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National Patient Safety Goals (NPSG) - Improving Patient Safety in Healthcare, Exams of Advanced Education

An overview of the national patient safety goals (NPSG) established by the Joint Commission (TJC) to improve patient safety in various healthcare settings. The NPSG aims to reduce the risk of medical errors and enhance patient safety across key areas. It discusses the importance of patient safety, the magnitude of the issue, and the incidence of adverse events. The document also covers the sentinel event policy, which outlines the reporting and review process for unexpected occurrences that result in serious harm or death. This guide serves as a valuable resource for healthcare professionals, administrators, and students to understand the critical role of the NPSG in enhancing patient safety and quality of care.

Typology: Exams

2024/2025

Available from 10/18/2024

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Why Patient Safety? - • Magnitude

  • 4 out of 10 patients harmed
    • Incidence
  • 134 million adverse events
  • Medications
  • $42 Billion TJC National Patient Safety Goals (NPSG) - • Improve patient safety
  • Reduce risk of medical errors NPSG Standards - Safety
  • Medication use
  • Infection control
  • Surgery and anesthesia
  • Transfusions
  • Restraints and seclusion
  • Staff competence
  • Fire safety
  • Medical equipment
  • Emergency management
  • Security Healthcare Settings - NPSGs - • The goals are divided into various healthcare setting programs
  • Some goals overlap into more than one setting Programs
  • Ambulatory Health Care
  • Behavioral Health Care
  • Critical Access Hospital
  • Hospital
  • Laboratory Services
  • Nursing Care Center
  • Office-Based Surgery 2020 Hospital National Patient Safety Goals - 1. Identify patients correctly
  1. Improve staff communication
  2. Use medicines safely
  3. Use alarms safely
  4. Prevent infection
  5. Identify patient safety risks UP. Prevent mistakes in surgery Goal 1: Identify patients correctly - NPSG.01.01.
  • Use at least two ways to identify patients NPSG.01.03.
  • Make sure that the correct patient gets the correct blood when they get a blood transfusion Goal 2: Improve staff communication - NPSG.02.03.
  • Get important test results to the right staff person on time Goal 3: Use medicines safely - NPSG.03.04.
  • Before a procedure, label medicines that are not labeled. Do this in the area where they are prepared. NPSG.03.05.
  • Take extra care with patients who take medicines to thin their blood. Goal 3: Use medicines safely - Reconciling medication information - NPSG.03.06.
  • Record and pass along correct information about a patient's medications.
  • Find out what medications the patient is taking.
  • Compare those medicines to new medicines given to the patient.
  • Make sure the patient knows which medicines to take when they are at home.
  • Tell the patient it is important to bring their up-to-date list of medicines every time they visit a doctor. Goal 6: Use alarms safely - NPSG.06.01.

Goal # Goal # Goal #4 - Replaced with Universal Protocol for Preventing Wrong Site, Wrong Procedure, and Wrong Person Surgery Goal #5 - Improve the Safety of Using Infusion Pumps NPSG. 05.01.

  • Ensure free-flow protection is
  • Available and functioning
  • General-use intravenous pumps
  • PCA (patient-controlled analgesia) intravenous pumps Goal #9 - Reduce the Risk of Patient Harm Resulting from Falls NPSG. 09.01.
  • Assess and periodically
  • Reassess each patient's risk for falling
  • Including the potential risk associated with the patient's medication regiment
  • Take action to address any identified risk NPSG. 09.02.
  • Implement a fall reduction program
  • Evaluate the effectiveness of the program Goal #11 - Reduce the Risk of Surgical Fires NPSG. 11.01.
  • Educate staff, including operating licensed independent practitioners and anesthesia providers
  • How to control heat sources
  • Manage fuels with enough time for patient preparation
  • Establish guidelines to minimize oxygen concentration under drapes
  • How to control heat sources
  • Manage fuels with enough time for patient preparation Goal #12 - Implementation of Applicable NPSGs and Associated Requirements by Components and Practitioner Sites

Goal #13 - Encourage Patients' Active Involvement in their Own Care as a Patient Safety Strategy NPSG. 13.01.

  • Identify the ways in which the patient and his or her family can report concerns about safety and encourage them to do so Goal #14 - Prevent Healthcare-Associated Pressure Ulcers (Decubitus Ulcers) in Long-Term Care NPSG. 14.01.
  • Assess and periodically reassess each resident's risk
  • Development of a pressure ulcer
  • Action plan to address any identified risks Safety Event Reporting - Who can report:
  • Patients
  • Families
  • Government agencies
  • Public
  • Staff
  • Media How to report:
  • Online: TJC website
  • Fax: 630- 792 - 5636
  • Mail: The Office of Quality and Patient Safety The Joint Commission 1 Renaissance Blvd. Oakbrook Terrace, Illinois, 60181 Sentinel Event Policy - According to TJC:
  • A sentinel event is any unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Serious injuries specifically include a loss of limb or function. The phrase "or the risk thereof" includes any