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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.
2012 National Patient Safety Goals - Pg. 6
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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
2012 National Patient Safety Goals - Pg. 8
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Improve Communication
Goal 2:
Improve the effectiveness of
communication among caregivers.
2012 National Patient Safety Goals - Pg. 9
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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
2012 National Patient Safety Goals - Pg. 10
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Medication Safety
Goal 3:
Improve the safety of using medications.
2012 National Patient Safety Goals - Pg. 11
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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
2012 National Patient Safety Goals - Pg. 12
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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
2012 National Patient Safety Goals - Pg. 14
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Health Care-Associated Infections
Goal 4:
Reduce the risk of health care-associated
infections.
2012 National Patient Safety Goals - Pg. 15
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Health Care-Associated Infections
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
2012 National Patient Safety Goals - Pg. 16
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Health Care-Associated Infections
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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Health Care-Associated Infections
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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Health Care-Associated Infections
NPSG.04.05.01: Implement evidence-based practices for preventing surgicalsite infections.
Applies to: Ambulatory, Critical Access Hospital,Hospital, Office-Based Surgery
2012 National Patient Safety Goals - Pg. 19
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Health Care-Associated Infections
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.)
2012 National Patient Safety Goals - Pg. 20
*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
2012 National Patient Safety Goals - Pg. 22
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Pressure Ulcers
Goal 6:
Prevent health care-associated pressure
ulcers (decubitus ulcers).
2012 National Patient Safety Goals - Pg. 23
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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.
Applies to: Ambulatory, Critical Access Hospital,Hospital, Office-Based Surgery
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Universal Protocol for Preventing Wrong Site,Wrong Procedure, Wrong Person Surgery
UP.07.02.01: Mark the procedure site.
Applies to: Ambulatory, Critical Access Hospital,Hospital, Office-Based Surgery
2012 National Patient Safety Goals - Pg. 29
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Universal Protocol for Preventing Wrong Site,Wrong Procedure, Wrong Person Surgery
UP.07.03.01: A time-out is performedbefore the procedure.
Applies to: Ambulatory, Critical Access Hospital,Hospital, Office-Based Surgery
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