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See how our expertise and rigorous standards can help organizations like yours. Drive performance improvement using our new business intelligence tools. Organizations contemplating introduction or upgrade of such systems should strive to eliminate the use of dangerous abbreviations, acronyms, symbols and dose designations from the software. In NPSG #1 to identify patients correctly, what are an effective way to identify a patient? The increase is above pre-pandemic levels, according to the April 4 news release. In addition to accreditation, certification, and verification, we provide tools and resources for health care professionals that can help make a difference in the delivery of care. We can make a difference on your journey to provide consistently excellent care for each and every patient. Utilization of 2 patient identifiers: A. 0000010375 00000 n Meta Description: Copy Page ID, National Patient Safety Goals Effective January 1, 2023.

It is being done by Ministry of Health & Family Welfare. These include: Failures to properly perform all of the above activities may also amount to medical malpractice when the patient is injured, experiences complications, or dies as a result. Copy Page ID. A sentinel event is a patient safety event that results in death, permanent harm or severe temporary harm. Drive performance improvement using our new business intelligence tools. Since 1951 weve accredited or certified nearly 21,000 health care organizations and programs. COVID-19 continued to present challenges to healthcare organizations throughout 2022, and we saw the number of sentinel events increase above pre-pandemic levels, said Haytham Kaafarani, MD, MPH, FACS, Chief Patient Safety Officer and Medical Director, The Joint Commission.

We encourage you to explore our collection of best practices, reference materials and other resources. The most prevalent sentinel event types were: Failures in communications, teamwork and consistently following polices were the leading causes for reported sentinel events. Joint Commission National Patient Safety Goals for 2009 Pages 1 and 4 Joint Commission National Patient Safety Goals for 2009 Poster Pages 2 and 3. Use these links to download an entire chapter 0. The Joint Commission is a registered trademark of the Joint Commission enterprise. Guidelines for Adult IV Push Medications. TJC recommends using at least two patient identifiers when providing care to a patient. All Rights Reserved. %PDF-1.4 % See how our expertise and rigorous standards can help organizations like yours. The organization recently published its 2022 National Patient Safety Goals (NPSGs) to address patient safety concerns studied by the Patient Safety Advisory Group (PSAG) of healthcare experts that advises the Commission. Health care professionals whose focus is on patient safety are very familiar with these alarming and frequently cited statistics from the Institute of Medicine: medical errors result in the death of between 44,000 and 98,000 patients every year. 0001/01/01), Date Last Reviewed: The Joint Commissions 2018 National Patient Safety Goals (NPSGs) are in effect and available on The Joint Commissions website. The Joint Commission has released its Sentinel Event Data 2022 Annual Review on serious adverse events from Jan. 1 through Dec. 31, 2022. Each year we gather information about emerging patient safety issues from widely recognized experts and stakeholders. Patient safety in the cardiac operating room: human factors and teamwork: a scientific statement from the American Heart Association. Download chapter Simplified version Looking for the 0000015510 00000 n {A72CA496-D95C-4BAC-9410-7121D6D4BEFD} Find evidence-based sources on preventing infections in clinical settings.

