IPSG

INTERNATIONAL
PATIENT
SAFETY GOALS
 6 IPSG
Goal 1 • Identify Patient Correctly

Goal 2 • Improve Effective Communication

• Improve the Safety of High-Alert

Goal 3 Medications

• Eliminate wrong-site, wrong-patient,

Goal 4 wrong-procedure surgery

• Reduce the risk of health care-

Goal 5 associated infections

• Reduce the risk of patient harm

Goal 6 resulting from falls
 E-PSG

• The 13 Malaysian Patient Safety Goals need to be

submitted to MOH online by 31st of January
every year. (e-PSG)

• MOH will record and update the information in

their website
Goal 1 • Identify Patients Correctly
 Goal 1 • Identify Patients Correctly

A collaborative process is used to develop policies and / or

procedures that address the accuracy of patient identification.
 Use at least two (2) ways to identify a patient:

i) giving medications
ii) giving blood and blood products
iii) taking blood samples
iv) taking other samples for clinical testing
v) providing treatment or procedure

 The patient’s Room / Bed Number cannot be used as an identifier

Goal 2 • Improve Effective Communication
 Goal 2 • Improve Effective Communication

A collaborative process is used to develop policies and/or procedures that

address the accuracy of verbal and telephone communications

 Person receiving the following:

i) Verbal order
ii) Telephone order
iii) Reporting of critical test results

 Must use a verification “read back” of complete order or test result .

 The order or test result is confirmed by the individual who gave the order
or test result.
 • Improve the Safety of High-
Goal 3 Alert Medications
 • Improve the Safety of High-Alert
Goal 3 Medications

 A collaborative process is used to develop policies and/or

procedures that improve the safety of high-alert medications
including concentrated electrolytes

 High Alert Medications

i) Involved in a high percentage of errors and/or sentinel events

ii) Carry a higher risk for adverse outcomes

iii) Look-alike sound-alike medications(LASA)

 • Improve the Safety of High-Alert
Goal 3 Medications

 Concentrated electrolytes are not present in patient care units

unless clinically necessary and actions are taken to prevent
inadvertent administration in those areas where permitted by policy

 Remove concentrated electrolytes from patient care units,

including, but not limited to, the following:

 Potassium Chloride > 2 mEq/ml

 Potassium Phosphate
 Sodium Chloride > 0.9%
 Magnesium Sulfate > 50% concentrate
 • Eliminate wrong-site, wrong-patient,
Goal 4 wrong-procedure surgery
 • Eliminate wrong-site, wrong-patient,
Goal 4 wrong-procedure surgery

 Develop checklist to verify correct documents and functioning

equipment preoperatively

 Mark the precise site and involve patient in doing this

 The entire surgical or procedural team performs “Time-Out” just

before surgical procedure
 • Eliminate wrong-site, wrong-patient,
Goal 4 wrong-procedure surgery

The purpose of the preoperative verification process is to:

i) Verify the correct site, procedure, and patient;

ii) Ensure that all relevant documents, images, and studies are
available, properly labelled, and displayed; and

iii) Verify any required special equipment and/or implants are

present
 • Reduce the risk of health care-
Goal 5 associated infections (HAI)
 • Reduce the risk of health care-
Goal 5 associated infections (HAI)

A collaborative process is used to develop policies and/or

procedures that address reducing the risk of health care–
associated infections
 The organization has adopted or adapted currently published
and generally accepted hand hygiene guidelines
 The organization implements an effective hand hygiene program
 • Reduce the risk of patient harm
Goal 6 resulting from falls
 • Reduce the risk of patient harm
Goal 6 resulting from falls

The organization develops an approach to reduce the

risk of patient harm resulting from falls.

Falls account for a significant portion of injuries in

hospitalized patients.

 Fall history, medications, gait and balance screening,

walking aids used by the patient and inappropriate use
of physical restraints
 • Reduce the risk of patient harm
Goal 6 resulting from falls

Assess and periodically Reassess each patient’s risk for

falling, including the potential risk associated with the
patient’s medication regime, and take action to decrease
or eliminate any identified risks.