| Goal 1 |
Improve the accuracy of patient identification. |
| 1A |
Use at least two patient identifiers (neither to be the patient's room number) whenever taking blood samples or administering medications or blood products. |
| 1B |
Prior to the start of any surgical or 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 |
Implement a process for taking verbal or telephone orders that requires a verification "read-back" of the complete order by the person receiving the order. |
| 2B |
Standardize the abbreviations, acronyms and symbols used throughout the organization, including a list of abbreviations, acronyms and symbols not to use. |
| Goal 3 |
Improve the safety of using high-alert medications. |
| 3A |
Remove concentrated electrolytes (including, but not limited to, potassium chloride, potassium phosphate, sodium chloride >0.9%) from patient care units. |
| 3B |
Standardize and limit the number of drug concentrations available in the organization. |
| Goal 4 |
Eliminate wrong-site, wrong-patient, wrong-procedure surgery. |
| 4A |
Create and use a preoperative verification process, such as a checklist, to confirm that appropriate documents (e.g., medical records, imaging studies) are available. |
| 4B |
Implement a process to mark the surgical site, and involve the patient in the marking process. |
| Goal 5 |
Improve the safety of using infusion pumps. |
| 5A |
Ensure free-flow protection on all general-use and PCA (patient controlled analgesia) intravenous infusion pumps used in the organization. |
| Goal 6 |
Improve the effectiveness of clinical alarm systems. |
| 6A |
Implement regular preventive maintenance and testing of alarm systems. |
| 6B |
Assure that alarms are activated with appropriate settings and are sufficiently audible with respect to distances and competing noise within the unit. |