November 11: 2018 National Patient Safety Goal Update

The Joint Commission National Patient Safety Goals are published annually for all sites of care accredited by The Joint Commission. Implementing the NPSGs, even if you are not Joint Commission accredited is an ideal way to maintain patient safety. You can access the NPSGs on the Joint Commission web site at no charge.

The 2018 goals include:
Goal 1: Improve the accuracy of patient and resident identification (Hospital, Critical Access Hospital, Nursing Care Center)

Goal 2: Improve the effectiveness of communication among caregivers (Hospital, Critical Access Hospital)

Goal 3: Improve the safety of using medications (Hospital, Critical Access Hospital, Nursing Care Center)

Goal 6: Reduce the harm associated with clinical alarm systems (Hospital, Critical Access Hospitals)

Goal 7: Reduce the risk of health care-associated infections (Hospital, Critical Access Hospital, Nursing Care Center)

Goal 9: Reduce the risk of patient harm resulting from falls (Nursing Care Center)

Goal 14: Prevent health care-associated pressure ulcers (decubitus ulcers) (Nursing Care Center)

Goal 15: Identify patients at risk for suicide (Hospital)

Universal Protocol for Preventing Wrong Site, Wrong Procedure, and Wrong Person Surgery (Hospital and Critical Access Hospital)
*Please note that not all Elements of Performance (EPs) apply to Nursing Care Centers

Two of the NPSGs have been revised for 2018.

Here’s a brief summary of changes:

  • NPSG.07.03.01: Implement evidence-based practices to prevent health care-associated
    infections due to multidrug-resistant organisms.
  • As of January 1, 2018 applies to Nursing Care Centers.
  • Education of staff and LIPs about multidrug-resistant organisms and prevention is required at the time of hire and when granting initial privileges. However, the requirement for annual education was eliminated. Facilities are required to provide education “periodically” as determined by the organization
  • Carbapenem-resistant enterobacteriaceae (CRE) was added to epidemiologically important organisms.

NPSG.07.04.01: Implement evidence-based practices to prevent central line-associated bloodstream infections
Education is required for staff and LIPs, who are involved in managing central lines, about central line-associated bloodstream infections and the importance of prevention. However, the requirement for annual education was eliminated. Facilities are required to provide education “periodically” as determined by the organization.
The requirement to use standardized process during central line insertion was removed and replaced with maximum sterile barrier precautions.
Using an antiseptic for skin preparation, was revised to specify the use of alcoholic chlorhexidine antiseptic.

 

Author: Carolyn St.Charles, RN, BSN, MBA, Regional Chief Clinical Officer

 

 

For more information about NPSGs or to schedule a mock survey please contact:
Carolyn St.Charles, RN, BSN, MBA
Phone: 360-584-9868
Email: Carolyn.stcharles@healthtechS3.com