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Note: New Goals and Requirements are indicated in bold.
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| Goal 1 |
Improve the accuracy of patient identification. |
| 1A |
Use at least two patient identifiers whenever administering medications or blood products; taking blood samples and other specimens for clinical testing, or providing any other treatments or procedures. |
| 1B |
Prior to the start of any invasive procedure, conduct a final verification process, such as a "time out," to confirm the correct patient, procedure and site using active—not passive—communication techniques. |
| Goal 2 |
Improve the effectiveness of communication among caregivers. |
| 2A |
For verbal or telephone orders or for telephonic reporting of critical test results, verify the complete order or test result by having the person receiving the order or test result "read-back" the complete order or test result. |
| 2B |
Standardize a list of abbreviations, acronyms and symbols that are not to be used throughout the organization. |
| 2C |
Measure, assess and, if appropriate, take action to improve the timeliness of reporting, and the timeliness of receipt by the responsible licensed caregiver, of critical test results and values. |
| 2D |
Not applicable. |
| 2E |
Implement a standardized approach to "hand off" communications, including an opportunity to ask and respond to questions. |
| Goal 3 |
Improve the safety of using medications. |
| 3A |
Retired in 2006. |
| 3B |
Standardize and limit the number of drug concentrations used by the organization. |
| 3C |
Identify and, at a minimum, annually review a list of look-alike/sound-alike drugs used by the organization, and take action to prevent errors involving the interchange of these drugs. |
| Goal 4 |
Not applicable. |
| Goal 5 |
Retired in 2006. |
| Goal 6 |
Not applicable. |
| Goal 7 |
Reduce the risk of health care-associated infections. |
| 7A |
Comply with current Centers for Disease Control and Prevention (CDC) hand hygiene guidelines. |
| 7B |
Manage as sentinel events all identified cases of unanticipated death or major permanent loss of function associated with a health care-associated infection. |
| Goal 8 |
Accurately and completely reconcile medications across the continuum of care. |
| 8A |
Implement a process for obtaining and documenting a complete list of the patient's current medications upon the patient's entry to the organization and with the involvement of the patient. This process includes a comparison of the medications ordered for the patient while under the care of the organization to those on the list. |
| 8B |
A complete list of the patient's medications is communicated to the next provider of service when a patient is referred or transferred to another setting, service, practitioner or level of care within or outside the organization. |
| Goal 9 |
Reduce the risk of patient harm resulting from falls. |
| 9B |
Implement a fall reduction program and evaluate the effectiveness of the program. Note: Replacement for 9A |
| Goal 10 |
Not applicable. |
| Goal 11 |
Not applicable. |
| Goal 12 |
Not applicable. |
| Goal 13 |
Encourage the active involvement of patients and their families in the patient's care as a patient safety strategy. |
| 13A |
Define and communicate the means for patients and their families to report concerns about safety and encourage them to do so. |
| Goal 14 |
Not applicable. |