Joint Commission Approved 2017-08-15T14:28:41+00:00

The Joint Commission National Quality Approval

2017 National Patient Safety Goals

Patient Safety is Every HCA’s Top Priority

Any employee that has concerns about the safety or quality of care provided in an organization may report these concerns to The Joint Commission.

ATC Healthcare will not take any disciplinary actions because an employee reports safety or quality of care concerns to The Joint Commission. You can access all this information by going to the Joint Commission Website

Goal: Improve the accuracy of patient identification. Use at least two ways to identify patients when providing care, treatment or services. For example, use the patient’s name and date of birth. Eliminate transfusion errors related to patient misidentification.

Goal: Improve the effectiveness of communication among health care staff. Report critical results about diagnostic procedures and tests on a timely basis. Read back orders and document that it was read back. Be sure to report these results on a timely basis to the correct person. Document time, date and names of individuals notified about critical values.

Goal: Improve the safety of using medications. Before a procedure, label all medication containers, and other solutions on and off the sterile field in perioperative and other procedural settings. This includes medicines in syringes, cups and basins. Label medications in the area where medicines and supplies are set up.

Reduce the likelihood of patient harm associated with the use of anticoagulation therapy (blood thinners). This requirement applies to organizations that provide anticoagulant therapy and/or long-term anticoagulation prophylaxis.

Maintain and communicate accurate patient medication information. This is called medication reconciliation. Find out, record and pass along correct information about patient medicines. Compare those medicines to new medicines given to the patient and make sure the patient knows which medicines to take when they are at home. Inform all patients that it’s important to bring up-to-date
medication lists every time they visit a doctor or go to the hospital or other health care institution.

Goal: Reduce harm associated with clinical alarm systems and improve their safety. Clinical alarms are supposed to alert health care workers to potential problems but if they are not managed correctly they can compromise patient safety. Too many alarms going off can desensitize the staff who deal with them, they may not be able to distinguish between them, ignore them or turn them off. Both staff and patients (and their families) need to be educated about alarms and how to manage them.

Goal: Reduce the risk of health careassociated infections. Use the Centers for Disease Control and Prevention (CDC) hand hygiene guidelines or the World Health Organization (WHO) hand hygiene guidelines. Use proven guidelines to prevent infections that are difficult to treat, such as those caused by multi-drug resistant organisms. This requirement applies, but is not limited to, epidemiologically important organisms such as methicillin resistant staphylococcus aureus (MRSA), clostridium difficile (CDI), vancomycin resistant enterococci (VRE) and multidrugresistant gram negative bacteria. Use
evidence-based practices to prevent blood stream infections from central line contamination. This requirement covers short and long term central venous catheters and peripherally inserted central catheters (PICC). Implement evidence based practices to prevent indwelling catheter-associated urinary tract infections.

Goal: Identify patient safety risks inherent in the patient population served. Identify patients at risk for suicide. This applies to facilities dealing with psychiatric patients or patients being treated for emotional or behavioral disorders in general hospitals. In the home care setting, find out if there are any risks for patients who are getting oxygen at home, such as fires.

Goal: For patient safety, conduct preprocedure verification process. This helps prevent mistakes in surgery. Make sure that the correct surgery is done on the correct patient and at the correct place on the patient’s body. Mark the correct place on the patient’s body where the surgery is to be done. Take a time-out before surgery to make sure that a mistake is not being made.

Goal: Reduce the risk of patient harm from falls. Reassess. Make sure everyone on the team is aware of identified fall risks. Use bed alarms as needed. Find out if patients are taking medicines that can make them sleepy or dizzy.

Goal: Prevent health care-associated pressure ulcers (decubitus ulcers).Find out which patients are most likely to have bed sores, take action. Reassess periodically per protocols at client facilities. Document findings and actions.