NATIONAL PATIENT SAFETY GOALS
 JANUARY 2022
2
– The National Patient Safety Goals (NPSGs) were established in
2002 to help accredited organizations address specific areas of
concern in regard to patient safety
– The first set of NPSGs was effective January 1, 2003
– The Joint Commission determines the highest priority patient
safety issues, including NPSGs, from input from practitioners,
provider organizations, purchasers, consumer groups, and
other stakeholders
BACKGROUND
PATIENT IDENTIFICATION
3
© 2022, The Joint
Commission
Goal 1:
Improve the accuracy of patient
identification.
PATIENT IDENTIFICATION
4
© 2022, The
Joint
Commission
– NPSG.01.01.01: Use at least two patient identifiers
when providing care, treatment and services.
• Applies to: Ambulatory, Assisted Living Community, Behavioral Health and
Human Services, Critical Access Hospital, Home Care, Hospital, Laboratory,
Nursing Care Center, Office-Based Surgery
IMPROVE COMMUNICATION
5
Goal 2:
Improve the effectiveness of
communication among caregivers.
IMPROVE COMMUNICATION
6
© 2022, The
Joint
Commission
– NPSG.02.03.01: Report critical results of tests and
diagnostic procedures on a timely basis.
• Applies to: Critical Access Hospital, Hospital, Laboratory
MEDICATION
SAFETY
7
Goal 3:
Improve the safety of
using medications.
MEDICATION SAFETY
8
© 2022, The
Joint
Commission
– NPSG.03.04.01: 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
MEDICATION SAFETY
9
© 2022, The
Joint
Commission
– NPSG.03.05.01: Reduce the likelihood of
patient harm associated with the use of
anticoagulant therapy.
• Applies to: Ambulatory, Critical Access Hospital, Hospital, Nursing Care
Center
MEDICATION SAFETY
10
© 2022, The
Joint
Commission
– NPSG.03.06.01: Maintain and communicate
accurate patient medication information.
• Applies to: Ambulatory, Assisted Living Community, Behavioral Health
and Human Services, Critical Access Hospital, Home Care, Hospital,
Nursing Care Center, Office-Based Surgery
CLINICAL ALARM SAFETY
• GOAL 6:
• REDUCE PATIENT HARM
ASSOCIATED WITH CLINICAL ALARM
SYSTEMS.
11
© 2022, The Joint
Commission
CLINICAL ALARM SAFETY
12
© 2022, The
Joint
Commission
–NPSG.06.01.01: Improve the safety of clinical alarm
systems.
• Applies to: Critical Access Hospital, Hospital
HEALTH CARE-ASSOCIATED INFECTIONS
13
© 2022, The
Joint
Commission
Goal 7:
Reduce the risk of health care-associated
infections.
HEALTH CARE-ASSOCIATED INFECTIONS
14
– NPSG.07.01.01: 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.
• Applies to: Ambulatory, Assisted Living Community, Behavioral Health and
Human Services, Critical Access Hospital, Home Care, Hospital, Laboratory,
Nursing Care Center, Office-Based Surgery
REDUCE FALLS
15
Goal 9:
Reduce the risk of patient harm resulting from falls.
REDUCE FALLS
16
© 2022, The
– NPSG.09.02.01: Reduce the risk of falls.
• Applies to: AssistedLiving Community, Home Care, Nursing Care Center
PRESSURE ULCERS
17
© 2022, The
Joint
Commission
Goal 14:
Prevent health care-associated pressure ulcers
(decubitus ulcers).
PRESSURE ULCERS
18
© 2022, The
Joint
Commission
– NPSG.14.01.01: Assess and periodically reassess each
patient’s and resident’s risk for developing a pressure
ulcer and take action to address any identified risks.
• Applies to: Nursing Care Center
RISK ASSESSMENT
• GOAL 15:
• THE ORGANIZATION IDENTIFIES
SAFETY RISKS INHERENT IN ITS
PATIENT POPULATION.
19
© 2022, The Joint
Commission
RISK ASSESSMENT
20
© 2022, The
Joint
Commission
– NPSG.15.01.01: Reduce the risk for suicide.
• Applies to: Behavioral Health and Human Services, Critical
Access Hospital, Hospital
RISK ASSESSMENT
21
© 2022, The
Joint
Commission
– NPSG.15.02.01: Identify risks associated with home
oxygen therapy, such as home fires.
• Applies to: Home Care
UNIVERSAL PROTOCOL FOR PREVENTING
WRONG SITE, WRONG PROCEDURE, WRONG
PERSON SURGERY
22
© 2022, The
Joint
Commission
–UP.01.01.01: Conduct a preprocedure
verification process.
• Applies to: Ambulatory, Critical Access Hospital, Hospital,
Office- Based Surgery
UNIVERSAL PROTOCOL FOR PREVENTING
WRONG SITE, WRONG PROCEDURE, WRONG
PERSON SURGERY
23
© 2022, The
Joint
Commission
–UP.01.02.01: Mark the procedure site.
• Applies to: Ambulatory, Critical Access Hospital, Hospital, Office-
Based Surgery
UNIVERSAL PROTOCOL FOR PREVENTING
WRONG SITE, WRONG PROCEDURE, WRONG
PERSON SURGERY
24
© 2022, The
Joint
Commission
–UP.01.03.01: A time-out is performed before
the procedure.
• Applies to: Ambulatory, Critical Access Hospital, Hospital, Office-
Based Surgery
REFERENCE
– THE JOINT COMMISSION WEBSITE AT
WWW.JOINTCOMMISSION.ORG
25

NPSG_2022_Presentation_-_FINAL_(1).pdf

  • 1.
