Copyright The Joint Commission 2013 National Patient Safety

  • Slides: 32
Download presentation
© Copyright, The Joint Commission 2013 National Patient Safety Goals

© Copyright, The Joint Commission 2013 National Patient Safety Goals

Background z The National Patient Safety Goals (NPSGs) were established in 2002 to help

Background z The National Patient Safety Goals (NPSGs) were established in 2002 to help accredited organizations address specific areas of concern in regards to patient safety z The Patient Safety Advisory Group advises The Joint Commission on the development and updating of NPSGs 2013 National Patient Safety Goals - Pg. 2 © Copyright, The Joint Commission z The first set of NPSGs was effective January 1, 2003

Patient Safety Advisory Group z Advises The Joint Commission how to address emerging patient

Patient Safety Advisory Group z Advises The Joint Commission how to address emerging patient safety issues in NPSGs, Sentinel Event Alerts, standards and survey processes, performance measures, educational materials, and Center for Transforming Healthcare projects 2013 National Patient Safety Goals - Pg. 3 © Copyright, The Joint Commission z Comprised of a panel of widely recognized patient safety experts including nurses, physicians, pharmacists, risk managers, clinical engineers, and other professionals with hands-on experience in addressing patient safety issues in a wide variety of health care settings

Update to NPSG on Reconciling Medication z The NPSG on reconciling medication information (formerly

Update to NPSG on Reconciling Medication z The NPSG on reconciling medication information (formerly NPSG. 08. 01 - 08. 04. 01, now NPSG. 03. 06. 01) was streamlined and focused to place a spotlight on critical risk points in the medication reconciliation process z NPSG. 03. 06. 01 replaces Goal 8 (08. 01, 08. 02. 01, 08. 03. 01 and 08. 04. 01) and its related elements of performance z NPSG. 03. 06. 01 became effective July 1, 2011 2013 National Patient Safety Goals - Pg. 4 © Copyright, The Joint Commission z The NPSG was revised based on input from the field about implementation difficulties related to the 2009 version of the NPSG which was too prescriptive and detailed

Changes for 2013 z The NPSG focusing on catheterassociated urinary tract infection (CAUTI) was

Changes for 2013 z The NPSG focusing on catheterassociated urinary tract infection (CAUTI) was introduced in 2012 with a phased implementation 2013 National Patient Safety Goals - Pg. 5 © Copyright, The Joint Commission z Full implementation is expected in 2013

Patient Identification Goal 1: 2013 National Patient Safety Goals - Pg. 6 © Copyright,

Patient Identification Goal 1: 2013 National Patient Safety Goals - Pg. 6 © Copyright, The Joint Commission Improve the accuracy of patient identification.

Patient Identification z NPSG. 01. 01: Use at least two patient identifiers when providing

Patient Identification z NPSG. 01. 01: Use at least two patient identifiers when providing care, treatment and services. 2013 National Patient Safety Goals - Pg. 7 © Copyright, The Joint Commission • Applies to: Ambulatory, Behavioral Health Care, Critical Access Hospital, Home Care, Hospital, Lab, Long Term Care, Office-Based Surgery

Patient Identification z NPSG. 01. 03. 01: Eliminate transfusion errors related to patient misidentification.

Patient Identification z NPSG. 01. 03. 01: Eliminate transfusion errors related to patient misidentification. 2013 National Patient Safety Goals - Pg. 8 © Copyright, The Joint Commission • Applies to: Ambulatory, Critical Access Hospital, Office-Based Surgery

Improve Communication Goal 2: 2013 National Patient Safety Goals - Pg. 9 © Copyright,

Improve Communication Goal 2: 2013 National Patient Safety Goals - Pg. 9 © Copyright, The Joint Commission Improve the effectiveness of communication among caregivers.

Improve Communication z NPSG. 02. 03. 01: Report critical results of tests and diagnostic

Improve Communication z NPSG. 02. 03. 01: Report critical results of tests and diagnostic procedures on a timely basis. 2013 National Patient Safety Goals - Pg. 10 © Copyright, The Joint Commission • Applies to: Critical Access Hospital, Lab

Medication Safety Goal 3: 2013 National Patient Safety Goals - Pg. 11 © Copyright,

Medication Safety Goal 3: 2013 National Patient Safety Goals - Pg. 11 © Copyright, The Joint Commission Improve the safety of using medications.

Medication Safety z NPSG. 03. 04. 01: Label all medications, medication containers, and other

Medication Safety z NPSG. 03. 04. 01: Label all medications, medication containers, and other solutions on and off the sterile field in perioperative and other procedural settings. 2013 National Patient Safety Goals - Pg. 12 © Copyright, The Joint Commission • Applies to: Ambulatory, Critical Access Hospital, Office Based Surgery

Medication Safety z NPSG. 03. 05. 01: Reduce the likelihood of patient harm associated

Medication Safety z NPSG. 03. 05. 01: Reduce the likelihood of patient harm associated with the use of anticoagulant therapy. 2013 National Patient Safety Goals - Pg. 13 © Copyright, The Joint Commission • Applies to: Ambulatory, Critical Access Hospital, Long Term Care

Medication Safety z NPSG. 03. 06. 01: Maintain and communicate accurate patient medication information.