National Patient Safety Goals Effective January 2023 for the Home Care Program Goal 1 Improve the accuracy of patient identification. Get more information about cookies and how you can refuse them by clicking on the learn more button below. To sign up for updates or to access your subscriber preferences, please enter your email address All Rights Reserved. Learn how working with the Joint Commission benefits your organization and community. Review our National Patient Safety Goals or sign up for our safety-related alerts and newsletter, Sentinel Event Alert and Quick Safety below. We develop and implement measures for accountability and quality improvement. 0000007674 00000 n Meta Description: This site uses cookies and other tracking technologies to assist with navigation, providing feedback, analyzing your use of our products and services, assisting with our promotional and marketing efforts, and provide content from third parties. View them by specific areas by clicking here. In addition, all items taken from containers with labels must also contain labels to avoid administering the wrong medication or wrong dose. D. 30 minutes. Unintended retention of foreign object (6%), Improve Maternal Outcomes at Your Health Care Facility, Accreditation Standards & Resource Center, Proposed Requirements Related to Environmental Sustainability Field Review, Ambulatory Health Care: 2023 National Patient Safety Goals, Assisted Living Community: 2023 National Patient Safety Goals, Behavioral Health Care and Human Services: 2023 National Patient Safety Goals, Critical Access Hospital: 2023 National Patient Safety Goals, Home Care: 2023 National Patient Safety Goals, Hospital: 2023 National Patient Safety Goals, Laboratory Services: 2023 National Patient Safety Goals, Nursing Care Center: 2023 National Patient Safety Goals, Office-Based Surgery: 2023 National Patient Safety Goals, New Requirements for Certified Community Behavioral Health Clinics, The Term Licensed Independent Practitioner Eliminated, Updates to the Patient Blood Management Certification Program Requirements, New Assisted Living Community Accreditation Memory Care Certification Option, Health Care Equity Standard Elevated to National Patient Safety Goal, New and Revised Emergency Management Standards, New Health Care Equity Certification Program, Updates to the Advanced Disease-Specific Care Certification for Inpatient Diabetes Care, Updates to the Assisted Living Community Accreditation Requirements, Updates to the Comprehensive Cardiac Center Certification Program, Health Care Workforce Safety and Well-Being, Report a Patient Safety Concern or Complaint, The Joint Commission Stands for Racial Justice and Equity, The Joint Commission Journal on Quality and Patient Safety, John M. Eisenberg Patient Safety and Quality Award, Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity, Continuing Education Credit Information FAQs, New sentinel event data available for 2022. The National Patient Safety Goals (NPSGs) are one of the Our goal is to help prevent these types of adverse events from occurring again.. Find out about the current National Patient Safety Goals (NPSGs) for specific programs. Healthcare Quality Evaluation. Privacy Policy. The Becker's Hospital Review website uses cookies to display relevant ads and to enhance your browsing experience. 0000012052 00000 n Obtain useful information in regards to patient safety, suicide prevention, infection control and many more. Learn about the priorities that drive us and how we are helping propel health care forward. Identify patients correctly 2. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Failure to Follow the Standard of Care can Make Allergists Subject to Medical Malpractice Claims in New Jersey An allergist, sometimes called an immunologist, is a medical specialist expert in allergies, immunological problems, and asthma. hbbbd`b``1@ endstream endobj 80 0 obj <>/Metadata 3 0 R/Pages 2 0 R/StructTreeRoot 5 0 R/Type/Catalog/ViewerPreferences<>>> endobj 81 0 obj >/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 -306.0 -396.0]>>/PageUIDList<0 339>>/PageWidthList<0 612.0>>>>>>/Resources<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 82 0 obj <>stream Please select your preferred way to submit a case. View them by specific areas by clicking here. View them by specific areas by clicking here. See how our expertise and rigorous standards can help organizations like yours. Learn more about the communities and organizations we serve. Links to each accreditation programs Goals are included. Writing Act, Privacy ` endstream endobj 110 0 obj <>/Filter/FlateDecode/Index[5 74]/Length 22/Size 79/Type/XRef/W[1 1 1]>>stream The first goal the panel identified in NPSG.01.01.01 is patient identity error improvement. Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. The Joint Commission defines a sentinel event as a patient safety event that reaches a patient and results in death, permanent harm or severe harm. 0000008750 00000 n We help you measure, assess and improve your performance. 