2014 National Patient Safety Goals
The purpose of the National Patient Safety Goals is to improve patient safety. The Goals focus on problems in healthcare safety and how to solve them.
1. Use at least two patient identifiers when providing care, treatment and services:
- PRMC uses the patient's name and date of birth for the two identifiers.
- We label specimen tubes at the patient's bedside.
2. Eliminate transfusion errors related to patient misidentification:
- Use a two-person verification process for positive patient identification to:
- Match the blood or component to the order; and
- Match the patient to the blood or component
- One of the persons in the verification process actually administers the blood or component.
3. Report critical results of tests and diagnostic procedures on a timely basis:
- We have a written procedure for reporting including the definition of critical results, by and to whom the results are reported, and the acceptable length of time for reporting.
- All critical lab results will be reported and documented within one hour.
4. Label all medications, containers, and other solutions on and off the sterile field after drawing up or pouring:
- Labeling includes medication name, strength, quantity, diluent and volume, and expiration date and time.
5. Reduce the likelihood of patient harm associated with use of anticoagulant therapy:
- Use only oral unit-dose products, pre-filled syringes, or premixed infusion bags.
- Patient/family education is essential.
6. Maintain and communicate accurate patient medication information:
- Obtain information on the medications that patient is currently taking when he or she is admitted to the hospital or is seen in an outpatient setting. This information is documented in a list or other format that is useful to those who manage medications.
- Compare the medication information the patient brought to the hospital with the medications ordered for the patient by the hospital in order to identify and resolve discrepancies.
- Provide the patient (or family as needed) with written information on the medications the patient should be taking when he or she is discharged from the hospital or at the end of an outpatient encounter (for example, name, dose, route, frequency, purpose).
7. Improve safety of clinical alarm systems:
- As of July 1, 2014, leaders establish alarm safety as a hospital priority.
- Identify the most important alarm signals requiring management.
- Establish policies and procedures for managing the alarms above.
8. Comply with the current Centers for Disease Control and Prevention (CDC) hand hygiene guidelines:
- Wash your hands!
9. Implement evidence-based practices to prevent health care-associated infections due to multidrug-resistant organism in acute care hospitals:
- Educate staff and LIPs about health care-associated infections, multidrug-resistant organisms, and prevention strategies.
- Educate patients, and their families as needed, who are infected or colonized with a multidrug-resistant organism about health-care associated infection prevention strategies.
- Implement policies and practices aimed at reducing the risk of transmitting multidrug-resistant organisms.
10. Implement evidence-based practices to prevent central line-associated bloodstream infections:
- Educate staff and licensed independent practitioners who are involved in managing central lines about central line-associated bloodstream infections and the importance of prevention.
- Prior to insertion of a central venous catheter, educate patients and, as needed, their families about central line-associated bloodstream infection prevention.
- Use a catheter checklist and a standardized protocol for central venous catheter insertion.
- Perform hand hygiene prior to catheter insertion or manipulation.
11. Implement evidence-based practices for preventing surgical site infections:
- Educate staff and licensed independent practitioners involved in surgical procedures about surgical site infections and the importance of prevention.
- Educate patients, and their families as needed, who are undergoing a surgical procedure about surgical site infection prevention.
- Administer antimicrobial agents for prophylaxis for a particular procedure or disease according to methods cited in scientific literature or endorsed by professional organizations (Core Measures)
12. Implement evidence-based practices to prevent indwelling catheter-associated urinary tract infections (CAUTI):
- Insert indwelling urinary catheters according to established evidence-based guidelines that address the following:
- Limiting use and duration to situations necessary for patient care; and
- Using aseptic techniques for site preparation, equipment, and supplies. (Core Measures)
13. Identify patients at-risk for suicide:
- Conduct a risk assessment that identifies specific patient characteristics and environmental features that may increase or decrease the risk for suicide; and
- When a patient at risk for suicide leaves the care of the hospital, provide suicide prevention information (such as a crisis hotline) to the patient and his or her family.
14. Universal Protocol
- Conduct a pre-procedure verification process to verify the correct procedure for the correct patient at the correct site.
- Mark the procedure site, and if possible, with the patient involved
- Conduct a time-out immediately before starting the procedure with the agreement of team-members on the following:
- Correct patient identity
- Correct site
- Correct procedure to be performed.