Complete Patient Safety Question & Answer Guide (With Explanation)

Students often encounter this when studying fundamental concepts.

What This Question Is About

This question relates to complete patient safety and requires a structured academic response.

How to Approach This Question

Structure your response with introduction, analysis, and conclusion.

Key Explanation

This topic involves complete patient safety. A strong answer should include explanation, application, and examples.

Original Question

Complete the Patient Safety Board Report Scenario activity. write a 1-2-page board report describing the four NPSGs or four Joint Commission standards you selected. In your report: List the name of the goal/standard and describe the purpose Describe whether you think it will be costly to the hospital to implement these goals/standards Patient Safety Board Report Scenario You are the CEO of a hosptial. Your Board of Directors is mainly comprised of community member who are non-clinical in nature. They have asked you to prepare a report for the next Board meeting. This report will describe some of the 2018 Joint Commission National Patient Safety Goals (NPSGs) and other Joint Commission safety standards that the hospital needs to be mindful of. The Board does not expect a report containing every single goal or standard that might apply to the hospital- just a briefing of a few of the goals/standards, the purpose of the goals/standards, and whether it will be costly for the hospital to comply with these goals/standards. Standards Review Review the following NPSG and Joint Commission guidelines 2018 Hospital National Patient Safety Goals NPSG 01.01.01 This goal is to ensure that patients can be identified correctly. The hospital must use at least two ways to identify patients. For example, use the patient’s name and date of birth for identification. When the patient is being given a medicine in the hospital, the nurse will ask the patient for his or her name and date of birth. This is done to make sure that each patient gets the correct medicine and treatment. NPSG 02.03.01 The goal is to improve staff communication by ensuring that important test results are communicated to the right stadd person in the hospital in a timely manner. For example, if a patient’s lab results show a critically high level of white blood cells, this could mean that the patient has a serious infection and needs to be started on antibiotics right away. These results need to be communicated to the appropriate nurse and physician right away. NPSG 03.04.01 The goal is to ensure that medication is used safely on patients by ensuring that before each procedure, the medication is properly labeled. Medications in syringes or cups that will be administred to the patient need to have an appropriate label identifying what the medication is. For example, a cup containing the antibiotic medication Penicillin to be given to a patient needs to have “Penicillin” labeled on the cup. NPSG 03.06.01 The goal is to ensure that the patient is taking the correct medication after being in the hospital by recording and passing along correct information about a patient’s medication. Hospital staff must find out what medication the patient is taking at home. This must be compared to those new medicines given to the patient while he or she was in the hospital. Hospital staff must ensure that the patient knows which medicines to take when they leave the hospital and are at home. Hospital staff must tell the patient to bring their up-to-date list of medicines every time they visit a doctor. NPSG 06.01.01 The goal is to ensure that hospital staff are hearing and responding in a timely way to safety alarms on medical equipment. For example, if a patient’s heart monitor sounds an alarm, the hospital staff must have processes in place to ensure that they can hear the alarm and respond within a specific time to care for the patient. NPSG 07.01.01 The goal is to prevent infections in patients by ensuring that hospitals use the hand-cleaning guideline from the Centers for Disease Control and Prevention or the World Health Organization. Hospitals must set goals for improving how physicians and staff clean their hands and must implement these goals. NPSG 15.01.01 The goal is to identify patient safety risks for suicidal patients. Hospital staff must find out wich patients are most likely to try to commit suicide. For example, the hospital may implement a suicide screening tool for patients who state that they are suffering from depression. NPSG UP 01.01.01 The goal is to prevent mistakes during a surgical procedure. The hospital staff must make sure that the correct surgery is done on the correct patient and at the correct place on the patient’s body. An example of this is if a hospital accidentally amputates the wrong patient limb. NPSG UP 01.03.01 The goal is to prevent mistakes during a surgical procedure. The hospital staff must pause before the surgery begins to make sure that a mistake is not being made. This is sometimes referred to as a universal “time-out” to ensure that no mistakes will occur. An example of this is right before the surgery, the physician and staff will pause with a “time-out” and ensure that they have the correct patient and are performing the correct procedure with the correct medications and instruments. The Joint Commission Standard EC.02.01.01 This standard applies to managing safety and security risks. Hospitals must manage safety and security risks by doing things like the following: The hospital acts to minimize or eliminate identified safety and security risks in the physical environment. If the hospital’s dietary department leaves flammable cans of sterno located on a shelf in a utility room (as opposed to storing them in a flame resistant cabinet), this would be a violation of this safety standard. If the hospital does not properly contain an area of construction within the hospital, this would be a violation of this safety standard. The hospital manages magnetic resonance imaging (MRI) safety risks by restricting the access of