2012 NPSG Presentation - Final 2-03-12

7/31/2019 2012 NPSG Presentation - Final 2-03-12

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yright,TheJointCommission

2012 National Patient

Safety Goals


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New Goal for 2012

The Joint Commission has approved one new

NPSG for 2012 which is being phased in with full

implementation required in 2013

The NPSG focuses on catheter-associated

urinary tract infection (CAUTI)

Applicable to the hospital and critical access

hospital accreditation programs

CAUTI is the most frequent type of health care-

associated infection (HAI) and represents as

much as 80 percent of HAIs in hospitals

2012 National Patient Safety Goals - Pg. 5


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Patient Identification

Goal 1:

Improve the accuracy of patient

identification.



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Patient Identification

NPSG.01.03.01: Eliminate transfusionerrors related to patient misidentification.

Applies to: Ambulatory, Critical Access Hospital,Hospital, Office-Based Surgery



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Improve Communication

Goal 2:

Improve the effectiveness of

communication among caregivers.



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Improve Communication

NPSG.02.03.01: Report critical results oftests and diagnostic procedures on a timelybasis.

Applies to: Critical Access Hospital, Hospital, Lab



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Medication Safety

Goal 3:

Improve the safety of using medications.



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Medication Safety

NPSG.03.04.01: Label all medications,medication containers, and other solutionson and off the sterile field in perioperative

and other procedural settings.

Applies to: Ambulatory, Critical Access Hospital,Hospital, Office Based Surgery



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Medication Safety

NPSG.03.06.01: Maintain and communicateaccurate patient medication information.

Applies to: Ambulatory, Behavioral Health Care, CriticalAccess Hospital, Home Care, Hospital, Long Term Care,Office-Based Surgery



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Health Care-Associated Infections

Goal 4:

Reduce the risk of health care-associated

infections.



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NPSG.04.01.01: Comply with either thecurrent Centers for Disease Control andPrevention (CDC) hand hygiene guidelines

or the current World Health Organization(WHO) hand hygiene guidelines.

Applies to: Ambulatory, Behavioral Health Care, CriticalAccess Hospital, Home Care, Hospital, Lab, Long TermCare, Office-Based Surgery



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NPSG.04.03.01: Implement evidence-based practices to prevent health care-associated infections due to multidrug-

resistant organisms in acute care hospitals.

Applies to: Critical Access Hospital, Hospital



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NPSG.04.04.01: Implement evidence-based practices to prevent central line-associated bloodstream infections.

Applies to: Critical Access Hospital, Hospital, LongTerm Care



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NPSG.04.05.01: Implement evidence-based practices for preventing surgicalsite infections.




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NPSG.04.06.01*: Implement evidence-based practices to prevent indwellingcatheter-associated urinary tractinfections (CAUTI).

Applies to: Critical Access Hospital, Hospital.(Note: This NPSG is not applicable to pediatricpopulations. Research resulting in evidence-basedpractices was conducted with adults, and there is notconsensus that these practices apply to children.)


*NEW 2012 NPSG with one-year phase in


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Reduce Falls

Goal 5:

Reduce the risk of patient harm resulting

from falls.



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Reduce Falls

NPSG.05.02.01: Reduce the risk of falls.

Applies to: Home Care, Long Term Care



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Pressure Ulcers

Goal 6:

Prevent health care-associated pressure

ulcers (decubitus ulcers).



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Pressure Ulcers

NPSG.06.01.01: Assess and periodicallyreassess each residents risk for developing

a pressure ulcer and take action to address

any identified risks.

Applies to: Long Term Care



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Risk Assessment

Goal 07:

The organization identifies safety risks

inherent in its patient population.



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Risk Assessment

NPSG.07.01.01: Identify patients at riskfor suicide.

Applies to: Behavioral Health Care, Hospital(applicable to psychiatric hospitals and patients beingtreated for emotional or behavioral disorders in generalhospitals)



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Risk Assessment

NPSG.15.02.01: Identify risks associatedwith home oxygen therapy, such as homefires.

Applies to: Home Care



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Universal Protocol for Preventing Wrong Site,Wrong Procedure, Wrong Person Surgery

UP.07.01.01: Conduct a preprocedureverification process.




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UP.07.02.01: Mark the procedure site.




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UP.07.03.01: A time-out is performedbefore the procedure.




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2012 NPSG Presentation - Final 2-03-12

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Transcript of 2012 NPSG Presentation - Final 2-03-12