2017 National Patient Safety Goals and Requirements

 Goal 1: Improve the accuracy of patient identification.

  • Use at least two patient identifiers when providing care, treatment or services
  • Eliminate transfusion errors related to patient misidentification

Goal 2: Improve the effectiveness of communication among caregivers.

  • Report critical results of tests and diagnostic procedures on a timely basis.

Goal 3: Improve the safety of using medications.

  • Label all medications, medication containers (for example, syringes, medicine cups, basins), or other solutions on and off the sterile field in perioperative and other procedural settings.
  • Reduce the likelihood of patient harm associated with the use of anticoagulant therapy.
  • Maintain and communicate accurate patient medication information

Goal 6: Reduce harm associated with clinical alarm systems.

  • Improve the safety of clinical alarm systems.

Goal 7: Reduce the risk of health care-associated infections.

  • Comply with current Centers for Disease Control and Prevention (CDC) hand hygiene guidelines or World Health Organization (WHO) Hand Hygiene Guidelines.
  • Implement evidence-based practices to prevent health care-associated infections due to multidrug-resistant organisms in acute care and critical care access hospitals
  • Implement evidence-based practices to prevent central line-associated bloodstream infections.
  • Implement evidence-based practices for preventing surgical site infections.
  • Implement evidence-based practices to prevent indwelling catheter-associated urinary tract infections

Goal 15: Identify Individuals at Risk for Suicide.

  • Identify patients at risk for suicide.

Universal Protocol: Wrong site, wrong procedure, wrong person surgery can be prevented.

  • Conduct a preprocedure verification process
  • Mark the procedure site
  • A time-out is performed before the procedure




Hand Hygiene Policy

Purpose:         To prevent the spread of communicable disease and the transmission of     microorganisms by the hand of healthcare providers


  • Antimicrobial hand washing products or an alcohol based hand rub should be used for hand hygiene. Alcohol based hand rub may be used in place of antimicrobial hand washing soap unless hands are visibly or grossly contaminated.  If hands are found to be visibly or grossly contaminated antimicrobial hand washing soup must be used before using alcohol-based hand rubs.


  • Hand hygiene is to be practiced before and after contact with each patient even if gloves are worn. All healthcare workers are required to wash, rinse, and dry their hands or apply alcohol hand rub before beginning work, before eating,  after using the rest room, and before leaving work for the day.


  • Gloves are to be worn when exposure to blood or any other body fluid is likely. Hand hygiene must be performed once gloves are removed.


  • Hand hygiene should be practiced if moving form a contaminated body site to a clean body site during patient care and after contact with objects in the vicinity of the patient.


Routine Hand washing Procedure:

  • Wet hands with water and then apply enough soap to cover all hand surfaces.
  • Rub hands together working up a good lather. Ensure you cover all surfaces of the hands.  Wash your hands for at least 20 seconds.
  • Thoroughly rinse hands with water, avoid splashing.
  • Dry hands with a clean paper towel.
  • Use paper towel to turn off faucet and discard paper towel in appropriate waste container.


Hand Hygiene using Alcohol-Based Cleanser:

  • Apply a palm full of the product in a cupped hand.
  • Rub hands vigorously ensuring to cover all surfaces of the hand with the product.
  • Continue rubbing hands together until hands are dry.


References: Centers for Disease Control and Prevention (CDC), National Center for Emerging and Zoonotic Infectious Diseases (NCEZID), and the World Health Organization (WHO).




Please follow and like us: