The Joint Commission - Laboratory Accreditation Program - 11/2/09
2010 National Patient Safety Goals
NPSG.01.01.01
Accreditation Program: Laboratory
Chapter: National Patient Safety Goals
Use at least two patient identifiers when providing laboratory services.
Elements of Performance for NPSG.01.01.01
1. Use at least two patient identifiers when administering blood or blood components; when collecting blood samples and other specimens for clinical
testing; and when providing other treatments or procedures. The patient's room number or physical location is not used as an identifier. Note: An
example of "other procedures" includes bone marrow aspirates.
2. Label containers used for blood and other specimens in the presence of the patient.
NPSG.02.03.01
Report critical results of tests and diagnostic procedures on a timely basis.
Elements of Performance for NPSG.02.03.01
1. Collaborate with organization leaders to develop written procedures for managing the critical results of tests and diagnostic procedures that
address the following:
- The definition of critical results of tests and diagnostic procedures
- By whom and to whom critical results of tests and diagnostic procedures are reported
- The acceptable length of time between the availability and reporting of critical results of tests and diagnostic procedures
2. Implement the procedures for managing the critical results of tests and diagnostic procedures.
3. Evaluate the timeliness of reporting the critical results of tests and diagnostic procedures.
NPSG.07.01.01
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.
Elements of Performance for NPSG.07.01.01
1. Implement a program that follows categories lA, IB, and IC of either the current Centers for Disease Control and Prevention (CDC) or the
current World Health Organization (WHO) hand hygiene guidelines.
2. Set goals for improving compliance with hand hygiene guidelines. (See also IC.03.01.01, EP 3)
3. Improve compliance with hand hygiene guidelines based on established goals.
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