National Patient Safety Goal 7: Recommendations for Compliance

July 8, 2009 Comments
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Continued from page 7

Accountability

• Facility’s chief executive officer and senior management are responsible for:

- Providing resources necessary to maintain adequate personnel, training, equipment

- Ensuring sufficient, supplies are in place to enable compliance

- Assigning responsibility for each component to competent individuals

• Administrative strategies include standing orders and admittance based alert systems

• All facility personnel must recognize they are an integral part of the infection prevention team and that they share responsibility for patient infections and for ensuring that appropriate infection prevention practices are used at all times

• Each employee and contracted professional should know their facility’s major HAI rates and the specific HAI rates and causative pathogens in their own area of responsibility

• Each employee and contracted professional must be able to describe how performance of their responsibilities impact HAI risk

• Hospital and unit leaders are responsible for holding personnel accountable for their actions and informed of potential and actual consequences of non-compliance to facility protocols

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