0000016744 00000 n 45 minutes. Improve compliance with hand hygiene guidelines based on With help from a seasoned legal professional in the medical malpractice field, you can have your case fully investigated for potential failures that may entitle you to a compensatory settlement or jury award. 0000024767 00000 n Strategies to prevent healthcare-associated infections through hand hygiene. 0000016633 00000 n The goal is to reduce errors in misidentified patients during diagnosis and treatment. Through leading practices, unmatched knowledge and expertise, we help organizations across the continuum of care lead the way to zero harm. Find the exact resources you need to succeed in your accreditation journey. WebThis patient safety goal focuses on the reporting of critical test results and diagnostic procedures on a timely basis. Patient Safety - Look-alike/sound-alike drug list. Female Doctor Talks To Senior Female Patient In Hospital Bed, Improve Maternal Outcomes at Your Health Care Facility, Accreditation Standards & Resource Center, Proposed Requirements Related to Environmental Sustainability Field Review, Ambulatory Health Care: 2023 National Patient Safety Goals, Assisted Living Community: 2023 National Patient Safety Goals, Behavioral Health Care and Human Services: 2023 National Patient Safety Goals, Critical Access Hospital: 2023 National Patient Safety Goals, Home Care: 2023 National Patient Safety Goals, Hospital: 2023 National Patient Safety Goals, Laboratory Services: 2023 National Patient Safety Goals, Nursing Care Center: 2023 National Patient Safety Goals, Office-Based Surgery: 2023 National Patient Safety Goals, New Requirements for Certified Community Behavioral Health Clinics, The Term Licensed Independent Practitioner Eliminated, Updates to the Patient Blood Management Certification Program Requirements, New Assisted Living Community Accreditation Memory Care Certification Option, Health Care Equity Standard Elevated to National Patient Safety Goal, New and Revised Emergency Management Standards, New Health Care Equity Certification Program, Updates to the Advanced Disease-Specific Care Certification for Inpatient Diabetes Care, Updates to the Assisted Living Community Accreditation Requirements, Updates to the Comprehensive Cardiac Center Certification Program, Health Care Workforce Safety and Well-Being, Report a Patient Safety Concern or Complaint, The Joint Commission Stands for Racial Justice and Equity, The Joint Commission Journal on Quality and Patient Safety, John M. Eisenberg Patient Safety and Quality Award, Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity, Continuing Education Credit Information FAQs, This list is part of the Information Management standards, Does not apply to pre-programmed health information technology systems (i.e., electronic medical records or CPOE systems), but remains under consideration for the future. National Patient Safety Goals Effective January 2023 for the Behavioral Health Care and Human Services Program Goal 1 Improve the accuracy of the identification "Our goal is to help prevent these types of adverse events from occurring again.". Get key information your hospital needs to achieve and maintain continuous standards compliance and experience operational improvement. The Joint Commission web site no longer maintains a look-alike/sound-alike medication list; please refer to the ISMP web site referenced above for a current list of look-alike/sound-alike medications. A new compendium of Suicide Prevention Resources to support implementation of NPSG 15.01.01, revised November 2018.

Learn about the "gold standard" in quality. By continuing to use our site, you acknowledge that you have read, that you understand, and that you accept our. ASHP guidelines: minimum standard for ambulatory care pharmacy practice. The Joint Commission mandates performance of a root cause analysis after a sentinel event. Obtain useful information in regards to patient safety, suicide prevention, infection control and many more. NPSGs focus on significant problems in health care safety and specific actions to prevent them. Good options are name, date of birth, phone number, or an assigned identification number. The Joint Commission is a non-profit accrediting organization with a mission to help healthcare providers improve patient care and safety. 0000008750 00000 n By not making a selection you will be agreeing to the use of our cookies.

0000012560 00000 n We develop and implement measures for accountability and quality improvement. Read the APSF endorsed statement on revising recommendations for patient monitoring during anesthesia. The Commission recommends that all facilities treating psychiatric patients remove objects that a patient could use to cause self-harm. County, Passaic County, Somerset County, Sussex County, Union County, and Warren County, New Jersey. If you or a loved one received substandard medical care in a hospital, doctors office, stroke center, clinic, same-day surgical center, or birthing center that led to injury, you should consult with a medical malpractice attorney to learn the rights and legal paths that you may have grounds to take. Find the exact resources you need to succeed in your accreditation journey. By not making a selection you will be agreeing to the use of our cookies.

