Blog Layout

National Patient Safety Goals: A Glimpse At 2025

In 2002 The Joint Commission (TJC) first established the National Patient Safety Goals (NPSG) Program. In 2003, TJC rolled out the first set of NPSG’s. Each year, TJC prioritizes patient safety goals for various healthcare programs. The goals are prioritized based upon feedback from healthcare providers, stakeholders, purchasers and consumer groups. The intent is to minimize risk to patients. With each goal that is identified, there are also essentials steps detailing how to address each goal to meet a desirable outcome for patients. For healthcare organizations who are accredited by TJC, their accreditation status highly depends on a facilities commitment to meeting NPSG’s with success.


For healthcare organizations who are accredited or who are seeking accreditation by TJC, it is important to stay current with the updated goals each year. Of note, many of the goals that are identified do not change drastically from year to year. This is largely because we continue to see adverse outcomes surrounding the same issues each year in the healthcare industry.


If you are or are planning on becoming a TJC accredited organization, it is imperative that you remain current with each year’s set of established goals. Be sure to update this information throughout your facility. Regardless of the type of healthcare program you have, TJC issues a simplified version of each of the goals sets which can be easily printed off their website and used for team education and promoting awareness. In addition, you can also access chapter versions of NPSG’s that detail Elements of Performance (EPs) for meeting goals and the rationale for why each goal is significant.


Although we do not personally endorse TJC, we appreciate and recognize that the NPSG’s are development with an intent to reduce harm to patients. Therefore, we can all appreciate that this information can be shared universally across all healthcare entities and programs regardless of accreditation affiliation or status. You can reference annual goals on their website The Joint Commission.


One of the primary goals that continues to require attention and focus is patient identification. In our experience, we find that methods used for patient identification methods may vary throughout a single organization. Predominantly, patients are asked to provide their name a date of birth to healthcare workers to aid in establishing proper identity. We encourage you to observe how your team identifies patients within your organization. It may be a good time to review your current policy as well as how staff are educated on proper patient identification methods. The consequences due to improper identification of a patient may include medication administration errors, unnecessary treatment for a diagnosis and unnecessary surgery being performed for example. These are just a few adverse events that may occur in addition to many others.


Another goal that continues to remain an area of concern addresses medication reconciliation. If medications are not reconciled in a structured and routine manner, patients may suffer from overdosing or experience serious and potentially fatal adverse reactions to medication. Medication reconciliation should always include medication name, purpose, dose and frequency. It is imperative that patients understand how to follow their prescribed medication regimen correctly.


Alarms continue to remain an area of concern in healthcare organizations. Working in an environment, particularly with a significant amount of patient safety equipment in use is typically stressful for healthcare workers. Alarm fatigue occurs in these environments due to sensory overload as a result of hearing medical equipment alarm frequently. This often leads to unsafe silencing, changing alarm paraments or simply the shutting off of alarm associated with patient care sensors. Aversion to critical alarms remains a serious concern in healthcare today resulting in significant patient harm and death.


There continues to be a major focus on identifying and managing patients with suicidal ideation, reduction of healthcare associated infections and universal precautions to prevent wrong-site surgeries. Although specific NPSG’s will vary based on each type of healthcare program, the focus continues to be on risk reduction and improving patient safety.


We encourage organizations to take a brief look at TJC’s NPSG’s regardless of your organization’s accrediting body or accreditation status. We further encourage you to review your policies, protocols and training programs that address risk reduction relevant to the recurring and increasing concerns in patient care settings across the globe. Adverse events can easily lead to professional liability claims and revenue loss for healthcare organizations but more importantly significant harm to patients as well as death. The statistics continue to demonstrate that these problems remain prevalent and demand our attention. After all, the goal for all healthcare professionals working in this ever-changing and increasingly challenging industry should be to cause zero harm. This requires establishing, supporting and maintaining a culture of safety.

 

Our experts understand the challenges that all healthcare facilities are facing today. Using a customizable approach, we will help you navigate through even the toughest of challenges.


Whether you are in need of mock surveys, leadership training, corrective action plans or ongoing routine support services, we can help!

