2021 National Patient Safety Goals

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CUNY Queens College *

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101

Subject

Medicine

Date

Dec 6, 2023

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pdf

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2

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2021 National Patient Safety Goals (NPSGs) The purpose of the NPSGs is to improve patient safety. The goals focus on problems in health care safety and how to solve them. Goal How to demonstrate compliance: Correct Patient Identification NPSG.01.01.01 Use at least 2 ways to identify patients. MBMC uses name and date of birth (DOB). Compare with the armband. Patient should state their name and date of birth. If the patient cannot state their name, patient’s armband must be used to verify name and DOB. Note: IF additional identifiers are needed to be sure the correct patient gets the correct medicine and treatment, this is acceptable, start with name & date of birth! For example patients with same or similar names. NEVER use the room number as the only identifier . Improve staff communication NPSG.02.03.01 Get important test results to the right staff person in a timely manner Test results from the Laboratory, Radiology, Cardiovascular Diagnostics, Respiratory Care, etc. that are considered critical results (the physician needs to know urgently for a critical result ) are communicated as soon as possible to the physician. o One example- the Respiratory Care policy as follows: It is the responsibility of the Respiratory Care Practitioner to report all Critical (Panic) Laboratory Values to the patient's nurse immediately (within 10 minutes) so the physician can be notified or notify physician directly. o Source: CareNet Policy/Procedure tab Policy & Procedures Public; MBMC Organizational P/P Critical Test Results, Communication of Use medicines safely NPSG.03.04.01 Before a procedure, label medications that are not labeled . For example, medicines in syringes, cups, and basins . This should be done in the area where medicines and supplies are set up. Applies to OR, all procedural areas & procedures done in units/clinics at bedside . NPSG.03.05.01 Take extra care with patients taking medications to thin blood. NPSG.03.06.01 Document and pass on correct information about a patient’s medicine s. On admission find out what they are taking. Compare those medicines to new medicines given. Make sure the patient knows what medicines to take at home on discharge. Tell the patient it is important to bring an up-to-date list of medicines every time they visit a doctor (or come to the hospital). Use alarms safely NPSG.06.01.01 Improve processes to ensure alarms on medical equipment are heard and responded to on time! Make improvements to ensure that alarms on medical equipment are heard and responded to on time. T he hospital has policies and procedures for the management of alarms Policy & Procedures Public Management of Alarms. For more information, go to http://www.jointcommission.org/standards_information/npsgs.aspx Updated:12/2020
Goal How to demonstrate compliance: Prevent infection NPSG.07.01.01 Use hand cleaning guidelines from CDC or WHO . Set goals for improving hand hygiene. Use alcohol or soap/water before/after patient contact (including glove use). Fingernails should not be longer than ¼” for any employee having patient contact. IF YOU observe anyone not washing hands raise both hands as a reminder! Utilize the Infection Prevention Coordi nators’ expertise! Identify patient safety risks NPSG.15.01.01 Find out which patients are most likely to try to commit suicide. Patients identified as “possible suicidal” must have constant supervision! Let your supervisor or the nurse know if you have heard a patient saying anything about harming self or others! When a patient at risk for suicide leaves the hospital, provide suicide prevention information ( such as a crisis hotline ) to the patient and family. Look at specific patient characteristics and environmental safety that may increase or decrease the risk of suicide. BE ALERT TO ANY POTENTIAL RISK FOR A PATIENT TO HANG THEIRSELF or USE AN ITEM AS A WEAPON IF SUICIDE/VIOLENCE RISK IDENTIFIED!! Be sure patients at risk for suicide are in a safe environment (no plastic bags in garbage cans, plastic utensils/tray, nothing that can be used to hang from/with, etc.) A list of harmful items in the patient’s room can be located on Sharepoint Policy & Procedures Public. Prevent mistakes in surgery UP.01.01.01 Make sure the correct surgery is done on the correct patient and at the correct place on the patient’s body. The patient should be involved in identifying correct site for the surgery/procedure. UP.01.02.01 Mark the correct place on the patien t’s body where the surgery is to be done. NOTE: the surgeon or person performing the procedure should initial on the correct site when appropriate (right, left, spinal level, etc) UP.01.03.01 Pause before the surgery or procedure starts to be sure a mistake is not being made. At a minimal, verify correct patient, correct site, and correct consent. EV ERYONE in attendance MUST pay attention during Time Out!!! For more information, go to http://www.jointcommission.org/standards_information/npsgs.aspx Updated:12/2020
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