Medication Safety z NPSG. 03. 06. 01: Maintain and communicate accurate patient medication information. 2013 National Patient Safety Goals - Pg. 14 © Copyright, The Joint Commission • Applies to: Ambulatory, Behavioral Health Care, Critical Access Hospital, Home Care, Hospital, Long Term Care, Office-Based Surgery

Health Care-Associated Infections Goal 7: 2013 National Patient Safety Goals - Pg. 15 ©

Health Care-Associated Infections Goal 7: 2013 National Patient Safety Goals - Pg. 15 © Copyright, The Joint Commission Reduce the risk of health care-associated infections.

Health Care-Associated Infections • Applies to: Ambulatory, Behavioral Health Care, Critical Access Hospital, Home

Health Care-Associated Infections • Applies to: Ambulatory, Behavioral Health Care, Critical Access Hospital, Home Care, Hospital, Lab, Long Term Care, Office-Based Surgery 2013 National Patient Safety Goals - Pg. 16 © Copyright, The Joint Commission z NPSG. 07. 01: Comply with either the current Centers for Disease Control and Prevention (CDC) hand hygiene guidelines or the current World Health Organization (WHO) hand hygiene guidelines.

Health Care-Associated Infections z NPSG. 07. 03. 01: Implement evidencebased practices to prevent health

Health Care-Associated Infections z NPSG. 07. 03. 01: Implement evidencebased practices to prevent health careassociated infections due to multidrugresistant organisms in acute care hospitals. 2013 National Patient Safety Goals - Pg. 17 © Copyright, The Joint Commission • Applies to: Critical Access Hospital, Hospital

Health Care-Associated Infections z NPSG. 07. 04. 01: Implement evidencebased practices to prevent central

Health Care-Associated Infections z NPSG. 07. 04. 01: Implement evidencebased practices to prevent central lineassociated bloodstream infections. 2013 National Patient Safety Goals - Pg. 18 © Copyright, The Joint Commission • Applies to: Critical Access Hospital, Long Term Care

Health Care-Associated Infections z NPSG. 07. 05. 01: Implement evidencebased practices for preventing surgical

Health Care-Associated Infections z NPSG. 07. 05. 01: Implement evidencebased practices for preventing surgical site infections. 2013 National Patient Safety Goals - Pg. 19 © Copyright, The Joint Commission • Applies to: Ambulatory, Critical Access Hospital, Office-Based Surgery

Health Care-Associated Infections z NPSG. 07. 06. 01: Implement evidencebased practices to prevent indwelling

Health Care-Associated Infections z NPSG. 07. 06. 01: Implement evidencebased practices to prevent indwelling catheter-associated urinary tract infections (CAUTI). (Note: This NPSG is not applicable to pediatric populations. Research resulting in evidence-based practices was conducted with adults, and there is not consensus that these practices apply to children. ) 2013 National Patient Safety Goals - Pg. 20 © Copyright, The Joint Commission • Applies to: Critical Access Hospital, Hospital.

Reduce Falls Goal 9: 2013 National Patient Safety Goals - Pg. 21 © Copyright,

Reduce Falls Goal 9: 2013 National Patient Safety Goals - Pg. 21 © Copyright, The Joint Commission Reduce the risk of patient harm resulting from falls.

Reduce Falls z NPSG. 09. 02. 01: Reduce the risk of falls. 2013 National

Reduce Falls z NPSG. 09. 02. 01: Reduce the risk of falls. 2013 National Patient Safety Goals - Pg. 22 © Copyright, The Joint Commission • Applies to: Home Care, Long Term Care

Pressure Ulcers Goal 14: 2013 National Patient Safety Goals - Pg. 23 © Copyright,

Pressure Ulcers Goal 14: 2013 National Patient Safety Goals - Pg. 23 © Copyright, The Joint Commission Prevent health care-associated pressure ulcers (decubitus ulcers).

Pressure Ulcers z NPSG. 14. 01: Assess and periodically reassess each resident’s risk for

Pressure Ulcers z NPSG. 14. 01: Assess and periodically reassess each resident’s risk for developing a pressure ulcer and take action to address any identified risks. Applies to: Long Term Care 2013 National Patient Safety Goals - Pg. 24 © Copyright, The Joint Commission •

Risk Assessment Goal 15: 2013 National Patient Safety Goals - Pg. 25 © Copyright,

Risk Assessment Goal 15: 2013 National Patient Safety Goals - Pg. 25 © Copyright, The Joint Commission The organization identifies safety risks inherent in its patient population.