    NATIONAL PATIENT SAFETYGOALS  JANUARY 2022
  • 2.
    2 – The NationalPatient Safety Goals (NPSGs) were established in 2002 to help accredited organizations address specific areas of concern in regard to patient safety – The first set of NPSGs was effective January 1, 2003 – The Joint Commission determines the highest priority patient safety issues, including NPSGs, from input from practitioners, provider organizations, purchasers, consumer groups, and other stakeholders BACKGROUND
  • 3.
    PATIENT IDENTIFICATION 3 © 2022,The Joint Commission Goal 1: Improve the accuracy of patient identification.
  • 4.
    PATIENT IDENTIFICATION 4 © 2022,The Joint Commission – NPSG.01.01.01: Use at least two patient identifiers when providing care, treatment and services. • Applies to: Ambulatory, Assisted Living Community, Behavioral Health and Human Services, Critical Access Hospital, Home Care, Hospital, Laboratory, Nursing Care Center, Office-Based Surgery
  • 5.
    IMPROVE COMMUNICATION 5 Goal 2: Improvethe effectiveness of communication among caregivers.
  • 6.
    IMPROVE COMMUNICATION 6 © 2022,The Joint Commission – NPSG.02.03.01: Report critical results of tests and diagnostic procedures on a timely basis. • Applies to: Critical Access Hospital, Hospital, Laboratory
  • 7.
    MEDICATION SAFETY 7 Goal 3: Improve thesafety of using medications.
  • 8.
    MEDICATION SAFETY 8 © 2022,The Joint Commission – NPSG.03.04.01: 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
  • 9.
    MEDICATION SAFETY 9 © 2022,The Joint Commission – NPSG.03.05.01: Reduce the likelihood of patient harm associated with the use of anticoagulant therapy. • Applies to: Ambulatory, Critical Access Hospital, Hospital, Nursing Care Center
  • 10.
    MEDICATION SAFETY 10 © 2022,The Joint Commission – NPSG.03.06.01: Maintain and communicate accurate patient medication information. • Applies to: Ambulatory, Assisted Living Community, Behavioral Health and Human Services, Critical Access Hospital, Home Care, Hospital, Nursing Care Center, Office-Based Surgery
  • 11.
    CLINICAL ALARM SAFETY •GOAL 6: • REDUCE PATIENT HARM ASSOCIATED WITH CLINICAL ALARM SYSTEMS. 11 © 2022, The Joint Commission
  • 12.
    CLINICAL ALARM SAFETY 12 ©2022, The Joint Commission –NPSG.06.01.01: Improve the safety of clinical alarm systems. • Applies to: Critical Access Hospital, Hospital
  • 13.
    HEALTH CARE-ASSOCIATED INFECTIONS 13 ©2022, The Joint Commission Goal 7: Reduce the risk of health care-associated infections.
  • 14.
    HEALTH CARE-ASSOCIATED INFECTIONS 14 –NPSG.07.01.01: 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. • Applies to: Ambulatory, Assisted Living Community, Behavioral Health and Human Services, Critical Access Hospital, Home Care, Hospital, Laboratory, Nursing Care Center, Office-Based Surgery
  • 15.
    REDUCE FALLS 15 Goal 9: Reducethe risk of patient harm resulting from falls.
  • 16.
    REDUCE FALLS 16 © 2022,The – NPSG.09.02.01: Reduce the risk of falls. • Applies to: AssistedLiving Community, Home Care, Nursing Care Center
  • 17.
    PRESSURE ULCERS 17 © 2022,The Joint Commission Goal 14: Prevent health care-associated pressure ulcers (decubitus ulcers).
  • 18.
    PRESSURE ULCERS 18 © 2022,The Joint Commission – NPSG.14.01.01: Assess and periodically reassess each patient’s and resident’s risk for developing a pressure ulcer and take action to address any identified risks. • Applies to: Nursing Care Center
  • 19.
    RISK ASSESSMENT • GOAL15: • THE ORGANIZATION IDENTIFIES SAFETY RISKS INHERENT IN ITS PATIENT POPULATION. 19 © 2022, The Joint Commission
  • 20.
    RISK ASSESSMENT 20 © 2022,The Joint Commission – NPSG.15.01.01: Reduce the risk for suicide. • Applies to: Behavioral Health and Human Services, Critical Access Hospital, Hospital
  • 21.
    RISK ASSESSMENT 21 © 2022,The Joint Commission – NPSG.15.02.01: Identify risks associated with home oxygen therapy, such as home fires. • Applies to: Home Care
  • 22.
    UNIVERSAL PROTOCOL FORPREVENTING WRONG SITE, WRONG PROCEDURE, WRONG PERSON SURGERY 22 © 2022, The Joint Commission –UP.01.01.01: Conduct a preprocedure verification process. • Applies to: Ambulatory, Critical Access Hospital, Hospital, Office- Based Surgery
  • 23.
    UNIVERSAL PROTOCOL FORPREVENTING WRONG SITE, WRONG PROCEDURE, WRONG PERSON SURGERY 23 © 2022, The Joint Commission –UP.01.02.01: Mark the procedure site. • Applies to: Ambulatory, Critical Access Hospital, Hospital, Office- Based Surgery
  • 24.
    UNIVERSAL PROTOCOL FORPREVENTING WRONG SITE, WRONG PROCEDURE, WRONG PERSON SURGERY 24 © 2022, The Joint Commission –UP.01.03.01: A time-out is performed before the procedure. • Applies to: Ambulatory, Critical Access Hospital, Hospital, Office- Based Surgery
  • 25.
    REFERENCE – THE JOINTCOMMISSION WEBSITE AT WWW.JOINTCOMMISSION.ORG 25