Abstract of Dissertation

Agency : NPSG 3, NPSG 9, Medication Safety, Assessment of Risk of Fall, Compliance Percentage, Government Set-Up, Resistance to Change

Objective : To review the National Patient Safety Goals 3 and 9, to compare the existing situation of patient safety in the hospital with National Patient Safety Goals (NPSG) 3 and 9 using checklists and observation, to calculate the compliance percentage of different departments on the basis of standards of NPSG 3 and 9 and to suggest ways of improvement (if required) to fulfill the requirement of the NPSG 3 and 9.

Background : The National Patient Safety Goals (NPSG) was established in 2002 by JCI, to address specific areas of concern in regards to patient safety. The study aims at improving the quality of the hospital in terms of patient safety. Not fulfilling the requirements of the NPSG, would not only increase the harm potential to the patients but also bring a bad name for the hospital. NPSG 3 takes in account the safety of using medications. NPSG 9 measures the risk of patient harm resulting from falls.

Methodology : For the purpose of the study and data collection, female ward, male ward, emergency department, operation theatre and medical store were visited everyday for 31 days. The observations were noted in checklists. For the purpose of patient wise data collection, patient files were checked, patients observed using a sample of 240 patients (120 patients for each goal)

Findings : Out of all the five departments, best performance is seen in the department of Operation Theatre. The worst performance is seen in the female ward. For medication safety assessment best performance is seen in the parameter of labelling of containers of medications and solutions and the least performance is seen for the parameter of high alert medications. For assessment of risk of falls, the best performance is seen for the parameter of observation and the worst performance is seen for the parameter of footwear.

Recommendations : The meaning and importance of high alert medications needs to be understood by the staff. The hospital is required to organize an orientation programme for the staff. A committee can be made to monitor the programme. Weekly review meetings need to be conducted for smooth working of the organised orientation programme. Motivation of the staff needs to be done.