IPSG
INTERNATIONAL
    PATIENT
 SAFETY GOALS
         6 IPSG
Goal 1    • Identify Patient Correctly
Goal 2    • Improve Effective Communication
          • Improve the Safety of High-Alert
Goal 3      Medications
          • Eliminate wrong-site, wrong-patient,
Goal 4      wrong-procedure surgery
          • Reduce the risk of health care-
Goal 5      associated infections
          • Reduce the risk of patient harm
Goal 6      resulting from falls
                 E-PSG
• The 13 Malaysian Patient Safety Goals need to be
 submitted to MOH online by 31st of January
 every year. (e-PSG)
• MOH will record and update the information in
 their website
Goal 1   •   Identify Patients Correctly
        Goal 1                  •   Identify Patients Correctly
A collaborative process is used to develop policies and / or
procedures that address the accuracy of patient identification.
   Use at least two (2) ways to identify a patient:
    i) giving medications
    ii) giving blood and blood products
    iii) taking blood samples
    iv) taking other samples for clinical testing
    v) providing treatment or procedure
   The patient’s Room / Bed Number cannot be used as an identifier
Goal 2   • Improve Effective Communication
       Goal 2               • Improve Effective Communication
A collaborative process is used to develop policies and/or procedures that
address the accuracy of verbal and telephone communications
   Person receiving the following:
    i) Verbal order
    ii) Telephone order
    iii) Reporting of critical test results
   Must use a verification “read back” of complete order or test result .
   The order or test result is confirmed by the individual who gave the order
    or test result.
         • Improve the Safety of High-
Goal 3     Alert Medications
                           • Improve the Safety of High-Alert
       Goal 3                Medications
 A collaborative process is used to develop policies and/or
 procedures that improve the safety of high-alert medications
 including concentrated electrolytes
 High Alert Medications
   i) Involved in a high percentage of errors and/or sentinel events
   ii) Carry a higher risk for adverse outcomes
   iii) Look-alike sound-alike medications(LASA)
                         • Improve the Safety of High-Alert
       Goal 3              Medications
 Concentrated electrolytes are not present in patient care units
 unless clinically necessary and actions are taken to prevent
 inadvertent administration in those areas where permitted by policy
 Remove concentrated electrolytes from patient care units,
 including, but not limited to, the following:
 Potassium Chloride > 2 mEq/ml
 Potassium Phosphate
 Sodium Chloride > 0.9%
 Magnesium Sulfate > 50% concentrate
         • Eliminate wrong-site, wrong-patient,
Goal 4     wrong-procedure surgery
                        • Eliminate wrong-site, wrong-patient,
     Goal 4               wrong-procedure surgery
 Develop checklist to verify correct documents and functioning
 equipment preoperatively
 Mark the precise site and involve patient in doing this
 The entire surgical or procedural team performs “Time-Out” just
 before surgical procedure
                      • Eliminate wrong-site, wrong-patient,
   Goal 4               wrong-procedure surgery
The purpose of the preoperative verification process is to:
 i) Verify the correct site, procedure, and patient;
ii) Ensure that all relevant documents, images, and studies are
    available, properly labelled, and displayed; and
iii) Verify any required special equipment and/or implants are
     present
         • Reduce the risk of health care-
Goal 5     associated infections (HAI)
                       • Reduce the risk of health care-
    Goal 5               associated infections (HAI)
A collaborative process is used to develop policies and/or
procedures that address reducing the risk of health care–
associated infections
 The organization has adopted or adapted currently published
 and generally accepted hand hygiene guidelines
 The organization implements an effective hand hygiene program
         • Reduce the risk of patient harm
Goal 6     resulting from falls
                   • Reduce the risk of patient harm
 Goal 6              resulting from falls
The organization develops an approach to reduce the
risk of patient harm resulting from falls.
Falls account for a significant portion of injuries in
hospitalized patients.
 Fall history, medications, gait and balance screening,
 walking aids used by the patient and inappropriate use
 of physical restraints
                   • Reduce the risk of patient harm
  Goal 6             resulting from falls
Assess and periodically Reassess each patient’s risk for
falling, including the potential risk associated with the
patient’s medication regime, and take action to decrease
or eliminate any identified risks.