2012 Hospital

  • Goal 1: Improve the accuracy of patient identification.
    • NPSG.01.01.01: Use at least two patient identifiers when providing care, treatment, and services.
    • NPSG.01.03.01: Eliminate transfusion errors related to patient misidentification.
  • Goal 2: Improve the effectiveness of communication among caregivers.
    • NPSG.02.03.01: Report critical results of tests and diagnostic procedures on a timely basis.
  • Goal 3: Improve the safety of using medications.
    • NPSG.03.04.01: Label all medications, medication containers, and other solutions on and off the sterile field in perioperative and other procedural settings.
    • NPSG.03.05.01: Reduce the likelihood of patient harm associated with the use of anticoagulant therapy.
    • NPSG.03.06.01: Maintain and communicate accurate patient medication information.
  • Goal 7: Reduce the risk of health care–associated infections.
    • NPSG.07.01.01: Comply with either the current Centers for Disease Control and Prevention (CDC) hand hygiene guidelines or the current World Health Organization (WHO) hand hygiene guidelines.
    • NPSG.07.03.01: Implement evidence-based practices to prevent health care–associated infections due to multidrug-resistant organisms in acute care hospitals.
    • NPSG.07.04.01: Implement evidence-based practices to prevent central line–associated bloodstream infections.
    • NPSG.07.05.01: Implement evidence-based practices for preventing surgical site infections.
    • NPSG.07.06.01: Implement evidence-based practices to prevent indwelling catheter-associated urinary tract infections (CAUTI).
  • Goal 15: The hospital identifies safety risks inherent in its patient population.
    • NPSG.15.01.01: Identify patients at risk for suicide.
  • Universal Protocol: Preventing Wrong Site, Wrong Procedure, and Wrong Person Surgery
    • UP.01.01.01: Conduct a preprocedure verification process.
    • UP.01.02.01: Mark the procedure site.
    • UP.01.03.01: A time-out is performed before the procedure.