everyone not trained in MRI safety or not screened by staff trained in MRI safety. Hospitals staff must make sure that restricted areas are controlled by and under direct supervision of staff trained in MRI safety, and must maintain adequate signage that the magnet is always on except in cases where the MRI system has its magnetic field routinely turned on and off by the operator of the MRI. If the hospital allows visitors to enter the radiology area without first being screened for MRI safety risks, or if metal objects are left unsecured in the radiolofy area, this would be a violation of this safety stadnard. Standard EC.02.02.01 This standard applies to hazardous materials and waste. The hospital must manage risks related to hazardous materials and waste by selecting, handling, storing, transporting, using, and disposing of hazardous chemicals. If the hospital does not have proper eyewash stations located in close proximity to employees using hazardous chemicals such as cleaning supplies, this would be a violation of this safety stadnard. Standard EC.02.03.03 This standard applies to fire drills. The hospital must conduct fire drills at unannounced and unexpected times so that all staff are prepared and know how to respond during a real fire. If the hospital conducts its fire drills pursuant to a scheduled date/time (for example, every Wednesday at 9am), this would be a violation of this safety standard. Standard EC.02.06.01 This standard applies to maintaining a safe, functional environment for the patient. The environment must be constructed, arranged, and maintained to foster patient safety, provide facilities for diagnosis and treatment, and provide for special services appropriate to the needs of the community. Interior spaces must meet the needs of the patient population and must be safe and suitable to the care, treatment, and services provided. If a patient is admitted to a psychiatric hospital for danger to self or suicide risk, and the patient’s hospital room has exposed electrical outlets, plumbing or ligature points such as hooks on a wall or bookcase, this would be a violation of this safety standard. Standard EM.01.01.01 This standard applies to disaster-planning activities to ensure that the hospital knows what to do during a disaster. A disaster or emergency is an unexpected or sudden event that significantlly disrupts the organization’s ability to provide care, or that results in a sudden, significant changed or increased demand for the hospital’s services. Emergencies can be either human made (such as an active shooter) or natural disasters (such as an electrical system failure, earthquake, tornado, and so on). The hospital must conduct a Hazard Vulnerability Analysis (HVA). The hospital must prioritize the potential emergencies or disasters in this HVA and document which emergency or disaster is the priority (for example, an earthquake is the number 1 priority in California). If hospital fails to prepare an HVA with a priority list of emergencies or disasters, this would be a violation of this safety standard. Standard IC.02.01.01 This standard applies to implementation of an infection control plan. The hospital must prevent and control activities, including surveillance, to minimize, reduce, or eliminate the risk of infection. If the hospital has a dirty can opener in the kitcehn/dietary service area that is being used for patient food preparation, this would be a violation of this safety standard. If the hospital stores clean linens that are not properly covered in a linen closet, this would be a violation of this safety stadnard. Standard IM.01.01.01 This standard applies to knowledge-based resources. The hospital must make knowledge-based information resources available 24/7, and the resources must be current and authoritative. If the hospital provides access to the Nurse’s Drug Handbook for medication references but the handbook is from 2014, this would be a violation of this safety standard because the current year’s version is not being made available. Standard MM.05.01.07 This standard applies to the preparation of medications for patients. The hospital staff must safely prepare medications by using clean or sterile techniques and maintain clean, uncluttered and fuctionally separate areas for product preparation to avoid contamination of medications. If a hospital is preparing a patient’s medication in a messy, dirty area, this would be a violation of this safety standard. Standard RI.01.01.03 This standard applies to a patient’s right to receive information in a manner that he/she understands. The hospital must provide language interpretation and translations services for its patients. Language interpreting options may include hospital-employed language interpreters, contract interpreting services, or trained bilingual staff. These options may be provided in person or using telephone or video. If a Spanish-speaking patient is receiving care at the hospital and there is nobody who can speak to him in Spanish about the care he is receiving, the hospital would be in violation of this safety standard. Standards Selection Which four NPSGs or four Joint Commissions recommended guidelines that are applicable to hospitals? Standards NPSGs Joint Commission NPSG 01.01.01 Standard EC.02.01.01 NPSG 02.03.01 Standard EC.02.02.01 NPSG 03.04.01 Standard EC.02.03.03 NPSG 03.06.01 Standard EC.02.06.01 NPSG 06.01.01 Standard EM.01.01.01 NPSG 07.01.01 Standard IC.02.01.01 NPSG 15.01.01 Standard IM.01.01.01 NPSG UP.01.01.01 Standard MM.05.01.07 NPSG UP.01.03.01 Standard RI.01.01.03 Report Guidelines The report you create for the Board should describe four NPSGs or four Joint Commission standards that are applicable to hospitals. The report should be one to two pages in length (or the equivalent in slides) in the format of your choosing (memorandum, letter, PowerPoint, PDF, and so on). List the name of the goal/standard and describe its purpose. Describe whether you think it will be costly to the hospital to implement these goals/standards.

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