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Joint Commission targets CAUTIs with updated NPSG

Earlier this year, The Joint Commission updated its National Patient Safety Goal (NPSG) on catheter-associated urinary tract infections (CAUTI) for hospitals and critical access hospitals. It also created a new CAUTI NPSG for nursing care centers.

“An estimated 1 to 3 million healthcare-associated infections strike nursing home residents annually, and many of these are infections related to urinary catheters,” wrote David Baker, MD, MPH, FACP, Joint Commission executive vice president, in a blog post. “CAUTIs can lead to serious complications and hospitalizations. And, the rate of these infections is even higher for hospital patients. This is why The Joint Commission felt it was important to implement its new National Patient Safety Goal for nursing care centers and an updated goal for hospitals and critical access hospitals to reflect the latest scientific evidence.”

Among the new changes are requirements to:

•    Educate staff on how to correctly use and insert indwelling catheters.
•    Educate patients and family on CAUTI risks and prevention
•    Use evidence-based guidelines to write catheter use policies.
•    Follow written procedures based on established evidence-based guidelines for inserting and maintaining an indwelling urinary catheter.
•    Maintain an up-to-date record of catheter use; who has one inserted, when was it implanted, etc.

All the changes go into effect on January 1, 2017 and are meant to improve staff training, educate patients, and update policies with evidence-based practices. In addition, the Department of Health and Human Services announced that it wants to see a 50% reduction in CAUTI by 2020.

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Joint Commission lists 2017 National Patient Safety Goals

The Joint Commission has published a list of the hospital National Patient Safety Goals (NPSG) that will go into effect on January 1, 2017. The new goals include:

  • Improving patient identification
  • Improving communication effectiveness amongst caregivers
  • Improve safety of using medications
  • Reducing the harm associated with anticoagulant therapy
  • Medical reconciliation

The document also includes the rationales and Elements of Performance for all the goals.

Joint Commission seeks input on infection prevention NPSG

Between October 4 and November 15, hospitals and critical access hospitals (CAH) are being asked to give input on newly proposed requirements for the healthcare-associated infections (HAI) National Patient Safety Goal (NPSG). The proposed requirements now cover central line-associated bloodstream infections (CLABSI) and surgical site infections (SSI). The Joint Commission is asking that hospitals and CAHs read the proposed requirements then provide feedback via online survey, online form, or traditional mail.