Standards FAQ Details | Joint Commission
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Wednesday 4:44 CST, February 10, 2016

Standards FAQ Details


National Patient Safety Goals (NPSG) (Critical Access Hospitals / Critical Access Hospitals)

Multiple Drug-resistant Organism (MDRO) - NPSG - Goal 7 - 07.03.01
Updated | February 23, 2010
Q. Must we perform surveillance on all MDROs, or is targeted surveillance okay?  

A. Targeted surveillance is allowable for MDROs.  Please see EP 8, which states, “implement a surveillance program for multidrug-resistant organisms based on the risk assessment.”  Therefore, if an organization’s risk assessment shows that risk is greatest for certain organisms, patient care units or service lines, the surveillance program may be targeted to focus resources on those high-risk issues.