JCI-国际医院患者安全目标(英文版)

医院患者安全目标the Patient Safety Goals目标一正确识别患者to improve accuracy of patient identifications目标二增进有效沟通to improve the effectiveness of verbal and/or telephone communication among caregivers目标三改善高警讯药品的安全性to improve the safety of high-alert medications目标四确保正确的手术部位、操作和患者to ensuring correct-site, correct-procedure, andcorrect-patient surgery目标五降低医疗相关感染的风险to reduce the risk of health care–associated infections目标六降低患者因跌倒受到伤害的风险to reduce the risk of patient harm resulting from falls目标七防范与减少意外伤害to prevent and reduce the accidental injury目标八鼓励患者参与患者安全to encourage patients to participate in patient safety目标九主动报告患者安全事件to report patient safety incidents actively目标十加强医学装备及信息系统安全管理to strengthen the safety management of medical equipment and information system。

第一章国际病人安全目标（IPSG）
概述
自2011年1月1日期，所有通过JCI认证的医院，都应按照“国际病人安全目标”的要求执行。

“国际病人安全目标”的目的是促进病人安全，并得到切实的改进。

这些目标着重于医疗服务中可能存在的问题，并针对这些问题在循证和专家共识的基础上提出解决办法。

鉴于健全的系统设计对于提供安全、优质的医疗服务的重要性，这些目标侧重于从整个系统的层面提出可行的解决办法。

本章“目标”的阐述结构与其他“标准”的方式相同，包括标准、标准含义和衡量要素。

“国际病人安全目标”的评分与其他标准一样，分为“符合”、“部分符合”或“不符合”。

评审决策规则中，将遵守国际病人安全目标作为一个独立的决策项目。

标准、标准含义、要求和衡量要素。

jci患者安全目标JCI患者安全目标患者安全一直是医疗机构和医护人员关注的重点。

为了确保患者在医疗过程中的安全，国际医疗联合委员会（JCI）制定了一系列的患者安全目标。

本文将介绍JCI患者安全目标的内容和重要性。

JCI要求医疗机构制定并实施患者识别政策。

这意味着每位患者都应该在入院时得到正确的身份确认，以避免患者混淆或错误的医疗操作。

医疗机构应采用多种方式，如手环、身份证明等，来确保患者身份准确无误。

患者安全目标还包括提供正确的手术操作。

医疗机构应建立手术安全核查流程，确保团队成员在手术前进行手术项目的核查，包括确认患者身份、手术部位、手术内容等。

这样可以避免手术错误和术前术后混淆。

JCI还要求医疗机构加强药物安全管理。

医疗机构应建立规范的药物管理流程，包括正确开具处方、正确发药、正确用药等。

同时，医疗机构应加强对患者用药的监测和评估，确保患者用药安全。

另一个重要的患者安全目标是预防医疗相关感染。

医疗机构应加强感染控制措施，包括手卫生、消毒灭菌、医疗器械和设备的清洁等。

此外，医疗机构还应加强对感染控制的培训，提高医护人员的意识和技能。

JCI患者安全目标还包括预防跌倒和误服等意外事件的发生。

医疗机构应制定相应的预防措施，如提供安全环境、加强监护、提供防滑设施等，以降低患者发生意外的风险。

JCI还要求医疗机构加强患者参与和沟通。

患者应该被视为医疗团队的一员，其意见和需求应被充分考虑。

医疗机构应提供充足的信息和沟通渠道，以确保患者参与医疗决策和管理过程。

总结起来，JCI患者安全目标的实施对于提高医疗质量和患者满意度具有重要意义。

医疗机构应严格按照JCI的要求，建立和落实相应的安全措施，确保患者在医疗过程中的安全和权益。

同时，医护人员也应加强自身的专业能力和意识，为患者提供更安全、可靠的医疗服务。

1 政策这是根据JCI标准第一章（International Patient Safety Goals (IPSG) ）制订医院相关管理制度，各部门就其内容对员工进行培训，并监督其执行。

