2014国际患者安全目标课件

2014NationalPatientSafetyGoals

2014国际患者安全目标

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

2014变化关注于临床警示的管理AnewNPSGfocusingonsafeclinicalalarmmanagementforhospitalsandcriticalaccesshospitalswillbeintroducedin2014withaphasedimplementationPhaseonebeginsJanuary1,2014PhasetwobeginsJanuary1,20162014国际患者安全目标临床警示安全：第一个阶段

ClinicalAlarmSafety:PhaseOne2014年1月1日开始医院建立警示安全管理组织识别、管理重要的警示状况2014国际患者安全目标临床警示安全：第二个阶段

ClinicalAlarmSafety:PhaseTwo2016年1月1日开始医院完善并执行相关政策和程序培训警示管理系统知识2014国际患者安全目标PatientIdentificationGoal1:

Improvetheaccuracyofpatientidentification.提高患者身份识别的精确度2014国际患者安全目标PatientIdentificationNPSG.01.01.01:Useatleasttwopatientidentifierswhenprovidingcare,treatmentandservices.至少使用两种身份识别方法，在提供护理、治疗和服务时Appliesto:Ambulatory,BehavioralHealthCare,CriticalAccessHospital,HomeCare,Hospital,Laboratory,NursingCareCenter,Office-BasedSurgery2014国际患者安全目标PatientIdentificationNPSG.01.03.01:Eliminatetransfusionerrorsrelatedtopatientmisidentification.避免患者身份识别相关输血错误Appliesto:Ambulatory,CriticalAccessHospital,Hospital,Office-BasedSurgery2014国际患者安全目标ImproveCommunicationGoal2:Improvetheeffectivenessofcommunicationamongcaregivers.提高医疗团队同事间的有效沟通2014国际患者安全目标ImproveCommunicationNPSG.02.03.01:Reportcriticalresultsoftestsanddiagnosticproceduresonatimelybasis.及时报告诊断和检验相关危急结果Appliesto:CriticalAccessHospital,Hospital,Laboratory2014国际患者安全目标MedicationSafetyGoal3:

Improvethesafetyofusingmedications.提高患者用药安全2014国际患者安全目标MedicationSafetyNPSG.03.04.01:Labelallmedications,medicationcontainers,andothersolutionsonandoffthesterilefieldinperioperativeandotherproceduralsettings.Appliesto:Ambulatory,CriticalAccessHospital,Hospital,OfficeBasedSurgery2014国际患者安全目标MedicationSafetyNPSG.03.05.01:Reducethelikelihoodofpatientharmassociatedwiththeuseofanticoagulanttherapy.Appliesto:Ambulatory,CriticalAccessHospital,Hospital,NursingCareCenter2014国际患者安全目标MedicationSafetyNPSG.03.06.01:Maintainandcommunicateaccuratepatientmedicationinformation.Appliesto:Ambulatory,BehavioralHealthCare,CriticalAccessHospital,HomeCare,Hospital,NursingCareCenter,Office-BasedSurgery2014国际患者安全目标ClinicalAlarmSafetyGoal6:

Reducetheharmassociatedwithclinicalalarmsystems.减少临床警示系统相关损害2014国际患者安全目标ClinicalAlarmSafetyNPSG.06.01.01:Improvethesafetyofclinicalalarmsystems.提高临床警示系统安全Appliesto:CriticalAccessHospital,Hospital2014国际患者安全目标HealthCare-AssociatedInfectionsGoal7:

Reducetheriskofhealthcare-associatedinfections.减少院内获得性感染发生风险2014国际患者安全目标HealthCare-AssociatedInfectionsNPSG.07.01.01:ComplywitheitherthecurrentCentersforDiseaseControlandPrevention(CDC)handhygieneguidelinesorthecurrentWorldHealthOrganization(WHO)handhygieneguidelines.执行CDC和WHO手卫生指南标准Appliesto:Ambulatory,BehavioralHealthCare,CriticalAccessHospital,HomeCare,Hospital,Laboratory,NursingCareCenter,Office-BasedSurgery

2014国际患者安全目标HealthCare-AssociatedInfectionsNPSG.07.03.01:Implementevidence-basedpracticestopreventhealthcare-associatedinfectionsduetomultidrug-resistantorganismsinacutecarehospitals.执行预防多重耐药菌感染循证措施Appliesto:CriticalAccessHospital,Hospital2014国际患者安全目标HealthCare-AssociatedInfectionsNPSG.07.04.01:Implementevidence-basedpracticestopreventcentralline-associatedbloodstreaminfections.执行预防中心静脉导管相关血流感染循证措施Appliesto:CriticalAccessHospital,Hospital,NursingCareCenter2014国际患者安全目标HealthCare-AssociatedInfectionsNPSG.07.05.01:Implementevidence-basedpracticesforpreventingsurgicalsiteinfections.执行预防外科手术切口感染循证措施

Appliesto:Ambulatory,CriticalAccessHospital,Hospital,Office-BasedSurgery2014国际患者安全目标HealthCare-AssociatedInfectionsNPSG.07.06.01:Implementevidence-basedpracticestopreventindwellingcatheter-associatedurinarytractinfections(CAUTI).执行预防留置尿管相关感染循证措施Appliesto:CriticalAccessHospital,Hospital

(Note:ThisNPSGisnotapplicabletopediatricpopulations.Researchresultinginevidence-basedpracticeswasconductedwithadults,andthereisnotconsensusthatthesepracticesapplytochildren.)2014国际患者安全目标ReduceFallsGoal9:

Reducetheriskofpatientharmresultingfromfalls.减少患者跌倒伤害风险2014国际患者安全目标ReduceFallsNPSG.09.02.01:Reducetheriskoffalls.降低跌倒发生风险Appliesto:HomeCare,NursingCareCenter2014国际患者安全目标PressureUlcersGoal14:

Preventhealthcare-associatedpressureulcers(decubitusulcers).预防压疮发生2014国际患者安全目标PressureUlcersNPSG.14.01.01:Assessandperiodicallyreassesseachresident’sriskfordevelopingapressureulcerandtakeactiontoaddressanyidentifiedrisks.评估，并定期再评估压疮高风险患者

Appliesto:NursingCareCenter2014国际患者安全目标RiskAssessmentGoal15:

Theorganizationidentifiessafetyrisksinherentinitspatientpopulation.识别患者本身的安全风险2014国际患者安全目标RiskAssessmentNPSG.15.01.01:Identifypatientsatriskforsuicide.识别患者自杀风险Appliesto:BehavioralHealthCare,Hospital

(Applicabletopsychiatrichospitalsandpatientsbeingtreatedforemotionalorbehavioraldisordersingeneralhospitals.)2014国际患者安全目标RiskAssessmentNPSG.15.02.01:Identifyrisksassociatedwithhomeoxygentherapy,suchashomefires.识别家庭氧疗相关风险，如火灾Appliesto:HomeCare2014国际患者安全目标UniversalProtocolforPreventingWrongSite,WrongProcedure,WrongPersonSurgery™

预防手术部位错误、程序错误、手术患者错误UP.01.01.01:Conductapreprocedureverificationprocess.

Appliesto:Ambulatory,CriticalAccessHospital,Hospital,Office-BasedSurgery2014国际患者安全目标UniversalProtocolforPreventingWrongS