© Copyright, The Joint Commission 2014 National Patient Safety Goals

2014 National Patient Safety Goals - Pg. 2 © Copyright, The Joint Commission Changes for 2014  A new NPSG focusing on safe clinical alarm management for hospitals and critical access hospitals will be introduced in 2014 with a phased implementation –Phase one begins January 1, 2014 –Phase two begins January 1, 2016

2014 National Patient Safety Goals - Pg. 3 © Copyright, The Joint Commission Patient Identification Goal 1: Improve the accuracy of patient identification.

2014 National Patient Safety Goals - Pg. 4 © Copyright, The Joint Commission Patient Identification  NPSG : Use at least two patient identifiers when providing care, treatment and services. Applies to: Ambulatory, Behavioral Health Care, Critical Access Hospital, Home Care, Hospital, Laboratory, Nursing Care Center, Office-Based Surgery

2014 National Patient Safety Goals - Pg. 5 © Copyright, The Joint Commission Patient Identification  NPSG : Eliminate transfusion errors related to patient misidentification. Applies to: Ambulatory, Critical Access Hospital, Hospital, Office-Based Surgery

2014 National Patient Safety Goals - Pg. 6 © Copyright, The Joint Commission Improve Communication Goal 2: Improve the effectiveness of communication among caregivers.

2014 National Patient Safety Goals - Pg. 7 © Copyright, The Joint Commission Improve Communication  NPSG : Report critical results of tests and diagnostic procedures on a timely basis. Applies to: Critical Access Hospital, Hospital, Laboratory

2014 National Patient Safety Goals - Pg. 8 © Copyright, The Joint Commission Medication Safety Goal 3: Improve the safety of using medications.

2014 National Patient Safety Goals - Pg. 9 © Copyright, The Joint Commission Medication Safety  NPSG : Label all medications, medication containers, and other solutions on and off the sterile field in perioperative and other procedural settings. Applies to: Ambulatory, Critical Access Hospital, Hospital, Office Based Surgery

2014 National Patient Safety Goals - Pg. 10 © Copyright, The Joint Commission Medication Safety  NPSG : Reduce the likelihood of patient harm associated with the use of anticoagulant therapy. Applies to: Ambulatory, Critical Access Hospital, Hospital, Nursing Care Center

2014 National Patient Safety Goals - Pg. 11 © Copyright, The Joint Commission Medication Safety  NPSG : Maintain and communicate accurate patient medication information. Applies to: Ambulatory, Behavioral Health Care, Critical Access Hospital, Home Care, Hospital, Nursing Care Center, Office-Based Surgery

2014 National Patient Safety Goals - Pg. 12 © Copyright, The Joint Commission Clinical Alarm Safety Goal 6: Reduce the harm associated with clinical alarm systems.

2014 National Patient Safety Goals - Pg. 13 © Copyright, The Joint Commission Clinical Alarm Safety  NPSG : Improve the safety of clinical alarm systems. Applies to: Critical Access Hospital, Hospital

2014 National Patient Safety Goals - Pg. 14 © Copyright, The Joint Commission Health Care-Associated Infections Goal 7: Reduce the risk of health care-associated infections.

2014 National Patient Safety Goals - Pg. 15 © Copyright, The Joint Commission Health Care-Associated Infections  NPSG : 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. Applies to: Ambulatory, Behavioral Health Care, Critical Access Hospital, Home Care, Hospital, Laboratory, Nursing Care Center, Office-Based Surgery

2014 National Patient Safety Goals - Pg. 16 © Copyright, The Joint Commission Health Care-Associated Infections  NPSG : Implement evidence- based practices to prevent health care- associated infections due to multidrug- resistant organisms in acute care hospitals. Applies to: Critical Access Hospital, Hospital

2014 National Patient Safety Goals - Pg. 17 © Copyright, The Joint Commission Health Care-Associated Infections  NPSG : Implement evidence- based practices to prevent central line- associated bloodstream infections. Applies to: Critical Access Hospital, Hospital, Nursing Care Center

2014 National Patient Safety Goals - Pg. 18 © Copyright, The Joint Commission Health Care-Associated Infections  NPSG : Implement evidence- based practices for preventing surgical site infections. Applies to: Ambulatory, Critical Access Hospital, Hospital, Office-Based Surgery

2014 National Patient Safety Goals - Pg. 19 © Copyright, The Joint Commission Health Care-Associated Infections  NPSG : Implement evidence- based practices to prevent indwelling catheter-associated urinary tract infections (CAUTI). Applies to: Critical Access Hospital, Hospital (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.)

2014 National Patient Safety Goals - Pg. 20 © Copyright, The Joint Commission Reduce Falls Goal 9: Reduce the risk of patient harm resulting from falls.

2014 National Patient Safety Goals - Pg. 21 © Copyright, The Joint Commission Reduce Falls  NPSG : Reduce the risk of falls. Applies to: Home Care, Nursing Care Center

2014 National Patient Safety Goals - Pg. 22 © Copyright, The Joint Commission Pressure Ulcers Goal 14: Prevent health care-associated pressure ulcers (decubitus ulcers).

2014 National Patient Safety Goals - Pg. 23 © Copyright, The Joint Commission Pressure Ulcers  NPSG : Assess and periodically reassess each resident’s risk for developing a pressure ulcer and take action to address any identified risks. Applies to: Nursing Care Center

2014 National Patient Safety Goals - Pg. 24 © Copyright, The Joint Commission Risk Assessment Goal 15: The organization identifies safety risks inherent in its patient population.

2014 National Patient Safety Goals - Pg. 25 © Copyright, The Joint Commission Risk Assessment  NPSG : Identify patients at risk for suicide. Applies to: Behavioral Health Care, Hospital (Applicable to psychiatric hospitals and patients being treated for emotional or behavioral disorders in general hospitals.)

2014 National Patient Safety Goals - Pg. 26 © Copyright, The Joint Commission Risk Assessment  NPSG : Identify risks associated with home oxygen therapy, such as home fires. Applies to: Home Care

2014 National Patient Safety Goals - Pg. 27 © Copyright, The Joint Commission Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery™  UP : Conduct a preprocedure verification process. Applies to: Ambulatory, Critical Access Hospital, Hospital, Office-Based Surgery

2014 National Patient Safety Goals - Pg. 28 © Copyright, The Joint Commission Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery™  UP : Mark the procedure site. Applies to: Ambulatory, Critical Access Hospital, Hospital, Office-Based Surgery

2014 National Patient Safety Goals - Pg. 29 © Copyright, The Joint Commission Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery™  UP : A time-out is performed before the procedure. Applies to: Ambulatory, Critical Access Hospital, Hospital, Office-Based Surgery