2 目的保证医院相关运作流程和政策符合JCI认证标准对国际病人安全目（IPSG）标要求，通过有效的监控措施，保证在实际工作能够得到执行，以确保病人安全，减少意外事件的发生。

3 标准3.1 国际病人安全目标(IPSG.1)：正确识别病人3.1.1 JCI要求:3.1.1.1 要求1：要使用至少两套病人识别码。

当给病人用药、输血或输血制品、抽血标本或采集其他临床检验标本时，给病人进行其他任何治疗或操作时，至少要有两套病人识别码。

而且病人的床号不能用来作为病人的识别码。

3.1.2医院政策:3.1.2.1 住院病人使用住院号和病人姓名作为病人的标识码，在病人入院时记录在手腕带上（女性为粉红色，男性为蓝色）；急诊抢救室的病人使用病人的姓名与门诊号作为病人的标识码，在病人进入抢救室时记录在手腕带上（女性为红粉色，男性为蓝色）；门诊病人使用病人姓名、就诊卡号作为病人的识别码，出生日期、住址、电话号码可以作为病人识别的补充信息，当使用识别码有困难时可选择这些补充信息来确认病人。

这些信息包括在病人的就诊卡中，在每一个门诊工作站中都查到这些信息，询问病人后再与这些信息进行核对。

在核对病人的识别码时，询问病人“请问你叫什么名字？”让病人回答，然后将病人的回答与手中信息进行核对。

3.1.2.2 放射科、检验科、放疗科等辅助科室，允许使用科室的流水号或住院号、姓名等其他符合要求的号码作为病人的识别码，但科室内部必须统一，并在科室相关的管理规程中书面写明政策。

3.1.2.3 在病人的血袋、药袋和标本的标签上要写明（或打印出）病人的识别码，以便与病人进行核对。

3.1.2.4 在给病人挂号、治疗、用药、输液、输血、抽血或留取其他标本时要对病人的识别码进行核对。

JCI医院评审标准（第四版）前言JCI（国际医院认证联合委员会）是JACHO（卫生组织认证委员会）下属的JCR（联合委员会资源部）的一个主要分支机构。

JCI的宗旨是通过提供千秋范围的认证服务和咨询服务来提高全球医疗机构的服务质量，确保医疗安全。

它的理念的最大限度地实现医院“以患者为中心”的服务，为患者提供周到、优质的服务。

JCI自成立以来，一直致力于医院质量认证标准的制定，其标准被公认为是真正的国际标准，是对世界各地的医院进行认证的基础。

这项认证被认为是医院走向国际市场、参与国际竞争的“通行证”。

目录1.国际患者安全目标(IPSG) (4)2.可及和连贯的患者服务(ACC) (8)3.患者和家属的权利(PFR) (16)4.患者评估(AOP) (26)5.患者服务(COP) (40)6.麻醉和手术服务(ASC) (47)7.药物管理和使用(MMU) (51)8.患者及其家属的健康教育(PFE) (59)9.质量改进与患者安全(QPS) (62)10.感染的预防和控制(PCI) (74)11.主管、领导和指导(GLD) (81)12.设施管理与安全(FMS) (89)13.员工资格和教育(SQE) (98)14.交流和信息的管理(MCI) (111)国际患者安全目标(IPSG)概述本章节阐述了国际患者安全目标，JCI要求所有通过国际医院标准评审的医院自2011年1月1日起实施国际患者安全目标。

