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National Patient Safety Goals

Kuakini Medical Center has the goal of being the safest hospital and long term care facility in Hawaii.  To reach this goal, the caregivers at Kuakini follow demonstrated best practices in health care provision that are outline by the Center for Medicare/Medicaid Services (CMS) and The Joint Commission accreditation organization.  Providing safe patient care to each patient and family is a personal mission of all Kuakini Health Care Team members. 

Both CMS and the Joint Commission have identified high occurring healthcare risks throughout the nation’s hospitals and other health care facilities. Both agencies have identified what treatments, medications, practices and education plays a major role in reduction of these risks, and in return, ensures patient safety.  Below is an outline of these Best Practices that Kuakini Medical Center follows to provide safe patient care.

The Joint Commission has provided a set National Patient Safety Goals since 2003.  Kuakini has implemented and followed these goals from the beginning.  Each year, additional goals may be added as new areas of risk are identified throughout the nation’s healthcare systems. 

Identifies patients correctly
NPSG.01.01.01: Use at least two ways to identify patients.  Kuakini uses the patients name, unique medical record number and date of birth to accurately identify patients before every medication and treatment given.
NPSG.01.03.1: When patients need blood products transfused, Kuakini makes sure that the correct patient receives the correct blood product.

Improve staff communication
NPSG.02.03.01 Important test results are given to the appropriate person in a timely manner so that care can be delivered quickly.

Use medicines safely
NPSG.03.04.01 All medicines are labeled with the medicine name, dose, how its to be given and expiration dates.
NPSG.03.05.01 Extra precautions are given to patients that take medicine to thin their blood.
NPSG.03.06.01 Records are kept of what medicine patients take at home, and new medicine prescribed.  Patients are taught about all new medicine they are given.

Prevent Infection
NPSG.07.1.01 Kuakini follows hand cleaning rules made by the Center for Disease Control (CDC), to make sure infections are not spread while the patient is in the hospital.
NPSG.07.03.01 Strict guidelines and treatments are given to prevent infections that are difficult to treat.
NPSG.07.04.01 Strict guidelines and treatments are given to prevent infections in the blood from central lines.
NPSG.07.05.01 Strict guidelines and treatments are given to prevent infections during and after surgery.
NPSG.07.06.01 Strict guidelines and treatments are given to prevent urinary tract infections that can be caused by urinary catheters.

Identify patient safety risks
NPSG.15.01.01 Identify what patients may be at risk for committing suicide; and provide them with options for mental health care.

Prevent mistakes in surgery
UP.01.01.01 Strict guidelines are followed to make sure the correct surgery happens on the correct patient on the correct body part.
UP.01.02.01 With the help of the patient, the skin on the correct body part is marked before surgery.
UP.01.03.01 A pause by all caregivers is done before each surgery and procedure to make sure everything is correct.

Use equipment alarms safely
Kuakini uses some medical equipment with alarms that can alert the caregivers of patient changes so that care can be delivered quickly.

Detailed information on the National Patient Safety Goals can be found at: http://www.jointcommission.org/assets/1/18/NPSG_Chapter_Jan2013_HAP.pdf

Core Measures
To help ensure that our patients have the best outcomes possible when illness occurs, Kuakini follows prevention & treatment guidelines for the following illnesses:
• Acute Myocardial Infarction (AMI- or Heart Attack):
• Stroke
• Heart Failure
• Surgical Care
• Pneumonia
• Venous Thromboembolism (Blood Clot)
• Pneumonia & Flu vaccinations
• Emergency Department Treatment

Kuakini provides illness-specific treatment at certain times to make sure the patient has the best outcome.  Medications and treatments are provided that treat each illness or it is used in procedures that help prevent infections, decrease blood clots, and improve patients health. 

Each of these steps helps ensure patient safety and healthy outcomes.  Kuakini strives to keep all of our patients safe.  If you have questions related to patient safety, the National Patient Safety Goals or Core Measures; please contact Kuakini’s Quality and Patient Outcomes Department at 547-9279.