5.5 National Patient Safety Goals
Open Resources for Nursing (Open RN)
Every year, national safety goals are published by The Joint Commission to improve clientsafety. National Patient Safety Goals are goals and recommendations tailored to seven different types of health care agencies based on client safety data from experts and stakeholders. The seven health care areas include ambulatory health care settings, behavioral health care settings, critical access hospitals, home care, hospital settings, laboratories, nursing care centers, and office-based surgery settings. These goals are updated annually based on safety data and include evidence-based interventions. It is important for nurses and nursing students to be aware of the current National Patient Safety Goals for the settings in which they provide client care and use the associated recommendations.
The National Patient Safety Goals for nursing care settings (otherwise known as long-term care centers) are described in Table 5.5. (Note that the term “bedsore” is used in the last goal. This is a historic term for the current term “pressure injuries.”)
Table 5.5 National Patient Safety Goals for Nursing Care Centers[1]
| Goal | Recommendations and Rationale |
|---|---|
| Identify residents correctly | Use at least two ways to identify clients. For example, use the client’s or resident’s name and date of birth. This is done to make sure that each client gets the correct medication and treatment. |
| Use medicines safely | Take extra care with clients who take medications to thin their blood.
Record and pass along correct information about a client’s medications. Find out what medications the client is taking. Compare those medications to new medications prescribed for the client. Give the client written information about the medications they need to take. Tell the client it is important to bring their up-to-date list of medications every time they visit a doctor. |
| Prevent infection | Use the hand hygiene guidelines from the Centers for Disease Control and Prevention or the World Health Organization. Set goals for improving hand cleaning. |
| Prevent residents from falling | Find out which clients are most likely to fall. For example, is the client taking any medications that might make them weak, dizzy, or sleepy? Implement fall precautions for these clients. |
| Prevent bed sores | Find out which clients are most likely to have bed sores (i.e., pressure injuries). Take action to prevent pressure injuries in these clients at risk. Per agency protocol, frequently assess clients for pressure injuries. |
Read more about National Patient Safety Goals established by The Joint Commission.
Read more details about how to identify clients correctly, administer medications safely, and prevent infection by visiting the following sections in Open RN Nursing Skills, 2e:
- Initiating Patient Interaction
- Aseptic Technique Basic Concepts
- Basic Concepts of Administering Medications
Read more about “Pressure Injuries” (the current term used for “bed sores”) in the “Integumentary” chapter.
- The Joint Commission. (n.d.). National patient safety goals. https://www.jointcommission.org/standards/national-patient-safety-goals/ ↵
Annual patient safety goals and recommendations tailored for seven different types of health care agencies based on patient safety data from experts and stakeholders.