Download Joint Commission National Patient Safety Goals

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