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The International Patient Safety Goals (IPSG) were developed in 2006 by the Joint Commission International (JCI). The goals were adapted from the JCAHO's National Patient Safety Goals. [1] Compliance with IPSG has been monitored in JCI-accredited hospitals since January 2006. [1]
The Joint Commission Universal Protocol was introduced in 2004 as a perioperative check to ensure the correct person, procedure, and site. [5] While not used as a written checklist in the same manner as the SSC, WHO Patient Safety integrated its "time-out" as a pause point to check for wrong person/wrong procedure/wrong site errors. [citation ...
The Joint Commission disseminates "sentinel event alerts" identifying specific sentinel events, their underlying causes, and steps to prevent recurrence. [ 5 ] Further nursing research is ongoing at a number of "magnet" hospitals in the United States, especially to reduce the number of patient falls that may lead to sentinel events.
Alerts have included issues as varied as wrong site surgery, restraint deaths, transfusion and medication errors and patient abductions. In 2005, TJC established an International Center for Patient Safety to collaborate with international patient safety organizations to identify, develop and share safety solutions, conduct joint research, and ...
The National Patient Safety Goals is a quality and patient safety improvement program established by the Joint Commission in 2003. The NPSGs were established to help accredited organizations address specific areas of concern in regards to patient safety. [1] [2]
Surgery performed on the wrong body part; Surgery performed on the wrong patient; Wrong surgical procedure performed on a patient; Intraoperative or immediately postoperative death in an ASA Class I patient; Patient death or serious disability associated with the use of contaminated drugs, devices, or biologics provided by the healthcare facility
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Errors can include misdiagnosis or delayed diagnosis, administration of the wrong drug to the wrong patient or in the wrong way, giving multiple drugs that interact negatively, surgery on an incorrect site, failure to remove all surgical instruments, failure to take the correct blood type into account, or incorrect record-keeping. A 10th type ...