ISBAR
 LISTEN - To The Result Carefully  Patient care transfer information
 NO Verbal order
 DOCUMENT - In the critical value register  Shift hand off template
 Read Back Policy
 READ and VERIFY - The Result Again  Interdepartmental Transfer
 INFORM the clinician & get it signed with in 24 hours. Template
IPSG 3: Improve
Goal 3: Improve theofSafety
the Safety of High-Alert Medications
High-Alert
Medications
Prescription Dispensing Labelling Storage Preparation & Administration

 Legible  Red color  High alert  High Alert cupboard  Individual Double Verification
 Approved pouch Sticker  Under Lock and key  Follow Rights of Medication
abbreviation  LASA Administration
 Double Signed by 2 Nurses.
 Appropriate Monitoring

 Triplicate prescription
Narcotics  Stored separately in Double Lock cupboard
 Maintaining Narcotic register, Return of Empty Ampules
Goal 4:IPSG 4: Ensure
Ensure Safe Surgery
Safe Surgery

 Preoperative checklist
 surgical/ invasive procedure site-marking.
 Sign In
 Time-out
 Sign out
 Ensure Correct Site
 Correct-Procedure
 Correct Patient
Goal 4: IPSG 5: Reduce
Ensure the Risk of Health Care-Associated Infections
Safe Surgery

Wash your hands with soap


and water

 When hands are visibly dirty or visibly


soiled with blood or other body fluids or
after using the toilet.
 If exposure to potential spore-forming
pathogens is strongly suspected or proven,
including outbreaks of Clostridium difficile,

Hands by rub using alcohol-


based solutions

 Routine hygienic hand antisepsis if hands


are not visibly soiled.
Goal 6:IPSG 6: Reduce
Reduce the Risk
the Risk of Patient
of Patient Harm Resulting from Falls
Harm
Resulting from Falls
1. Fall Risk Assessment
2. Ensure Nurses Call Bell are within patient’s reach.
3. Ensure Night Lamp in patient room
4. Patient and Family Education on Fall Prevention
5. Ensure bedside table and belongings are within patient reach
6. Lowest Height of Patient bed with Side Rails Upright
7. Lock wheel brake of all stretchers/ wheelchairs
8. Application of Safety Belts during transport

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