Nurse Safety and Quality Improvement

Nurse Safety and Quality Improvement 150 150 Tony Guo

Safety and Quality Improvement

  • National Patient Safety Goals
    • Goal 1: Identify patients correctly
      • Use at least two ways to identify patients (for example, have them state full name and date of birth)
      • Give the correct patient the correct blood with every blood transfusion
    • Goal 2: Improve communication among the health care team
      • Quickly get critical test results to the right staff person
    • Goal 3: Use medications safely
      • Label all medicines that are not already labeled. Discard any found unlabeled
      • Use appropriate precautions with patients who take anticoagulants
      • Find out what medications each patient is taking. Make certain that it is safe for the patient to take any new medicines with his or her current medicines
      • Give a list of the patient’s medicines to the patient and his or her caregiver before they go home. Explain the list
    • Goal 6: Use clinical alarm systems safely
      • Respond to alarms in a timely manner
      • Do not turn alarms off
    • Goal 7: Prevent health care-associated infections (HAI)
      • Use soap, water, and hand sanitizers before and after every patient contact
      • Use evidence-based practices to prevent infections related to central lines, indwelling urinary catheters, and multidrug-resistant organisms
    • Goal 15: Identify the safety risks inherent in the agency’s patient population
      • Assess patients at risk for suicide
      • Assess any risks for patients who are getting home oxygen therapy, such as fires
  • Universal Protocol (UP)
    • Pre-procedure verifications, Mark procedure site, Performance of time-out
      • Conduct a time-out before the start of any invasive or surgical procedure
      • Confirm correct patient, procedure, and site

Evidence-Based Practice

  • Problem-solving approach to clinical decision making
  • Using the best available evidence, with your expertise and patient’s preferences, to make decisions and improve patient outcomes
  • To implement EBP, you must develop the skills to be able to seek and incorporate into practice scientific evidence that supports best patient outcomes.

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