Overview of the Joint Commission National Patient Safety Goals ..................3

The Joint Commission Accreditation Program: Home Care National Patient Safety Goals .............................5

Goal # 1 Improve the Accuracy of Patient Identification...................................................................15

Goal # 7: Reduce the Risk of Healthcare-Associated Infections.......................................................... 16

Goal # 8:Accurately and Completely Reconcile Medications: Across the Continuum of Care.......................17

Goal # 9: Reduce the Risk of Patient Harm Resulting from Falls...............................................................20

Goal # 15: The Organization Identifies Safety Risks Inherent in its Patient Population...............................21

National Patient Safety Goals Implementation ACTION PLAN....................................................... 22

Implementation of the National Patient Safety Goals............................................................................. 23

Safety Committee Members ...............................................................................................................24

Goal # 1: Improve the Accuracy of Patient Identification.......................................................................25

Patient Identification for Clinical Care and Treatment ...................................................................... 25

Goal # 7: Reduce the Risk of Healthcare-Associated Infections............................................................28

Hands Hygiene - CDC Guidelines.......................................................................................................28

Handwashing ................................................................................................................................... 32

Recommendations/Goals for Hands Hygiene ........................................................................................33

Performance Improvement: Infection Control Prevention (Handwashing) ..............................................37

Clean Hands Prevent Spread of Infections Poster .................................................................................39

Speak Up (Five things you can do to prevent infections) ........................................................................40

Goal # 8: Accurately and Completely Reconcile Medications Across the Continuum of Care.....................41

Medication Reconciliation/Verification...................................................................................................43

Performance Improvement: Reconcile Medications ...............................................................................48

Patient Medication Schedule................................................................................................................49

Policy on Drug orders and changes in orders .......................................................................................52

Order for Drugs ................................................................................................................................53

Policy on Medication Errors and Drug Reaction Policy ............................................................................54

Speak Up (Help Avoid Mistakes with your Medicines) ............................................................................55

Medication Assessment Protocol ..........................................................................................................56

Medication Profile/Medication Monitoring ...............................................................................................57

Discharge Planning .............................................................................................................................58

Policy on Patient Transfer ..................................................................................................................60

Goal # 9: Reduce the Risk of Patient Harm Resulting from Falls.............................................................61

Falls Safety Manual ............................................................................................................................62

Goal # 15:The Organization Identifies Safety Risks Inherent in its Patient Population.............................103

Home Safety: Patient’s Home Environment.........................................................................................105

Safety in the Home ..........................................................................................................................107

Safety Patient Setting........................................................................................................................110

Home Safety Assessment .................................................................................................................111

Safety Guidelines Medical Equipment and Supplies in Patient’s Home ....................................................112

Patient Instruction Sheet Oxygen Concentrator ...................................................................................114

Performance Improvement Outcome Monitoring: Home Fires Associated with Use of Long Term Oxygen

Therapy...................................................................................................................................... 117

Oxygen in Use sign ..........................................................................................................................118

Hazard Vulnerability Analysis.............................................................................................................119

Patient Education Policy ....................................................................................................................122