We pride ourselves on helping our clients achieve and maintain a status of excellence in the healthcare industry.


Be sure to browse Our Website for a full list of services we provide.
Contact us today at +1 
(800) 813-7117 to schedule a free consultation.

February 10, 2025
It is that time of year again. At least for acute care hospitals, long-term acute care (LTAC) hospitals and inpatient rehabilitation facilities (IRF) who report to The National Healthcare Safety Network (NHSN). If annual surveys are not reported by March 1 st , then your organization will not be permitted to enter monthly reporting plans until the annual survey has been completed. Although there are just a few weeks to go, early planning is the key. It is important to consider that responses to the Annual Survey questions are a collaborative effort. Planning a meeting in advance with key stakeholders will help to ease the stress of completing what some may consider to be a daunting task. Be sure to coordinate with Facilities Managers, Pharmacists, Laboratory, Nursing, Infection Prevention and Quality leaders on annual survey responses. Although individuals who are responsible for report submission may find that some of the data has not changed significantly from the previous year, we have identified that some questions have been removed while additional questions have been added. If you are new to NHSN reporting and have not yet completed an annual survey, you will find an alert reminding you on your dashboard upon logging in. Keep in mind that the survey you are completing requires data from the previous calendar year. You will be submitting data for 2024 due March 1 st , 2025. There are a variety of questions that will require information about metrics, facility type, infection prevention practices, laboratory testing methods, water quality management, and antimicrobial stewardship practices for example. Instructions on completing your organization’s annual survey click on the link below that corresponds with your facility type: Instructions for Completing Annual Hospital Survey Instructions for Completing LTAC Annual Survey Instructions for Completing IRF Annual Survey OSHA requires the following facilities to complete an annual occupational injury and Illness Report: Ambulatory Health Care Servies General Medical and Surgical Hospitals Psychiatric and Substance Abuse Hospitals Specialty Hospitals Skilled Nursing Facilities For a complete list of facilities required to report annually via electronic submission and for additional information on Standard 1904 Subpart E Appendix B click on the following link: OSHA Injury and Illness Reporting Requirements . Much like NHSN annual surveys, this reporting is also for the prior calendar year. Your deadline for submission is March 2, 2025. If your organization has not previously been reporting, please note that you will need to set up an Injury Tracking Application (ITA) account. For complete instructions, click on the following link User Guide . Individuals who are responsible for report completion and submission should have a clear understanding of criteria that constitutes a work-related injury. They will also need to know if the employee missed days of work because of injury or illness. If an employee was restricted from usual work activities or reassigned to a new role as a result of the injury or illness this information must be documented. If an employee required care beyond basic first aid, this will also need to be reported. Reporters should not include Protected Health Information (PHI). For a brief tutorial on OSHA annual reporting requirements, click on the following link OSHA Injury and Illness Reporting . Our experts understand the challenges that all healthcare facilities are facing today. Using a customizable approach, we will help you navigate through even the toughest of challenges. Whether you are in need of mock surveys, leadership training, corrective action plans or ongoing support services, we can help! We pride ourselves on helping our clients achieve and maintain a status of excellence in the healthcare industry. Be sure to browse Our Website for a full list of services we provide. Contact us today at +1 (800) 813-7117 to schedule a free consultation. References: https://www.cdc.gov/nhsn/forms/instr/57_103-toi.pd https://www.osha.gov/laws-regs/regulations/standardnumber/1904/1904SubpartEAppB https://www.osha.gov/sites/default/files/ita_user_guide.pdf https://www.osha.gov/sites/default/files/osha_rktutorial.pdf
A surgeon is standing next to a patient in a hospital bed.
December 9, 2024
When it comes to delivering radiologic and diagnostic services under The Centers for Medicare & Medicaid Services Conditions of Participation, hospitals need to have policies, procedures and safe practices in place that are centered around delivery of patient services, safety of patients and personnel, qualifications of personnel and record keeping practices.
A red background with white snowflakes and the words happy holidays
November 5, 2024
The holiday season is a wonderful time to celebrate with family and friends. Depending on your level of enthusiasm, you may be someone who prepares for celebrations’ month in advance.
Share by: