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Proposed NPSGs open for field review

Accreditation Connection, January 18, 2008

The Joint Commission this week announced proposed 2009 National Patient Safety Goals (NPSG) requirements and implementation expectations (IE) for field review. These proposed NPSGs affect hospitals and critical access hospitals, ambulatory care and office-based surgery, behavioral healthcare, disease-specific care, home care, laboratories, and long term care.

The Joint Commission seeks comments on these potential new NPSGs and will be accepting feedback via an online survey through February 27, 2008. Links to the full text of the proposed revisions as well as the online survey can be found here.

The field review focuses on the following areas:

• Goal 1, patient identification
• Goal 3, safe use of medications
• Goal 7, hospital acquired infections focusing on methicillin-resistant staphylococcus aureus (MRSA) and clostridium difficile-associated disease (CDAD); catheter-associated bloodstream infections (CABSI); and surgical site infections (SSI) in acute care hospitals
• Goal 8, medication reconciliation
• Goal 13, patient involvement in their care
• Universal Protocol

Last year, after the NPSGs were finalized, healthcare organizations faced one new NPSG in preparation for 2008 requiring clinicians to respond rapidly to changes in a patient's condition, and another new requirement about anticoagulant therapy. Unlike in previous years, the 2008 goals will be phased in throughout the year, with full implementation required by January 2009.

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