2014国际患者安全目标

2014 National Patient Safety Goals2014国际患者安全目标,The National Patient Safety Goals (NPSGs) were established in 2002 to help accredited organizations address specific areas of concern in regards to patient safetyThe first set of NPSGs was effective January 1, 2003The Patient Safety Advisory Group advises The Joint Commission on the development and updating of NPSGs,Background,Patient Safety Advisory Group,Comprised of a panel of widely recognized patient safety experts, including nurses, physicians, pharmacists, risk managers, clinical engineers, and other professionals with hands-on experience in addressing patient safety issues in a wide variety of healthcare settingsAdvises The Joint Commission how to address emerging patient safety issues in NPSGs, Sentinel Event Alerts, standards and survey processes, performance measures, educational materials, and Center for Transforming Healthcare projects,Changes for 20142014变化,关注于临床警示的管理A new NPSG focusing on safe clinical alarm management for hospitals and critical access hospitals will be introduced in 2014 with a phased implementationPhase one begins January 1, 2014Phase two begins January 1, 2016,临床警示安全：第一个阶段Clinical Alarm Safety: Phase One,2014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,临床警示安全：第二个阶段Clinical Alarm Safety: Phase Two,2016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,Patient Identification,Goal 1: Improve the accuracy of patient identification.提高患者身份识别的精确度,Patient Identification,NPSG.01.01.01: Use at least two patient identifiers when providing care, treatment and services. 至少使用两种身份识别方法，在提供护理、治疗和服务时Applies to: Ambulatory, Behavioral Health Care, Critical Access Hospital, Home Care, Hospital, Laboratory, Nursing Care Center, Office-Based Surgery,Patient Identification,NPSG.01.03.01: Eliminate transfusion errors related to patient misidentification.避免患者身份识别相关输血错误Applies to: Ambulatory, Critical Access Hospital, Hospital, Office-Based Surgery,Improve Communication,Goal 2: Improve the effectiveness of communication among caregivers.提高医疗团队同事间的有效沟通,Improve Communication,NPSG.02.03.01: Report critical results of tests and diagnostic procedures on a timely basis.及时报告诊断和检验相关危急结果Applies to: Critical Access Hospital, Hospital, Laboratory,Medication Safety,Goal 3: Improve the safety of using medications.提高患者用药安全,Medication Safety,NPSG.03.04.01: Label all medications, medication containers, and other solutions on and off the sterile field in perioperative and other procedural settings. Applies to: Ambulatory, Critical Access Hospital, Hospital, Office Based Surgery,Medication Safety,NPSG.03.05.01: Reduce the likelihood of patient harm associated with the use of anticoagulant therapy. Applies to: Ambulatory, Critical Access Hospital, Hospital, Nursing Care Center,Medication Safety,NPSG.03.06.01: Maintain and communicate accurate patient medication information.Applies to: Ambulatory, Behavioral Health Care, Critical Access Hospital, Home Care, Hospital, Nursing Care Center, Office-Based Surgery,Clinical Alarm Safety,Goal 6: Reduce the harm associated with clinical alarm systems.减少临床警示系统相关损害,Clinical Alarm Safety,NPSG.06.01.01: Improve the safety of clinical alarm systems.提高临床警示系统安全Applies to: Critical Access Hospital, Hospital,Health Care-Associated Infections,Goal 7: Reduce the risk of health care-associated infections.减少院内获得性感染发生风险,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.执行CDC和WHO手卫生指南标准Applies to: Ambulatory, Behavioral Health Care, Critical Access Hospital, Home Care, Hospital, Laboratory, Nursing Care Center, Office-Based Surgery,Health Care-Associated Infections,NPSG.07.03.01: Implement evidence-based practices to prevent health care-associated infections due to multidrug-resistant organisms in acute care hospitals.执行预防多重耐药菌感染循证措施Applies to: Critical Access Hospital, Hospital,Health Care-Associated Infections,NPSG.07.04.01: Implement evidence-based practices to prevent central line-associated bloodstream infections.执行预防中心静脉导管相关血流感染循证措施Applies to: Critical Access Hospital, Hospital, Nursing Care Center,Health Care-Associated Infections,NPSG.07.05.01: Implement evidence-based practices for preventing surgical site infections.执行预防外科手术切口感染循证措施Applies to: Ambulatory, Critical Access Hospital, Hospital, Office-Based Surgery,Health Care-Associated Infections,NPSG.07.06.01: Implement evidence-based practices to prevent indwelling catheter-associated urinary tract infections (CAUTI).执行预防留置尿管相关感染循证措施Applies to: Critical Access Hospital, Hospital (Note: This NPSG is not applicable to pediatric populations. Research resulting in evidence-based practices was conducted with adults, and there is not consensus that these practices apply to children.),Reduce Falls,Goal 9: Reduce the risk of patient harm resulting from falls. 减少患者跌倒伤害风险,Reduce Falls,NPSG.09.02.01: Reduce the risk of falls.降低跌倒发生风险Applies to: Home Care, Nursing Care Center,Pressure Ulcers,Goal 14: Prevent health care-associated pressure ulcers (decubitus ulcers).预防压疮发生,Pressure Ulcers,NPSG.14.01.01: Assess and periodically reassess each residents risk for developing a pressure ulcer and take action to address any identified risks. 评估，并定期再评估压疮高风险患者Applies to: Nursing Care Center,Risk Assessment,Goal 15: The organization identifies safety risks inherent in its patient population. 识别患者本身的安全风险,Risk Assessment,NPSG.15.01.01: Identify patients at risk for suicide. 识别患者自杀风险Applies to: Behavioral Health Care, Hospital (Applicable to psychiatric hospitals and patients being treated for emotional or behavioral disorders in general hospitals.),Risk Assessment,NPSG.15.02.01: Identify risks associated with home oxygen therapy, such as home fires. 识别家庭氧疗相关风险，如火灾Applies to: Home Care,Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery预防手术部位错误、程序错误、手术患者错误,UP.01.01.01: Conduct a preprocedure verification process. Applies to: Ambulatory, Critical Access Hospital, Hospital, Office-Based Surgery,Universal Protocol for Preventing Wrong Site, Wrong