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JOINT COMMISSION HOSPITAL NATIONAL PATIENT SAFETY GOALS (NPSG) I. II. Goal 1 – Improve the accuracy of patient identification. A. NPSG. 01.01.01: Use of Two Patient Identifiers A. NPSG. 09.02.01: Reduce the risk of patient harm resulting from falls X. Goal 2 – Improve the effectiveness of communication among caregivers A. NPSG. 02.02.01: Reading Back Verbal Orders B. NPSG. 02.02.01: Creating a List of Abbreviations Not to Use C. NPSG. 02.03.01: Timely Reporting of Critical Tests and Critical Results D. Not Applicable E. NPSG. 02.05.01: Managing Hand – Off Communications Goal 10 – Reduce the risk of influenza and pneumococcal disease in institutionalized older adults A. NPSG. 10.01.01: The organization develops and implements protocols for administration of the flu vaccine. B. NPSG. 10.02.01: The organization develops and implements protocols for administration of the pneumococcal vaccine. C. NPSG. 10.03.01: The organization develops and implements protocols to identify new cases of influenza and to manage outbreaks. XI. Goal 11 – Reduce the risk of surgical fires A. NPSG. 11.01.01: The organization educates staff, including licensed independent practitioners who are involved with surgical procedures and anesthesia providers, on how to control heat sources, how to manage fuels while maintaining enough time for patient preparation, and establish guidelines to minimize oxygen concentration under drapes. III. Goal 3 – Improve the safety of using medications A. Not Applicable B. Not applicable C. NPSG. 03.03.01: Managing Look Alike, Sound Alike Medications D. NPSG. 03.04.01: Labeling Medications E. NPSG. 03.05.01: Reducing Harm from anticoagulation Therapy VII. VIII. IX. Goal 7 – Reduce the risk of health careassociated infections A. NPSG. 07.01.01.: Meeting Hand Hygiene Guidelines B. NPSG. 07.02.01: Sentinel Events Resulting from Infection C. NPSG. 07.03.01: Preventing Multi-Drug Resistant Organism Infections D. NPSG. 07.04.01: Preventing Central – Line Associated Blood Stream Infections E. NPSG. 07.05.01: Preventing Surgical Site Infections Goal 8 – Accurately and completely reconcile medications across the continuum of care A. NPSG. 08.01.01: Comparing Current and Newly Ordered Medications B. NPSG. 08.02.01: Communication Medications to the Next Provider C. NPSG. 08.03.01: Providing a Reconciled Medication List to the Patient Goal 9 – Reduce the risk of patient harm resulting from falls XIII: Goal 13 – Encourage patients’ involvement in their own care as a patient safety strategy. A. NPSG. 13.01.01: Identify the ways in which the patient and his or her family can report concerns about safety and encourage them to do so. XV: Goal 15 – The organization identifies safety risks inherent in its patient population. A. NPSG. 15.01.01: Identifying Individuals at Risk for Suicide XVI. Goal 16 – Improve recognition and response to changes in a patient’s condition A. NPSG. 16.01.01: Requesting Assistance for a Patient with a Worsening Condition Universal Protocol A. NPSG. UP 01.01.01: Conducting a PreProcedure Verification Process B. NPSG. UP 01.02.01: Marking the Procedure Site C. NPSG. UP 01.03.01: Performing a Time - Out