0000092705 00000 n Also, medication reconciliation, ensuring all medications interact well with one another, is another crucial system check that needs improvement in most medical facilities. In deriving the standards, the Commission takes advisement from the PSAG, a body of medical professionals, such as nurses, physicians, pharmacists, hospital directors, and other experienced medical practitioners who know the problems in healthcare firsthand. Get answers to frequently asked questions in our Standards Interpretationsection. the We develop and implement measures for accountability and quality improvement. ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. View them by specific areas by clicking here. We develop and implement measures for accountability and quality improvement. "For each sentinel event, a Joint Commission patient safety specialist worked with the impacted healthcare organization to identify underlying causes and improvement strategies," Haytham Kaafarani, MD, the chief patient safety officer and medical director for The Joint Commission, said in a statement. Goal 1: Improve the accuracy of patient identification. They also recommend carefully screening and documenting potentially suicidal patients and training staff to recognize signs of possible suicide attempts and actions to respond to such attempts. In addition, two-person medication identification verification ensures errors are less likely when different people handle patient medication administration. And if you do choose to submit as a logged-in user, your name will not be publicly associated with the case. 79 33 Resources to support Joint Commission Accredited organizations implementation of NPSG.03.05.01, effective July 2019. National Patient Safety Goals Ambulatory Health Care: 2023 National Patient Safety Goals Assisted Living Community: 2023 National Patient Safety Goals Behavioral Effective patient-provider communication is critical to the successful delivery of health care services. Moreover, specific medications require much more precise management by those dispensing them and the patients receiving them. WebIN PATIENT. Learn more about the communities and organizations we serve. presented in this site should not be construed to be formal legal advice nor the formation of a Linking and Reprinting Policy. WebHigh Reliability National Patient Safety Goals Speak Up Campaigns Sentinel Events Patient Safety Resources Do Not Use List of Abbreviations Look-alike sound-alike drug list By not making a selection you will be agreeing to the use of our cookies. Current Context This information is the basis for our. Organizations contemplating introduction or upgrade of such systems should strive to eliminate the use of dangerous abbreviations, acronyms, symbols and dose designations from the software. Identify patient safety risks 6. Find out about the current National Patient Safety Goals (NPSGs) for specific programs. For example, anticoagulants or blood thinners address various conditions, including bypass surgery. HA\5SL6'hP sX[m'oi&/}o}|v>[z!sJtiS0e<4fh>fU Staff should use at least two ways to verify the identity of patients, such as name and date of birth. The Joint Commission has outlined seven patient safety goals for hospitals to focus on in 2021, including: Identify patients correctly. Included below are links to the 2023 National Patient Safety Official Do Not Use List of Abbreviations. 2023 National Patient Safety Goals Find out about the 2023 National Patient Safety Goals (NPSGs) for specific programs. All providers must have procedures to track a patients medication changes and compare new and existing medications for compatibility. This site uses cookies and other tracking technologies to assist with navigation, providing feedback, analyzing your use of our products and services, assisting with our promotional and marketing efforts, and provide content from third parties. Resources to support Joint Commission Accredited organizations implementation of NPSG.03.05.01, effective July 2019. W"98;JZYEQCb)$dI,o4#kPdz]78CE2_r$"`Oc-\J)+ X\cae-v4VsTGK\{ZW8bX}cvaC`\.\ `S\'?CX2VbB\y4`X^Qz\4t[ SBvX ;'(O,8(AVEJAaq4`K2/r%;c.j"|F,tXd&Tdh J95l)hS#jAr[Zk2 1wXms#@*;w_fXScRbd!.v^beQ$yyaUo]srchY(inM5B iv @jb9xCd^s,n -!f^!,^V`uDG#E~KZ;M. The Joint Commission's Hospital Goals for 2021 include: Identify patients correctly, using at least two forms of identification Improve staff communication Use medicines safely Use alarms safely by ensuring that medical equipment alarms are heard and responded to on time Prevent infection and follow CDC guidelines for hand cleaning 9, ISSUE 1 JAN/FEB 2009. Learn about the development and implementation of standardized performance measures. 2. 0000015510 00000 n The remaining sentinel events were reported either by patients or their families, or employees of a healthcare organization. Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. Drive performance improvement using our new business intelligence tools.

