National Patient Safety Goals
Documentation
Environment of Care
Performance Improvement
Miscellaneous
100

One of the two idenitifiers we use to know the correct patient

Name

DOB

100

How often we reassess patient goals.

90 days for fundamental, development and THC

6 months for planning, RP and individual 

100

The steps for how to work a fire extinguisher. 

Pull

Aim

Squeeze

Sweep

100

Every May and November clients give us feedback using this performance indicator tool. 

Client Satisfaction Survey

100

When Suicide Risk must be included on ITP

a rating of Risk greater than mild

200

This safety goal is the #1 way to prevent the spread of infection

Hand hygiene 

200

Next step if someone has not had a physical in over a year or reports pain level of 3 or greater.

Document referral to PCP and include on ITP as goal.

200

What to do in case of a fire.

Rescue

Alert

Confine

Extinguish

200

How often is the outcome measure tool completed with clients? 

ALL programs complete this on admission on the population selected. May be all clients are a specific targeted population (ex: adults over 55, clients on suboxone, etc).

Timing of follow-up depends on program:

Weekly, every 90 days, or every 6 Months

200

The time frame from when a service is delivered and a note must be completed

Within 48 hours

300

This National Patient Safety Goal must be completed with all clients at time of intake

Suicide Risk Assessment

300

To be completed within 5-7 calendar days of the assessment.


The individualized treatment/recovery/rehabilitation/residential plan.

300

What they call the period of time that a surface remains wet after use cleaning wipes.

Dwell time.

300

Drug screen data shows a higher prevalence of use of this amongst males compared to females.

Fentanyl

300

Vital Information recorded in a flowsheet if the patient receives medication

Height and weight

400

The process used to communicate patient needs to other providers for coverage

Handoff

400

The person who writes the goals on the ITP

Goals should be determined by the client and written in the clients own words.

400

These sheets tells us information about all the chemicals used in the clinic in case of ingestion.

SDS sheets (formerly MSDS)

Safety Data Sheets (formerly Material Safety Data Sheets)

400

True or false: ITP's are only reviewed at intake and reassessment time

FALSE

When else might they be reviewed?
400

What ITP objectives/goals must be (think SMART)

Specific/individualized, measurable, attainable, realistic, and time based 

Based on patient strengths

500

Name at least 2 of the 5 Ps for handoff communication 

Patient information 

Problem

Plan

Precautions

Purpose

500

A client issue that may not be asked if reassessment is not done.

Changes in suicide risk

History of abuse

Pain

500

The closest that items can be to a sprinkler.

18 inches

500

Look at the Grid- this will tell you the show rate for Intakes for counselors 

45%

500

If they can’t speak for themselves, this is a way for clients to tell providers what they want for medical or behavioral care

Advanced directives or 5 Wishes

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