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Use at least two patient identifiers when providing care, treatment, and services.
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Eliminate transfusion errors related to patient misidentification.
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Report critical results of tests and diagnostic procedures to the right staff person on a timely basis.
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Before a procedure, label medicines that are not labeled. Note: medication containers include syringes, medicine cups, and basins.
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Reduce the likelihood of patient harm associated with the use of anticoagulant therapy.
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Maintain and communicate accurate information about patients’ medications.
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Ensure that medical equipment alarms are audible and responded to on time.
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Comply with either the current Centers for Disease Control and Prevention (CDC) hand hygiene guidelines or the current World Health Organization (WHO) hand hygiene guidelines.
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Implement evidence-based practices to prevent healthcare-associated infections due to multidrug-resistant organisms in acute care hospitals. Note: This requirement applies to, but is not limited to, epidemiologically important organisms such as methicillin-resistant Staphylococcus aureus (MRSA), Clostridium difficile (CDI), vancomycin-resistant enterococci (VRE), and multidrug-resistant gram-negative bacteria.
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Implement evidence-based practices to prevent central line–associated bloodstream infections. Note: This requirement covers short- and long-term central venous catheters and peripherally inserted central catheter (PICC) lines.
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Implement evidence-based practices for preventing surgical site infections.
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Implement evidence-based practices to prevent indwelling catheter-associated urinary tract infections (CAUTI).
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Identify patients at risk for suicide. Note: This requirement applies only to psychiatric hospitals and patients being treated for emotional or behavioral disorders in general hospitals.
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Conduct a preprocedure verification process to ensure that the correct procedure is done on the correct patient at the correct site on the body.
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A time out is performed before the procedure.
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© The Joint Commission, 2017. Reprinted with permission. Available at: https://www.jointcommission.org/assets/1/6/2017_NPSG_HAP_ER.pdf.
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Skipped numbers represent retired Goals (the numbers are not replaced).
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NPSG, National Patient Safety Goal; UP, Universal Protocol.