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The Joint Commission’s 2013 National Patient Safety Goals. Reviewed December 2012. Objectives. Identify National Patient Safety Goals which apply to hospital settings. List two hospital patient safety standards.
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The Joint Commission’s2013 National Patient Safety Goals Reviewed December 2012
Objectives • Identify National Patient Safety Goals which apply to hospital settings. • List two hospital patient safety standards. • Indicate the importance of the National Patient Safety Goals and The Joint Commission accreditation.
Background…did you know? • The National Patient Safety Goals (NPSGs) were established in 2002 (became effective January 1, 2003) to address specific areas of concern in regards to patient safety
Background…did you know? • The Joint Commission’s (TJC) mission is to “continuously improve the safety and quality of care delivered to the public through the provision of health care accreditation.” • The NPSG’s have related specific requirements for improving the safety of patient care in healthcare organizations. • TJC requires accredited health care organizations implement NPSG’s as appropriate to the services provided by the organization. All accredited health care organizations such as Hospitals, Assisted Living, Home Care, Behavioral Health Care, Disease-Specific Care, Ambulatory, Laboratory, etc., are surveyed to evaluate the implementation of these goals as they relate to the services of the organization.
NPSG Revisions for 2013 • The Joint Commission revises Elements of Performance (EP’s) within the Goals Annually. • The revised EP’s are effective immediately. • NPSG #8 on medication reconciliation is not included in the changes; additional work is being done to evaluate and refine the medication reconciliation expectations for accredited organizations.
2013 National Patient Safety Goals • Now let’s review what the 2013 NPSG’s are for a hospital setting…
GOAL 1: PATIENT IDENTIFICATION Improve the accuracy of patient identification. • NPSG.01.01.01: Use at least two ways to identify patients. For example, use the medical record number and account number. This is done to ensure that each patient receives the correct medicine and treatment. • NPSG.01.03.01: Ensure that the correct patient receive the correct blood when they get a blood transfusion.
GOAL 2: IMPROVE STAFF COMMUNICATION Improve the effectiveness of communication among caregivers. • NPSG.02.03.01: Report critical results of tests and diagnostic procedures on a timely basis.
GOAL 3: MEDICATION SAFETY Improve the safety of using medications. • NPSG.03.04.01: Label all medications, medication containers, and other solutions on and off the sterile field in perioperative and other procedural settings. • NPSG.03.05.01: Reduce the likelihood of patient harm associated with the use of anticoagulant therapy. • NPSG.03.06.01: Record and pass along correct information about a patient’s medicines. Ask about the medicines the patient is taking. Compare those medicines to new medicines the patient is to receive. Make certain the patient knows which medicines to take when they are at home.
Goal 7: Health Care-Associated Infections Reduce the risk of health care-associated infections. • NPSG.07.01.01: Use the hand cleaning guidelines from the Centers for Disease Control and Prevention or the World Health Organization. Establish goals for improving hand cleansing. Utilize the goals to improve hand cleaning. • NPSG.07.03.01: Implement evidence-based practices to prevent multidrug-resistant organism infections in acute care organizations. • NPSG.07.04.01: Implement evidence-based practices to prevent central line-associated bloodstream infections.
Goal 7: Health Care-Associated Infections NPSG.07.05.01: Implement evidence-based practices for preventing surgical site infections. NPSG.07.06.01: Use proven guidelines to prevent infections of the urinary tract that are caused by catheters.
Goal 8: Reconcile Medications Accurately and completely reconcile medications across the continuum of care. The implementation date for the revised medication reconciliation requirement for NPSG 8 was July 2011. • NPSG.08.01.01: Comparing Current and Newly Ordered Medications. • NPSG.08.02.01: Communicating Medications to the Next Provider. • NPSG.08.03.01: Providing a Reconciled Medication List to the Patient • NPSG.08.04.01: In settings where medications are used minimally, or prescribed for a short duration, modified medication reconciliation processes are performed.
GOAL 9: Patient Falls The goal of reducing patient harm resulting from falls has now become a STANDARD!!
Goal 14: Pressure Ulcers The goal of preventing health care-associated pressure ulcers (decubitus ulcers) has now become a STANDARD!!
Goal 15: Safety Risk The organization identifies safety risks inherent in its patient population. • NPSG.15.01.01: Identifying Individuals at Risk for Suicide
NPSG for Hospitals • All hospitals receiving accreditation from The Joint Commission must implement the NPSG requirements in an effort to maintain safe environments and provide quality care to all patients.
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery The organization meets the expectations of the Universal Protocol. • UP.01.01.01: Make sure that the correct surgery is done on the correct patient and at the correct site on the patient’s body. • UP.01.02.01: Mark the correct place on the patient’s body where the surgery is to be done. • UP.01.03.01: A time-out is performed before the procedure, to make sure that a mistake is not being made.
For more information: www.jointcommission.org
