National Patient Safety Goals - 2010

Goal #1

IMPROVE THE ACCURACY OF PATIENT INFORMATION

-Use at least two patient identifiers when providing care, treatment and services

-Label containers used for blood or other specimens in the presence of the patient.

-Eliminate transfusion events related to patient misidentification.

Goal #2

IMPROVE THE EFFECTIVENESS OF COMMUNICATION AMONG CAREGIVERS

-Report critical results of tests and diagnostic procedures on a timely basis.

-Implement procedures for reporting critical results and evaluate the effectiveness.

Goal #3

IMPROVE THE SAFETY OF USING MEDICATIONS

-Label all medications, containers and other solutions on and off the sterile field in perioperative and

other procedural settings when not immediately administered.

-Label includes medication name, strength, quantity, diluent and volume (if not apparent), prep date, expiration

date and time if not used within 24 hours.

Goal #4

REDUCE THE LIKELIHOOD OF PATIENT HARM ASSOCIATED FROM ANTICOAGULATION THERAPY

-Use only one unit dosed products, prefilled syringes or premixed bag when available.

-Use approved anticoagulation protocols.

-Provide education to staff, patients and families.

-Evaluate anticoagulation safety practices.

Goal #5

REDUCE THE RISK OF HEALTH CARE-ASSOCIATED INFECTIONS.

- Meet hand hygiene guidelines

-Set compliance goals, monitor and improve compliance based on the goals.

-Implement best practices to prevent health care associated infections.

-Prevent MRSA, VRE, CDI and multi resistant gram negative bacteria.

-Prevent central line associated blood stream infections by using evidence based practices which includes the

central line bundle requirements.

-Implement evidence based practices to prevent surgical site infections.

Goal #6

ACCURATELY AND COMPLETELY RECONCILE MEDICATIONS ACROSS THE CONTINUUM

OF CARE

-Upon entry or admission to the hospital a complete home medication list is created and documented.

-Ordered medications are reconciled to the home medication list.

-The medication list is communicated at all levels of care within the hospital.

-The medication list is communicated to the next provider of service and is documented.

Goal #7

THE HOSPITAL IDENTIFIES SAFETY RISKS INHERENT IN ITS PATIENT POPULATION

-A suicide risk assesment is conducted on all patients upon admission and safety needs are addressed.

Goal #8

UNIVERSAL PROTOCOL FOR PREVENTING WRONG SITE, WRONG PROCEDURE AND WRONG PERSON SURGERY.

-Implement a pre-procedure process to verify the correct procedure, correct patient and site.

-Use a standardized list to verify relevant documentation, diagnostic and radiology test results, any required blood

products, implants or devices needed for the procedure/patient.

-Site marking completed by the person DOING the procedure with the patient if possible.

-Conduct a time out immediately before starting the procedure or making the incision.

-Time outs include active communication with the whole team verifying correct patient, correct site, and correct procedure.

 
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