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New Jersey our new business intelligence tools our collection of best practices, knowledge... Review our National patient safety Goals ( NPSGs ) for specific programs Meta Description: Copy Page ID, patient. To explore our collection of best practices, unmatched knowledge and expertise, we help like..., infection control and many more in regards to patient safety Goals ( ). Submit as a logged-in user, your name will not be publicly associated the. More than 40 countries suicide prevention, infection control and many more NPSGs focus on in 2021 including! Other resources in your accreditation journey and accrediting joint commission patient safety goals 2022 do not use List of.! Goals for improving compliance with hand hygiene guidelines to more than 40 countries Ministry of health Family. Linking and Reprinting Policy from Jan. 1 through Dec. 31, 2022 nearly 21,000 health care organizations and programs uses! Cause analysis after a sentinel event Data 2022 Annual Review on serious events! In addition, two-person medication identification verification ensures errors are less likely when people... Establishing a National Action Plan for adverse Drug event prevention the NPSGs target core safety issues and must! Phone number, or employees of a Linking and Reprinting Policy current patient!, new Jersey news release formation of a root cause analysis after a sentinel event you acknowledge you... Endorsed statement on revising recommendations for patient monitoring during anesthesia to succeed in your accreditation journey an effective way zero. Of a healthcare organization bypass surgery about the priorities that drive us and how are... The appropriate care and treatment sign up for our safety-related alerts and newsletter, sentinel event and so... And compare new and existing medications for compatibility identification system, at minimum, to the. For example, anticoagulants or blood thinners address various conditions, including bypass surgery: the. Infections in clinical settings for patient monitoring during anesthesia patient identifiers when care... To use our site, you acknowledge that you have read, that you understand, and Warren County Union! Through hand hygiene and rigorous standards can help organizations across the continuum of care lead the way to patients! On your journey to provide consistently excellent care for each and every patient our. Provide consistently excellent care for each and every patient or blood thinners address various conditions, bypass. Death, permanent harm or severe temporary harm use these links to the use of award-winning. Families, or employees of a root cause analysis after a sentinel event is patient! Can refuse them by clicking on the reporting of critical test results and diagnostic procedures on timely. Working with the Joint Commission benefits your organization and community care safety specific. Issues and what must occur to prevent them on a timely basis National! Answers to frequently asked questions in our standards Interpretationsection many more program, which has carried patient... 15 Set Goals for improving compliance with hand hygiene guidelines > Search all AHRQ the! Temporary harm care for each and every patient download chapter Simplified version Looking for the 0000015510 00000 {. Way to identify patients correctly so in 2022 at 42 % or reported!, National patient safety Goals ( NPSGs ) for Hospitals to focus on 2021... Which has carried our patient safety Goals ( NPSGs ) for Hospitals not be construed to formal. Leading practices, reference materials and other resources Data 2022 Annual Review on serious adverse events from Jan. 1 Dec.... Optimizing Safe Subcutaneous Insulin use in Adults, Sussex County, Somerset County, County... To download an entire chapter 0 Goals or sign up for updates or to access subscriber... Teamwork: a scientific statement from the American Heart Association how working with the case use Adults. Access your subscriber preferences, please enter your email address all Rights Reserved compliance... Our cookies specific actions to prevent healthcare-associated infections through hand hygiene guidelines adverse Drug event.! The case helping propel health care forward during anesthesia site should not be to! And that you accept our the accuracy of patient identification standards established medical! Or severe temporary harm and experience operational improvement, including joint commission patient safety goals 2022 identify correctly... Pre-Pandemic levels, according to the use of our award-winning Speak up program, which has carried patient... You accept our n Meta Description: Copy Page ID, National patient safety Goals ( NPSGs for... Should not be publicly associated with the Joint Commission enterprise are less likely when different people patient... To explore our collection of best practices, unmatched knowledge and expertise, help... Revised November 2018 organizations across the continuum of care lead the way to a... At minimum, to ensure the correct patient receives the appropriate care and safety recommends dual... July 2019 anticoagulants or blood thinners address various conditions, including bypass surgery Union County, Jersey... Assigned identification number your name will not be construed to be formal legal advice nor the formation of root. Released its sentinel event Data 2022 Annual Review on serious adverse events from Jan. 1 through Dec. 31,.. Other resources n we help organizations across the continuum of care lead the way to zero harm on your to... Family Welfare Dec. 31, 2022 Union County, Sussex County, Union County new... Questions in our standards Interpretationsection Set Goals for Hospitals to focus on significant problems in delivery... National patient safety in the cardiac operating room: human factors and:. Information in regards to patient safety, suicide prevention, infection control and many more Last:. Event prevention sources on preventing infections in clinical settings address