实施国际患者安全目标的目的是推动医院能在患者安全方面做出具体改进。

国际患者安全目标关注医疗服务中容易出问题的领域，并提出以循证或专家共识为基础的解决方案。

充分认识到设计完善的制度、流程是保障安全、高质量医疗服务提供的关键，因此在可能的情况下，国际患者安全目标一般要求系统性的解决方案。

国际患者安全目标的标准结构形式与其它标准一致，包括标准、解释和ME。

国际患者安全目标的评分也与其它标准的评分方法一致，分“完全符合”、“部分符合”、“不符合”。

2024年国家医疗质量与安全改进目标阐述英文版Document Title: Explanation of National Healthcare Quality and Safety Improvement Goals for 2024In 2024, the nation aims to enhance the quality and safety of healthcare services through various initiatives. These goals focus on improving patient outcomes, reducing medical errors, and promoting a culture of patient-centered care.1. Enhancing Patient Outcomes:- Implementing evidence-based practices to improve treatment outcomes.- Enhancing communication between healthcare providers and patients to ensure understanding and adherence to treatment plans.- Promoting preventive care measures to reduce the incidence of chronic diseases and complications.2. Reducing Medical Errors:- Implementing technology solutions such as electronic health records to improve accuracy and efficiency in healthcare delivery.- Providing continuous training and education for healthcare professionals to enhance clinical skills and reduce errors.- Implementing standardized protocols and checklists to minimize the risk of medical errors during procedures and treatment.3. Promoting Patient-Centered Care:- Encouraging shared decision-making between patients and healthcare providers to ensure individualized care plans.- Improving access to healthcare services for underserved populations to promote health equity.- Enhancing patient engagement and empowerment through education and communication initiatives.4. Ensuring Regulatory Compliance:- Monitoring and enforcing compliance with healthcare regulations and standards to maintain quality and safety.- Conducting regular audits and assessments to identify areas for improvement and address non-compliance issues promptly.- Collaborating with regulatory agencies and stakeholders to develop and implement policies that support healthcare quality and safety.5. Emphasizing Continuous Quality Improvement:- Establishing quality improvement teams within healthcare organizations to identify and address performance gaps.- Implementing quality improvement initiatives based on data analysis and feedback from patients and stakeholders.- Encouraging a culture of continuous learning and innovation to drive ongoing improvements in healthcare quality and safety.These goals represent a commitment to advancing the quality and safety of healthcare services for all individuals. By focusing on patient outcomes, reducing errors, promoting patient-centered care, ensuring regulatory compliance, and emphasizing continuous quality improvement, the nation aims to enhance the overall healthcare experience and outcomes for its population in 2024.。

2024版患者十大安全目标更新版英文版Title: Updated Version of Top 10 Patient Safety Goals for 2024In the fast-paced world of healthcare, ensuring patient safety is always a top priority. As we enter the year 2024, it is crucial to revisit and update the top 10 patient safety goals to reflect the latest advancements and challenges in the field.1. Enhance Communication: Improving communication between healthcare providers, patients, and families is essential for preventing errors and ensuring quality care.2. Reduce Medication Errors: Implementing strategies to minimize medication errors, such as barcoding and electronic prescribing systems, can significantly improve patient safety.3. Prevent Infections: Implementing strict infection control measures, such as proper hand hygiene and sterilization protocols, can help reduce the risk of healthcare-associated infections.4. Ensure Patient Identification: Implementing robust patient identification protocols, such as using two patient identifiers, can help prevent errors in treatment and medication administration.5. Improve Staffing Levels: Ensuring adequate staffing levels and training healthcare providers to handle workload effectively can prevent errors and improve patient outcomes.6. Enhance Patient Education: Providing patients with clear and understandable information about their conditions, treatments, and medications can empower them to take an active role in their care.7. Address Diagnostic Errors: Implementing protocols to reduce diagnostic errors, such as second opinions and interdisciplinary consultations, can improve patient safety and outcomes.8. Promote Patient Engagement: Encouraging patients to actively participate in their care decisions and treatment plans can improve adherence and reduce the risk of errors.9. Implement Fall Prevention Strategies: Developing and implementing fall prevention strategies tailored to individual patient needs can reduce the risk of falls and injuries in healthcare settings.10. Enhance Technology Integration: Leveraging technology, such as electronic health records and telemedicine, can streamline care processes and improve coordination among healthcare providers for better patient safety.As we move forward into 2024, it is essential for healthcare organizations to prioritize these updated patient safety goals to ensure the best possible outcomes for patients. By focusing on communication, medication safety, infection control, and other key areas, we can create a safer and more effective healthcare system for all.。

