2014NationalPatientSafetyGoals

2014國際患者安全目標(biāo)

2014國際患者安全目標(biāo)TheNationalPatientSafetyGoals(NPSGs)wereestablishedin2002tohelpaccreditedorganizationsaddressspecificareasofconcerninregardstopatientsafetyThefirstsetofNPSGswaseffectiveJanuary1,2003ThePatientSafetyAdvisoryGroupadvisesTheJointCommissiononthedevelopmentandupdatingofNPSGsBackground2014國際患者安全目標(biāo)PatientSafetyAdvisoryGroupComprisedofapanelofwidelyrecognizedpatientsafetyexperts,includingnurses,physicians,pharmacists,riskmanagers,clinicalengineers,andotherprofessionalswithhands-onexperienceinaddressingpatientsafetyissuesinawidevarietyofhealthcaresettingsAdvisesTheJointCommissionhowtoaddressemergingpatientsafetyissuesinNPSGs,SentinelEventAlerts,standardsandsurveyprocesses,performancemeasures,educationalmaterials,andCenterforTransformingHealthcareprojects2014國際患者安全目標(biāo)Changesfor2014

2014變化關(guān)注于臨床警示的管理AnewNPSGfocusingonsafeclinicalalarmmanagementforhospitalsandcriticalaccesshospitalswillbeintroducedin2014withaphasedimplementationPhaseonebeginsJanuary1,2014PhasetwobeginsJanuary1,20162014國際患者安全目標(biāo)臨床警示安全：第一個階段

ClinicalAlarmSafety:PhaseOne2014年1月1日開始醫(yī)院建立警示安全管理組織識別、管理重要的警示狀況2014國際患者安全目標(biāo)臨床警示安全：第二個階段

ClinicalAlarmSafety:PhaseTwo2016年1月1日開始醫(yī)院完善并執(zhí)行相關(guān)政策和程序培訓(xùn)警示管理系統(tǒng)知識2014國際患者安全目標(biāo)PatientIdentificationGoal1:

Improvetheaccuracyofpatientidentification.提高患者身份識別的精確度2014國際患者安全目標(biāo)PatientIdentificationNPSG.01.01.01:Useatleasttwopatientidentifierswhenprovidingcare,treatmentandservices.至少使用兩種身份識別方法，在提供護理、治療和服務(wù)時Appliesto:Ambulatory,BehavioralHealthCare,CriticalAccessHospital,HomeCare,Hospital,Laboratory,NursingCareCenter,Office-BasedSurgery2014國際患者安全目標(biāo)PatientIdentificationNPSG.01.03.01:Eliminatetransfusionerrorsrelatedtopatientmisidentification.避免患者身份識別相關(guān)輸血錯誤Appliesto:Ambulatory,CriticalAccessHospital,Hospital,Office-BasedSurgery2014國際患者安全目標(biāo)ImproveCommunicationGoal2:Improvetheeffectivenessofcommunicationamongcaregivers.提高醫(yī)療團隊同事間的有效溝通2014國際患者安全目標(biāo)ImproveCommunicationNPSG.02.03.01:Reportcriticalresultsoftestsanddiagnosticproceduresonatimelybasis.及時報告診斷和檢驗相關(guān)危急結(jié)果Appliesto:CriticalAccessHospital,Hospital,Laboratory2014國際患者安全目標(biāo)MedicationSafetyGoal3:

Improvethesafetyofusingmedications.提高患者用藥安全2014國際患者安全目標(biāo)MedicationSafetyNPSG.03.04.01:Labelallmedications,medicationcontainers,andothersolutionsonandoffthesterilefieldinperioperativeandotherproceduralsettings.Appliesto:Ambulatory,CriticalAccessHospital,Hospital,OfficeBasedSurgery2014國際患者安全目標(biāo)MedicationSafetyNPSG.03.05.01:Reducethelikelihoodofpatientharmassociatedwiththeuseofanticoagulanttherapy.Appliesto:Ambulatory,CriticalAccessHospital,Hospital,NursingCareCenter2014國際患者安全目標(biāo)MedicationSafetyNPSG.03.06.01:Maintainandcommunicateaccuratepatientmedicationinformation.Appliesto:Ambulatory,BehavioralHealthCare,CriticalAccessHospital,HomeCare,Hospital,NursingCareCenter,Office-BasedSurgery2014國際患者安全目標(biāo)ClinicalAlarmSafetyGoal6:

Reducetheharmassociatedwithclinicalalarmsystems.減少臨床警示系統(tǒng)相關(guān)損害2014國際患者安全目標(biāo)ClinicalAlarmSafetyNPSG.06.01.01:Improvethesafetyofclinicalalarmsystems.提高臨床警示系統(tǒng)安全Appliesto:CriticalAccessHospital,Hospital2014國際患者安全目標(biāo)HealthCare-AssociatedInfectionsGoal7:

Reducetheriskofhealthcare-associatedinfections.減少院內(nèi)獲得性感染發(fā)生風(fēng)險2014國際患者安全目標(biāo)HealthCare-AssociatedInfectionsNPSG.07.01.01:ComplywitheitherthecurrentCentersforDiseaseControlandPrevention(CDC)handhygieneguidelinesorthecurrentWorldHealthOrganization(WHO)handhygieneguidelines.執(zhí)行CDC和WHO手衛(wèi)生指南標(biāo)準(zhǔn)Appliesto:Ambulatory,BehavioralHealthCare,CriticalAccessHospital,HomeCare,Hospital,Laboratory,NursingCareCenter,Office-BasedSurgery

2014國際患者安全目標(biāo)HealthCare-AssociatedInfectionsNPSG.07.03.01:Implementevidence-basedpracticestopreventhealthcare-associatedinfectionsduetomultidrug-resistantorganismsinacutecarehospitals.執(zhí)行預(yù)防多重耐藥菌感染循證措施Appliesto:CriticalAccessHospital,Hospital2014國際患者安全目標(biāo)HealthCare-AssociatedInfectionsNPSG.07.04.01:Implementevidence-basedpracticestopreventcentralline-associatedbloodstreaminfections.執(zhí)行預(yù)防中心靜脈導(dǎo)管相關(guān)血流感染循證措施Appliesto:CriticalAccessHospital,Hospital,NursingCareCenter2014國際患者安全目標(biāo)HealthCare-AssociatedInfectionsNPSG.07.05.01:Implementevidence-basedpracticesforpreventingsurgicalsiteinfections.執(zhí)行預(yù)防外科手術(shù)切口感染循證措施

Appliesto:Ambulatory,CriticalAccessHospital,Hospital,Office-BasedSurgery2014國際患者安全目標(biāo)HealthCare-AssociatedInfectionsNPSG.07.06.01:Implementevidence-basedpracticestopreventindwellingcatheter-associatedurinarytractinfections(CAUTI).執(zhí)行預(yù)防留置尿管相關(guān)感染循證措施Appliesto:CriticalAccessHospital,Hospital

(Note:ThisNPSGisnotapplicabletopediatricpopulations.Researchresultinginevidence-basedpracticeswasconductedwithadults,andthereisnotconsensusthatthesepracticesapplytochildren.)2014國際患者安全目標(biāo)ReduceFallsGoal9:

Reducetheriskofpatientharmresultingfromfalls.減少患者跌倒傷害風(fēng)險2014國際患者安全目標(biāo)ReduceFallsNPSG.09.02.01:Reducetheriskoffalls.降低跌倒發(fā)生風(fēng)險Appliesto:HomeCare,NursingCareCenter2014國際患者安全目標(biāo)PressureUlcersGoal14:

Preventhealthcare-associatedpressureulcers(decubitusulcers).預(yù)防壓瘡發(fā)生2014國際患者安全目標(biāo)PressureUlcersNPSG.14.01.01:Assessandperiodicallyreassesseachresident’sriskfordevelopingapressureulcerandtakeactiontoaddressanyidentifiedrisks.評估，并定期再評估壓瘡高風(fēng)險患者

Appliesto:NursingCareCenter2014國際患者安全目標(biāo)RiskAssessmentGoal15:

Theorganizationidentifiessafetyrisksinherentinitspatientpopulation.識別患者本身的安全風(fēng)險2014國際患者安全目標(biāo)RiskAssessmentNPSG.15.01.01:Identifypatientsatriskforsuicide.識別患者自殺風(fēng)險Appliesto:BehavioralHealthCare,Hospital

(Applicabletopsychiatrichospitalsandpatientsbeingtreatedforemotionalorbehavioraldisordersingeneralhospitals.)2014國際患者安全目標(biāo)RiskAssessmentNPSG.15.02.01:Identifyrisksassociatedwithhomeoxygentherapy,suchashomefires.識別家庭氧療相關(guān)風(fēng)險，如火災(zāi)Appliesto:HomeCare2014國際患者安全目標(biāo)UniversalProtocolforPreventingWrongSite,WrongProcedure,WrongPersonSurgery?

預(yù)防手術(shù)部位錯誤、程序錯誤、手術(shù)患者錯誤UP.01.01.01:Conductapreprocedureverificationprocess.

Appliesto:Ambulatory,CriticalAccessHospital,Hospital,Office-BasedSurgery2014國際患者安全目標(biāo)UniversalProtocolforPreventingWrongS