PATIENT SAFETY: STAFF OBSERVATION
Updated:2/12/2013
Data Definition Tool
Instructions:
Inpatient Areas: Record 5 staff observations using the Tracer Staff Observation tool.
Outpatient Practices and Procedural Areas: Record 5 staff observations using the Tracer Staff
Observation tool.
Standard
Yes
Patient Identification
1 Staff Name:
2 Observe staff using two identifiers when taking
NPSG.01.01.01 2 identifiers used from list:
Patient name, MR#, Date of
blood/specimens, administering meds/blood,
EP 1
Birth, last 4 digits of SSN,
providing treatments or procedures.
government issued photo ID,
photo taken in PHV
3
Observe staff labeling blood specimens.
NPSG.01.01.01 Staff labels the blood
specimen in the presence of
EP2
4
Observe staff conducting "time out".
UP.01.03.01
EP 5
the patient.
Communication
All activities are
suspended so that team
members can focus on
active confirmation of
the patient, site and
procedure.
5
6
7
Observe staff taking a verbal/phone order.
PC.02.01.03
EP 20
Write verbal/phone order
down and read it back to the
prescriber for verification of
accuracy.
Medications
Are medications, medication containers (e.g.,
NPSG.03.04.01 Containers are labeled.
syringes, medicine cups, basins), or other solutions EP 1
on and off the sterile field in perioperative and other
procedural settings labeled?
Glucometers
Observe staff cleaning the exterior of the meter after CMS H630
each patient use with a Sani-Cloth wipe or for
1200-8-1isolation patients, cleaning the exterior with a bleach .06(3)(A)
wipe followed by a water dampened cloth.
Staff followed procedure
correctly.