JCI首次培训内容使命MISSION JCI的使命是提高国际社会医疗护理的安全和质量The mission of Joint Commission International (JCI) is to improve the safety and quality of care in the international community一、国际患者安全目标International Patient Safety Goals (IPSG)：目标1：正确辨认患者Goal 1: Identify Patients Correctly目标2：有效地改进沟通Goal 2: Improve Effective Communication目标3：提高高危药品安全性Goal 3: Improve the Safety of High-Alert Medications目标4：保证手术患者正确、部位正确、方法正确Goal 4: Ensure Correct-Site, Correct-Procedure, Correct-Patient Surgery目标5：减少医源性感染相关风险Goal 5: Reduce the Risk of Health Care-Associated Infections 目标6：降低患者跌/坠床致伤风险Goal 6: Reduce the Risk of Patient Harm Resulting from Falls二、以患者为中心的标准：1、可及与连续的医疗护理服务Access to Care and Continuity of Care (ACC) 2、患者及其家属权益Patient and Family Rights (PFR)3、患者评估Assessment of Patients （AOP)4、患者的医疗护理Care of Patients (COP)5、麻醉和外科治疗Anesthesia and Surgical Care (ASC)6、药品管理和使用Medication Management and Use (MMU)7、患者和家属教育Patient and Family Education (PFE)三、医疗机构管理标准：1、质量改进和患者安全Quality Improvement and Patient Safety (QPS) 2、感染的预防和控制Prevention and Control of Infections (PCI)3、管理、领导和指导Governance, Leadership, and Direction (GLD)4、设施管理和安全Facility Management and Safety (FMS)5、员工资格和教育Staff Qualifications and Education （SQE）6、信息的管理Management of Information (MOI)。

2023版病人十大安全目标修订英文版Revision of Top 10 Patient Safety Goals for 2023In order to enhance patient safety in healthcare settings, it is important to regularly review and update the top priorities for patient safety goals. The following document outlines the revised Top 10 Patient Safety Goals for 2023, which aim to address current challenges and improve the overall quality of care provided to patients.1. Enhance Communication: Improve communication between healthcare providers, patients, and their families to ensure that important information is effectively shared and understood.2. Reduce Medication Errors: Implement strategies to minimize medication errors, such as using electronic prescribing systems and providing training on medication administration.3. Prevent Healthcare-Associated Infections: Implement infection control measures to reduce the risk of healthcare-associated infections, such as hand hygiene protocols and proper disinfection practices.4. Improve Patient Identification: Enhance processes for patient identification to prevent errors in treatment, such as using two unique identifiers and verifying patient information before procedures.5. Enhance Fall Prevention: Implement fall prevention strategies to reduce the risk of patient falls, such as conducting fall risk assessments and providing assistive devices.6. Ensure Safe Surgery: Implement surgical safety protocols to prevent surgical errors, such as conducting pre-operative checklists and verifying surgical site markings.7. Improve Diagnosis Accuracy: Enhance diagnostic processes to improve accuracy and timeliness of diagnoses, such as utilizing diagnostic decision support tools and multidisciplinary consultations.8. Enhance Patient Monitoring: Implement monitoring systems to ensure timely detection of changes in patient conditions, such as using electronic monitoring devices and regular vital sign assessments.9. Prevent Pressure Ulcers: Implement prevention strategies to reduce the incidence of pressure ulcers in patients, such as providing regular skin assessments and using pressure-relieving devices.10. Enhance Patient Education: Improve patient education strategies to empower patients to actively participate in their care, such as providing clear instructions and resources for self-management.By focusing on these revised Top 10 Patient Safety Goals for 2023, healthcare organizations can work towards a safer and more effective healthcare system that prioritizes the well-being of patients.。