ATI: SAFETY

National Patient Safety Goals (NPSGs)

The Joint Commission (TJC) establishes annual goals to improve client safety and clinical outcomes.

  1. Identify Clients Correctly

    • Use at least two client identifiers (e.g., name, date of birth, hospital number, telephone number).

    • Verify identity before medications, treatments, and procedures.

    • Safety Implementation: Use barcode scanning; never use the client’s room number.

  2. Improve Staff Communication

    • Promptly report Critical Results: Laboratory or diagnostic findings outside expected ranges that are life-threatening (e.g., Sodium level of 120mEq/L; reference range is 135135 to 145mEq/L145mEq/L).

    • Requirements: Defined reporting timeframes, direct communication to providers (no voicemail), and written documentation.

  3. Use Medications Safely

    • Labeling: All medications/solutions in syringes and containers must be labeled, especially in procedural areas.

    • Anticoagulants: (e.g., warfarin, heparin) Require strict monitoring of weight, renal/hepatic labs, and food-drug interactions.

    • Medication Reconciliation: Compare home meds with new prescriptions during admission, transfer, and discharge.

  4. Alarm Safety

    • Manage clinical alarms (e.g., bed alarms, IV pumps) to prevent Alarm Fatigue, where staff become desensitized to noise, increasing the risk of missed emergent events.

Hospital-Acquired Infections (HAIs) and Injuries
  • Infection Types:

    • CLABSI: Central line-associated bloodstream infection.

    • CAUTI: Catheter-associated urinary tract infection.

    • SSI: Surgical-site infection.

    • VAP: Ventilator-associated pneumonia.

  • Risk Factors: Multidrug-resistant organisms (MDROs) like MRSA, VRE, and C. diff.

  • Prevention: Hand hygiene is the single most important intervention.

Medical and Behavioral Risks to Safety

Safety-Limiting Disorders

  • Medical Conditions: Stroke, Multiple Sclerosis, Parkinson’s disease, and frailty increase fall and injury risks.

  • Behavioral/Mental Health: Schizophrenia, personality disorders, and substance use disorders complication care.

  • Disabilities:

    • Vision: Cataracts or decreased acuity hinder navigation.

    • Communication: Hearing impairments or aphasia triple the likelihood of adverse events.

    • Cognitive: Dementia, Alzheimer’s, or intellectual impairments lead to impulsive behaviors.

Suicide Prevention

  • Screen all clients aged ≥12≥12 years admitted for behavioral conditions.

  • Implement round-the-clock surveillance and remove environmental hazards (checklists) for those at risk.

Surgical Safety: Universal Protocol
  • Time-Out: A pause before surgery to confirm correct client, site, and procedure.

  • Site Marking: The surgeon must mark the site if there are multiple options (e.g., right vs. left breast), unless the area is delicate (e.g., premature infant).

Environmental Safety and Fire Response
  • Home Hazard Interventions:

    • Set water heaters to 49∘C49∘C (120∘F120∘F).

    • Install grab bars, non-slip mats, and GCFIs in bathrooms/kitchens.

    • Secure electrical cords; remove loose rugs.

  • Fire Safety (Facility):

    • R.A.C.E.: Rescue, Alarm, Contain, Extinguish.

    • P.A.S.S.: Pull pin, Aim at base, Squeeze handle, Sweep side-to-side.

  • Fire Extinguisher Classes:

    • Class A: Wood, paper, plastic.

    • Class B: Liquids, grease, oils.

    • Class C: Electrical fires.

    • Class K: Kitchen oils/fats.

Mass Casualty and Exposure
  • Radiation:

    • Alpha: Low risk, low penetration.

    • Beta: Moderate risk, small distance.

    • Gamma: Most serious; requires lead shielding for protection.

    • Intervention: Decontamination (showering, scrubbing skin, discarding clothing), and administration of Potassium Iodide to protect the thyroid.

  • Biological/Chemical: Immediate skin scrubbing, eye irrigation, and double-bagging of contaminated clothing.

Physical Restraints
  • Guidelines: Used only as a last resort; requires a provider prescription (re-evaluated every 2424 hours).

  • Monitoring:

    • Remove restraints every 2 hours for skin/circulatory checks and Range of Motion (ROM).

    • Ensure a quick-release knot is used and tied to the bed frame (not the side rail)