Patient Safety: Your First Concern - 2011 VERSION
OVERVIEW:For the 2011 National Patient Safety Goals, the Joint Commission made only a few and minor changes from the NPSG of 2010.
No new requirements are called for, but four "Elements of Performance to achieve the safety goals have been revised. M223 "Patient Safety: Your First Concern has been revised and updated to reflect these changes.
Because no new requirements are called for the revised goals are effective immediately.
These goals emphasized in this program are targeted to facilities with the following healthcare environments:
- Ambulatory Care Office-Based Surgery
- Critical Access Hospitals
The four revised Elements of Performance, and their associated goals are:
1. NPSG.03.05.01 (anticoagulant therapy) EP 6: "A written policy addresses baseline and ongoing laboratory tests that are required for anticoagulants. Applicable programs: Critical Access Hospital, Hospital, Long Term Care and Long Term Care
2. NPSG.07.04.01 (central line-associated bloodstream infections) EP 11: "Use an antiseptic for skin preparation during central venous catheter insertion that is cited in scientific literature or endorsed by professional organizations. Applicable programs: Critical Access Hospital, Hospital
3. NPSG.07.05.01 (surgical site infections) EP 7: "Administer antimicrobial agents for prophylaxis for a particular procedure or disease according to methods cited in scientific literature or endorsed by professional organizations. Applicable programs: Ambulatory, Critical Access Hospital, Hospital, Office-Based Surgery
4. NPSG.07.05.01 (surgical site infections) EP 8: "When hair removal is necessary, use a method that is cited in scientific literature or endorsed by professional organizations. Applicable programs: Ambulatory, Critical Access Hospital, Hospital, Office-Based Surgery
This program describes the following patient safety goals:
Improve the accuracy of patient identification
Improve the effectiveness of communication among caregivers
Improve the safety of using medications
Reduce the risk of healthcare-associated infections
Accurately and completely reconcile medications across the continuum of care
Reduce the risk of patient harm resulting from falls
The organization identifies safety risks inherent in its patient population.