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Joint Commission Announces Program Specific 2005 National Patient Safety Goals

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NRSKarenRN has 43 years experience as a BSN, RN and specializes in Vents, Telemetry, Home Care, Home infusion.

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the joint commission's board of commissioners approved the 2005 national patient safety goals (npsgs) at its july meeting.

the 2005 npsgs are specific to the various types of health care settings accredited and certified by the joint commission. these include ambulatory care and surgery centers, office-based surgery, assisted living facilities, behavioral health care settings, critical access hospitals, disease-specific care program, home health care, hospitals, long term care, and laboratories. the npsgs are reviewed and revised annually by a panel that comprises physicians, nurses, pharmacists and patient safety experts who work closely with joint commission staff on a continuing basis to determine priorities for and develop goals. for more details on goals, go to www.jcaho.org/accredited+organizations/patient+safety/npsg.htm

here are some of the goals : new are in bold. karen

goal: improve the effectiveness of communication among caregivers.

  • for verbal or telephone orders or for telephonic reporting of critical test results, verify the complete order or test result by having the person receiving the order or test result "read-back" the complete order or test result.
  • standardize a list of abbreviations, acronyms and symbols that are not to be used throughout the organization.
  • measure, assess and, if appropriate, take action to improve the timeliness of reporting, and the timeliness of receipt by the responsible licensed caregiver, of critical test results and values.

goal: improve the safety of using medications.

  • remove concentrated electrolytes (including, but not limited to, potassium chloride, potassium phosphate, sodium chloride >0.9%) from patient care areas.
  • standardize and limit the number of drug concentrations used by the organization.
  • identify and, at a minimum, annually review a list of look-alike/sound-alike drugs used by the organization, and take action to prevent errors involving the interchange of these drugs.

goal: accurately and completely reconcile medications across the continuum of care.

  • have a process for obtaining and documenting a complete list of the patient's current medications upon the patient's entry to the organization and with the involvement of the patient.
  • a complete list of the patient's medications is communicated to the next provider of service when it refers or transfers a patient to another setting, service, practitioner or level of care within or outside the organization.

goal: reduce the risk of patient harm resulting from falls.

  • assess and periodically reassess each patient's risk for falling, including the potential risk associated with the patient's medication regimen, and take action to address any identified risks.

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