International patient safety goals
Assesses hospital governance, standardized clinical protocols, staff adherence, and documented evidentiary compliance for international patient safety goals.
Trend Direction
up (+2%)
Identified compliance findings in IPSG (11)
Patient identification narrative present but evidence of audit cadence missing for two units.
Fall-risk reassessment knowledge strong but observed documentation inconsistent.
Evidence gap identified for IPSG.2 during live field capture; requires documented remediation. (demonstration)
Evidence gap identified for IPSG.1 during learner evaluation; requires documented remediation. (demonstration)
Evidence gap identified for IPSG.4 during document analysis; requires documented remediation. (demonstration)
Evidence gap identified for IPSG.2 during self-assessment; requires documented remediation. (demonstration)
Evidence gap identified for IPSG.2 during mock surveyor; requires documented remediation. (demonstration)
Evidence gap identified for IPSG.1 during learner evaluation; requires documented remediation. (demonstration)
Evidence gap identified for IPSG.4 during live field capture; requires documented remediation. (demonstration)
Evidence gap identified for IPSG.6 during self-assessment; requires documented remediation. (demonstration)
Evidence gap identified for IPSG.2 during learner evaluation; requires documented remediation. (demonstration)
Requirements & Measurable Elements
22 total requirementsRequirement | Standard text (paraphrased) | Criticality | Measurable Elements | Status |
|---|---|---|---|---|
| IPSG.1 | Patient identification: two approved identifiers verified before any care activity (paraphrased) policyauditobservation | critical | 4 of 4 met96% | Met |
| IPSG.2 | Effective communication: verbal and telephone orders read back and confirmed (paraphrased) policytraining | high | 4 of 5 met88% | Met |
| IPSG.3 | Safety of high-alert medications, including concentrated electrolytes (paraphrased) policyinventoryobservation | critical | 4 of 6 met63% | Gap |
| IPSG.4 | Correct site, procedure and patient verified before surgery (paraphrased) checklistaudit | critical | 4 of 4 met90% | Met |
| IPSG.6 | Reducing patient harm from falls through assessment and reassessment (paraphrased) policyassessment | high | 3 of 4 met82% | Partial |
| IPSG.7 | International patient safety goals — control 7: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 3 of 4 met81% | Partial |
| IPSG.8 | International patient safety goals — control 8: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 5 of 6 met87% | Met |
| IPSG.9 | International patient safety goals — control 9: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 4 of 5 met85% | Met |
| IPSG.10 | International patient safety goals — control 10: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 5 of 6 met87% | Met |
| IPSG.11 | International patient safety goals — control 11: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | low | 3 of 4 met67% | Partial |
| IPSG.12 | International patient safety goals — control 12: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 3 of 4 met72% | Partial |
| IPSG.13 | International patient safety goals — control 13: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | critical | 2 of 3 met66% | Partial |
| IPSG.14 | International patient safety goals — control 14: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 3 of 4 met81% | Partial |
| IPSG.15 | International patient safety goals — control 15: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 3 of 3 met96% | Met |
| IPSG.16 | International patient safety goals — control 16: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | high | 5 of 6 met81% | Partial |
| IPSG.17 | International patient safety goals — control 17: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 2 of 3 met82% | Partial |
| IPSG.18 | International patient safety goals — control 18: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | critical | 3 of 4 met77% | Partial |
| IPSG.19 | International patient safety goals — control 19: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | critical | 4 of 5 met71% | Partial |
| IPSG.20 | International patient safety goals — control 20: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 3 of 3 met98% | Met |
| IPSG.21 | International patient safety goals — control 21: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | high | 3 of 4 met85% | Met |
| IPSG.22 | International patient safety goals — control 22: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | critical | 2 of 3 met77% | Partial |
| IPSG.23 | International patient safety goals — control 23: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | high | 5 of 6 met85% | Met |