9 PATIENT SAFETY SOLUTIONS

LOOK ALIKE SOUND ALIKE (LASA)

Separate location for placing Look Alike Sound Alike medication

Arrange Look Alike Sound Alike medication in non-alphabetical orders

Reading the label before handling and preparing Look Alike Sound Alike medication and should be placed in labeled shelves

Tall man lettering, color difference and bold face technique are used to be easily differentiate Look Alike Sound Alike medications

MEDICATION RECONCILIATION

History of current treatment should be taken by the doctor from the patient, relatives or from medical record if available

Compare the current treatment with the new added treatment and document it in the reconciliation list

CONTROLLED OF CONCENTRATED ELECTROLYTES

“MUST BE DILLUTED”

CAN KILLED……..!!!!!!

Check and verify doctors order

A proper computation of dilution is needed and asks about double checking

Note all the things you have done

Keep on monitoring patient status

Identification of patient is a must when starting the infusion

Label the prepared solution to avoid confusion

Learn doing proper handover all the time

PATIENT HANDOVER

Use SBAR

Situation : chief complaint, current status

Background : previous history

Assessment : result of assessment, vital signs, investigations and symptoms

Recommendation : suggested and anticipated changes, complications, critical monitoring

AVOIDING CATHETER & TUBING MISCONECTION

Doctor’s order must be checked and verified

Re-check all lines and tubes before and after each shift

Avoid positioning of the functionally similar tube close to each other as much as possible

Stick label on high risk catheter (e.g. arterial, epidural & intrathecal)

Encourage patient and relatives to inform the healthcare providers on duty when they notice any problems on changes on the line or tubes

Trace all lines from their origin to the connection port to verify attachment before making any connection or reconnection or to administer medications and other solutions

PATIENT I.D BRACELET

please….WEAR ME

Write complete patient information clearly

Ensure that 2 identifiers are available (e.g. full 3 names and birth date)

Apply the bracelet to an appropriate limb within one hour

Replace the bracelet if any part of the patient’s information has become not clear

Make sure that you must ask patient name rather than telling his/her name

Each time care is provided, patient identification must be done by healthcare provider

CORRECT PROCEDURE AT CORRECT BODY SITE

Identification and verification of the right person, procedure and body site should be completed before transferring the patient to the treatment area as a safety priority

A written consent should be obtained after discussion with the patient

Establish the performance of correct procedure at correct body site as a safety priority

Relevant and complete documentation is needed during and after the procedure

Check the equipment’s needed for the procedure must be checked if it correct and functioning properly

SINGLE USE OF INJECTION

Remember the ten rights when you give patient medication

Always use the single injection as safety priority

Recapping should not be done to avoid needle stick or pick

Hand hygiene and proper protection must be applied before giving the medication

Waste management procedure, rules and regulation practices should be identified and implemented in a safe way

IMPROVED HAND HYGIENE