NPSG AND SAFETY ISSUES Questions With Accurate Answers
National patient safety goals created by? -
Accurate answers •Created by The Joint Commission
•Revised every year
•Hospitals, nursing care center, home care, ambulatory, behavioral health care, critical access, office-
based surgery center
National Patient Safety Goals (NPSGs) -
Accurate answers Goals issued by the Joint Commission to improve patient
safety in healthcare organizations nationwide
National Patient Safety Goals 10 main issues -
Accurate answers •Identify patients correctly
•Improve staff communication
•Use medicines safely
•Use alarms safely
•Prevent infection
•Identify patient safety risks
•Prevent mistakes in surgery
•Prevent fall risk
•Prevent bed sores (HAPU or hospital acquired pressure ulcer)
•Patient safety risks
NPSG 01.01.01 : Identify patients correctly -
Accurate answers •The "right patient" of the 6 medicine administration rights
•Use as least two (2) ways to identify patients
•Patient's name
•Patient's date of birth
•Patient's unique hospital number
•Scan barcode
•Patient's with same name issues
NPSG 02.03.01: Improve staff communication -
Accurate answers •Report critical results of tests and diagnostic procedures in
a timely manner
The hospital should have written procedures regarding:
•The definition of critical results
•By whom and to whom results should be reported
•Acceptable length of time between availability & reporting of results
SBAR & communication (part of Improve staff communication) -
Accurate answers Situation
•Introduce yourself (name, title, agency, unit)
•Note sometimes the facility will use ISBAR and the I is Introduction
, •What is happening with the patient? Why did you contact the health care provider (HCP)?
Background:
•Reason admitted
•Medical history
Assessment:
•Physical assessment related to reason you called
•Lab values
•Diagnostic test results
Recommendation:
•Ask the HCP to assess the patient
•Ask to have labs drawn or diagnostic tests ordered
•Ask to transfer to the ICU
•Ask for a referral
•Think about reason you called HCP regarding recommendation
NPSG 03.04-6.01: improve the safety of using medicines -
Accurate answers •Label all medicines, medicine containers, and other
solutions before a procedure
•Use precaution with patients who take medicine to thin their blood (PO, Subq, IV)
Verify doses with another nurse while preparing the injection:
•2 licensed (RN or LVN/LPN) nurses
•Sub q blood thinner and insulin
Record and document what medicines patients are taking:
•Compare new medicines to medicines patients taking now
•Patient education regarding medicines the patient should take at home
•Patient education regarding bringing up to date medicines at their visit
NPSG 06.01.01: use of alarm safety -
Accurate answers Alarms are for:
•BP
•telemetry
•Sp02
•IV pumps
•ventilatory
•bed alarms
•chair alarms
floor alarms
The joint commission guidelines for alarm system -
Accurate answers •Reducing the harm associated with clinical alarm systems
continues to be a national patient safety goal. The Joint Commission continues to encourage healthcare
systems to put policies in place to decrease the burden of unnecessary alarms on staff. The Joint
Commission issues the following safety guidelines for all hospitals in their annual report.
National patient safety goals created by? -
Accurate answers •Created by The Joint Commission
•Revised every year
•Hospitals, nursing care center, home care, ambulatory, behavioral health care, critical access, office-
based surgery center
National Patient Safety Goals (NPSGs) -
Accurate answers Goals issued by the Joint Commission to improve patient
safety in healthcare organizations nationwide
National Patient Safety Goals 10 main issues -
Accurate answers •Identify patients correctly
•Improve staff communication
•Use medicines safely
•Use alarms safely
•Prevent infection
•Identify patient safety risks
•Prevent mistakes in surgery
•Prevent fall risk
•Prevent bed sores (HAPU or hospital acquired pressure ulcer)
•Patient safety risks
NPSG 01.01.01 : Identify patients correctly -
Accurate answers •The "right patient" of the 6 medicine administration rights
•Use as least two (2) ways to identify patients
•Patient's name
•Patient's date of birth
•Patient's unique hospital number
•Scan barcode
•Patient's with same name issues
NPSG 02.03.01: Improve staff communication -
Accurate answers •Report critical results of tests and diagnostic procedures in
a timely manner
The hospital should have written procedures regarding:
•The definition of critical results
•By whom and to whom results should be reported
•Acceptable length of time between availability & reporting of results
SBAR & communication (part of Improve staff communication) -
Accurate answers Situation
•Introduce yourself (name, title, agency, unit)
•Note sometimes the facility will use ISBAR and the I is Introduction
, •What is happening with the patient? Why did you contact the health care provider (HCP)?
Background:
•Reason admitted
•Medical history
Assessment:
•Physical assessment related to reason you called
•Lab values
•Diagnostic test results
Recommendation:
•Ask the HCP to assess the patient
•Ask to have labs drawn or diagnostic tests ordered
•Ask to transfer to the ICU
•Ask for a referral
•Think about reason you called HCP regarding recommendation
NPSG 03.04-6.01: improve the safety of using medicines -
Accurate answers •Label all medicines, medicine containers, and other
solutions before a procedure
•Use precaution with patients who take medicine to thin their blood (PO, Subq, IV)
Verify doses with another nurse while preparing the injection:
•2 licensed (RN or LVN/LPN) nurses
•Sub q blood thinner and insulin
Record and document what medicines patients are taking:
•Compare new medicines to medicines patients taking now
•Patient education regarding medicines the patient should take at home
•Patient education regarding bringing up to date medicines at their visit
NPSG 06.01.01: use of alarm safety -
Accurate answers Alarms are for:
•BP
•telemetry
•Sp02
•IV pumps
•ventilatory
•bed alarms
•chair alarms
floor alarms
The joint commission guidelines for alarm system -
Accurate answers •Reducing the harm associated with clinical alarm systems
continues to be a national patient safety goal. The Joint Commission continues to encourage healthcare
systems to put policies in place to decrease the burden of unnecessary alarms on staff. The Joint
Commission issues the following safety guidelines for all hospitals in their annual report.