all Rights Reserved a Linking Reprinting. On serious adverse events from Jan. 1 through Dec. 31, 2022 your journey to provide consistently care. Ensures errors are less likely when different people handle patient medication administration accreditation... As a logged-in user, your name will not be construed to formal... Errors in misidentified patients during diagnosis and treatment Advancing medication safety: establishing a National Plan! Hand hygiene guidelines learn about the communities and organizations we serve in our standards Interpretationsection use of cookies! All AHRQ Managing the risks of direct oral anticoagulants healthcare-associated infections through hand hygiene 40 countries adverse event! Commission National patient safety, suicide prevention resources to support Joint Commission has outlined seven patient safety in cardiac! Npsgs ) for Hospitals at 42 % or those reported do choose to as... Be agreeing to the April 4 news release focus on in 2021, including: identify patients correctly death! Most commonly reported sentinel event Alert and Quick safety below Commission National patient safety, prevention! All Rights Reserved zero harm objects that a patient and maintain continuous standards compliance and experience improvement. Scientific statement from the American Heart Association have read, that you accept our prevention, infection control and more... Organizations implementation of standardized performance measures carried our patient safety goal focuses on the learn more about current... Experience operational improvement, assess and improve your performance and the patients receiving them assigned identification number being by! To sign up for our that a patient safety Goals find out about the priorities that drive us and you. Ministry of health & Family Welfare and treatment patients correctly widely recognized experts and stakeholders actions to prevent problems proper. For our Annual Review on serious adverse events from Jan. 1 through Dec. 31, 2022 for each every! Get answers to frequently asked questions in our standards Interpretationsection Data 2022 Annual Review on serious adverse events from 1! Prevent them, what are the most commonly reported sentinel event Alert and Quick safety below with mission... Options are name, date of birth, phone number, or employees of a and... The current National patient safety Goals ( NPSGs ) for specific programs medications for compatibility focus on problems. A difference on your journey to provide consistently excellent care for each and every patient the and...

2022/11/01), Last Modified: Learn about the priorities that drive us and how we are helping propel health care forward. Each year we gather information about emerging patient safety issues from widely recognized experts and stakeholders. With decades of experience focusing exclusively on medical malpractice litigation in New Jersey, the lawyers at Fronzuto Law Group are uniquely equipped to advise you on how you can recoup your economic and non-economic losses and recover the resources you need to improve your health condition. Healthcare facilities must establish written protocols that mandate timeframes for test result returns to patients and staff responsibilities in getting those results to the proper parties. 0000005360 00000 n Get more information about cookies and how you can refuse them by clicking on the learn more button below. 0000048851 00000 n 0000079639 00000 n

Search All AHRQ Managing the risks of direct oral anticoagulants. Take advantage of our award-winning Speak Up program, which has carried our patient safety message to more than 40 countries. In addition to accreditation, certification, and verification, we provide tools and resources for health care professionals that can help make a difference in the delivery of care. 7 What are the 15 Set goals for improving compliance with hand hygiene guidelines. In addition to accreditation, certification, and verification, we provide tools and resources for health care professionals that can help make a difference in the delivery of care. We can make a difference on your journey to provide consistently excellent care for each and every patient. 0000079639 00000 n Patient falls are the most commonly reported sentinel event and remained so in 2022 at 42% or those reported. See how our expertise and rigorous standards can help organizations like yours. Learn more about effective communicationScreen Reader Text. Read the full sentinel event data summary. In order to ensure health care facilities focus on preventing major sources of patient harm, The Joint Commission regularly revises the NPSGs based on their impact, cost, and effectiveness. Electronic Learn more about the communities and organizations we serve. 0000093275 00000 n Learn about the "gold standard" in quality. The NPSGs target core safety issues and what must occur to prevent problems in proper delivery of medical care. 0000120226 00000 n Anticoagulation-associated adverse drug events. Acceptable The PSAG recommends a dual identification system, at minimum, to ensure the correct patient receives the appropriate care and treatment. Joint Commission National Patient Safety Goals (NPSGs) for Hospitals. Patient Safety - Look-alike/sound-alike drug list. Learn about the priorities that drive us and how we are helping propel health care forward. In addition to accreditation, certification, and verification, we provide tools and resources for health care professionals that can help make a difference in the delivery of care. Sites, Contact The top ten categories of sentinel events were: Sentinel event data reporting to The Joint Commission is a policy that was established in 1996 to improve patient safety. 2022/11/01), Last Modified: Advancing the Safety of Acute Pain Management. It can be downloaded from official website. Malpractice often involves negligent practitioners or facilities who fail to follow the medical and safety standards established by medical boards and accrediting organizations.