Browse Document Library by National Patient Safety Goals
The documents in the Document Library which match your selected category are alphabetically sorted and listed below. If you need to search on a specific key phrase, just use our handy search tool on the main Document Library page.
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2009 NPSG Analysis of Implementation Expectations
Release Date: August 11, 2008
Document Type: Regulatory Analysis
Analysis of the 2009 NPSG changes, what’s new, what remains and what is expected for implementation. Included are the 2008 FAQ revisions as they impact the 2009 NPSGs and tips for compliance.
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Critical Results/Values, Policy
Release Date: April 30, 2010
Document Type: Policies and Procedures
Model policy addressing the requirements for supporting 2010 NPSG.02.03.01 - critical lab results.
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Early Analysis 2010 NPSG Still Questions
Release Date: September 16, 2009
Document Type: Regulatory Analysis
Early Analysis 2010 NPSG Still Questions
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FAQs for 2009 National Patient Safety Goals Update
Release Date: December 19, 2008
Document Type: Regulatory Analysis
Analysis and discussion regarding the posting of the 2009 version of the FAQs for the National Patient Safety Goals.
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Hand Hygiene Comparison - CDC & WHO Guidelines, Discussion
Release Date: July 19, 2007
Document Type: Regulatory Analysis
The Joint Commission recently announced the 2008 National Patient Safety Goals, which includes the modification of requirement 7A on hand hygiene guidelines for all programs. This will allow use of the World Health Organization (WHO) Hand Hygiene Guidelines as an alternative to the Centers for Disease Control (CDC) and Prevention Guidelines. What will this mean for hospitals in this country? Not a lot.
The WHO document is extremely well done and incorporates guidelines on hand hygiene in health-care settings previously published by the CDC. The WHO guidelines focus on many issues facing developing nations with detailed studies and recommendations that fortunately don't apply to our hospitals; however, there is a large section devoted to Religion and Cultural Aspects of Hand Hygiene. This is an area most hospitals most likely haven't addressed and well worth reading.
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Hand Hygiene Observation, Model Worksheet
Release Date: August 20, 2007
Document Type: Tools
As per the CDC, there are 90,000 deaths a year due to healthcare-acquired infections in the United States alone. Each infection can cost over $30,000 dollars to treat and can total $45 billion dollars a year for care, treatment, and extended hospital stays. Healthcare workers transmit the majority of healthcare-acquired infections (HAIs) during patient contact, inadvertently transmitting organisms from one patient to another when hand hygiene is less than optimal. Monitoring, measuring, and trending hand hygiene compliance is necessary in every healthcare organization. The denominator should be the number of opportunities for hand hygiene compliance and the numerator the number of times hand rubbing/washing was performed. National Patient Safety Goal 7A requires that healthcare organizations comply with the CDC's hand hygiene guidelines. This goal is scored as a "C" category element of performance, which requires measurement. We have provided for you an easy to use tool to track, trend, and measure hand hygiene compliance.
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Labeling of Medications in Procedural Areas, Model Policy
Release Date: June 23, 2010
Document Type: Policies and Procedures
Under NPSG.03.04.01 to Improve the Safety of Using Medications addresses that all medications and medication containers or other types of solutions on and off of the sterile field and in other procedural settings be labeled unless it is immediately used. This means syringes containing medication, medicine cups and basins must be labeled. This model policy outlines the requirements contained in this NPSG requirement incorporating EPs 1-8 into a single page. Consider all areas throughout your institution for applicability where procedures are performed and medications and solutions may be transferred from original packaging to secondary containers such as the OR environment, Newborn Nursery when circumcisions are performed, Emergency Department and Interventional Radiology to name a few.
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Look Alike-Sound Alike Medications TJC Update, Discussion
Release Date: October 24, 2006
Document Type: Regulatory Analysis
Analysis of the revisions to the Joint Commission LASA Lists.
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Medication Reconciliation Overview
Release Date: July 21, 2008
Document Type: Tools
This overview document provides a discussion of the principles of medication reconcilation, a discussion of several scenarios where medication management processes according to setting, a medication reconciliation management policy, and a medication reconcilation sample form.
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Medication Reconciliation, Model Policy
Release Date: January 16, 2007
Document Type: Policies and Procedures
Policy outlining medication reconciliation process from intake through discharge.
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Medication Reconciliation, Principles
Release Date: January 16, 2007
Document Type: Regulatory Analysis
A discussion of the principles of medication reconciliation.
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Medication Reconciliation, Questions
Release Date: July 18, 2007
Document Type: Regulatory Analysis
This document provides a Greeley Position Paper on some of the issues our clients have been challenged with in relationship to medication reconciliation. Our position is reached from an in-depth review, analysis and collective interpretation of the Joint Commission Standards and most recent discussion in the Joint Commission's "Perspectives" and Frequently Asked Questions (FAQs) regarding medication reconciliation.
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Medication Reconciliation, Sample Form
Release Date: September 4, 2008
Document Type: Forms
Inpatient medication reconciliation form.
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Medication Reconciliation, Sample Scenarios, Discussion
Release Date: January 16, 2007
Document Type: Tools
A discussion of several scenarios of medication management processes.
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New Expectations for 2009 National Patient Safety Goals
Release Date: July 10, 2008
Document Type: Regulatory Analysis
Synopsis of key changes in 2009 National Patient Safety Goals
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Operative Placard 2010
Release Date: April 27, 2010
Document Type: Tools
Provides a sample operative transfer checklist which can be used for all types of procedures.
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Patient Identification, Model Policy
Release Date: April 14, 2010
Document Type: Policies and Procedures
Sample model policy conforms with the NPSG01.01.01 requirements.
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Suicide Risk Assessment, Model Policy
Release Date: April 30, 2010
Document Type: Policies and Procedures
Provides guidance on providing a suicide risk assessment in support of NPSG 15.01.01
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Time Out Placard 2010
Release Date: April 27, 2010
Document Type: Tools
Sample visual noting the components of the Time Out requirements.
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Universal Protocol, Model Policy
Release Date: April 27, 2010
Document Type: Policies and Procedures
Sample policy which supports the requirements noted in the Universal Protocol.
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