Risk Assessment z NPSG. 15. 01: Identify patients at risk for suicide. 2013 National

Risk Assessment z NPSG. 15. 01: Identify patients at risk for suicide. 2013 National Patient Safety Goals - Pg. 26 © Copyright, The Joint Commission • Applies to: Behavioral Health Care, Hospital (applicable to psychiatric hospitals and patients being treated for emotional or behavioral disorders in general hospitals)

Risk Assessment • Applies to: Home Care 2013 National Patient Safety Goals - Pg.

Risk Assessment • Applies to: Home Care 2013 National Patient Safety Goals - Pg. 27 © Copyright, The Joint Commission z NPSG. 15. 02. 01: Identify risks associated with home oxygen therapy, such as home fires.

Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery™ z UP. 01.

Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery™ z UP. 01. 01: Conduct a preprocedure verification process. 2013 National Patient Safety Goals - Pg. 28 © Copyright, The Joint Commission • Applies to: Ambulatory, Critical Access Hospital, Office-Based Surgery

Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery™ z UP. 01.

Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery™ z UP. 01. 02. 01: Mark the procedure site. 2013 National Patient Safety Goals - Pg. 29 © Copyright, The Joint Commission • Applies to: Ambulatory, Critical Access Hospital, Office-Based Surgery

Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery™ z UP. 01.

Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery™ z UP. 01. 03. 01: A time-out is performed before the procedure. 2013 National Patient Safety Goals - Pg. 30 © Copyright, The Joint Commission • Applies to: Ambulatory, Critical Access Hospital, Office-Based Surgery

For more information… z Questions can be sent to the Standards Interpretation Group at

For more information… z Questions can be sent to the Standards Interpretation Group at (630) 792 -5900 or via the Standards Online Question Submission Form 2013 National Patient Safety Goals - Pg. 31 © Copyright, The Joint Commission z The National Patient Safety Goals for each program and more information are available on The Joint Commission website at www. jointcommission. org

z. Why are NPSG’s important? z. Why are they necessary? z. Does this make

z. Why are NPSG’s important? z. Why are they necessary? z. Does this make you feel safe? Why and in what way? z. How will you as a healthcare student implement these goals? Give an example? 2013 National Patient Safety Goals - Pg. 32 © Copyright, The Joint Commission Question

Patient Safety An Overview Patient Safety Patient SafetyPatient Safety An Overview Patient Safety Patient Safety
Copyright The Joint Commission 2017 National Patient SafetyCopyright The Joint Commission 2017 National Patient Safety
Copyright The Joint Commission 2018 National Patient SafetyCopyright The Joint Commission 2018 National Patient Safety
Copyright The Joint Commission 2016 National Patient SafetyCopyright The Joint Commission 2016 National Patient Safety
Copyright The Joint Commission 2017 National Patient SafetyCopyright The Joint Commission 2017 National Patient Safety
Copyright The Joint Commission 2017 National Patient SafetyCopyright The Joint Commission 2017 National Patient Safety
National Patient Safety Alerting System NPSAS Patient SafetyNational Patient Safety Alerting System NPSAS Patient Safety
First National Conference on Patient Safety Patient safetyFirst National Conference on Patient Safety Patient safety
Patient 1 Patient 3 Patient 5 Patient 6Patient 1 Patient 3 Patient 5 Patient 6
JOINT COMMISSION PANEL DISCUSSION REGARDING RECENT JOINT COMMISSIONJOINT COMMISSION PANEL DISCUSSION REGARDING RECENT JOINT COMMISSION
Improving patient care Improving patient care Patient safetyImproving patient care Improving patient care Patient safety
1 Patient Safety 9172020 Patient Safety Course Course1 Patient Safety 9172020 Patient Safety Course Course
Texas Hospital Association Patient Safety Organization Patient SafetyTexas Hospital Association Patient Safety Organization Patient Safety
Patient Safety Lucian Leape Patient Safety Champion HarvardPatient Safety Lucian Leape Patient Safety Champion Harvard
What is patient safety History of patient safetyWhat is patient safety History of patient safety
Patient Safety Positioning Patient Safety Patients at riskPatient Safety Positioning Patient Safety Patients at risk
Chapter 9 1 Patient Safety Introduction Patient safetyChapter 9 1 Patient Safety Introduction Patient safety
patient safety History of patient safety 1955 whenpatient safety History of patient safety 1955 when
Patient safety solutions Patient safety solutions 1 preventingPatient safety solutions Patient safety solutions 1 preventing
DOD Patient Safety Program and Patient Safety CenterDOD Patient Safety Program and Patient Safety Center
Patient Safety 2018 What is Patient Safety ThePatient Safety 2018 What is Patient Safety The
Scaling up Patient Safety Huddles Patient Safety HuddlesScaling up Patient Safety Huddles Patient Safety Huddles
CENTER FOR PATIENT SAFETY Patient Safety Organization OverviewCENTER FOR PATIENT SAFETY Patient Safety Organization Overview
DOD Patient Safety Program and Patient Safety CenterDOD Patient Safety Program and Patient Safety Center