| 1 |
Improve the accuracy of patient identification. |
| a |
Use at least two patient identifiers (neither to be the patient’s room number) whenever collecting laboratory samples or administering medications or blood products. [Scored at APR 16, EP #1] |
| b |
Immediately prior to the start of any invasive procedure, conduct a final verification process to confirm the correct patient, procedure, site and availability of appropriate documents. This verification process uses active – not passive – communication techniques. The patient’s identity is reestablished if the practitioner leaves the patient’s bedside prior to initiating the procedure. [APR 16, EP#2] |
| 2 |
Improve the effectiveness of communication among caregivers. |
| a |
Implement a process for taking verbal or telephone orders or critical test results that require a verification "read-back" of the complete order or test result by the person receiving the order or test result. [Scored at Standard IM.3.10, EP #10] |
| b |
Standardize the abbreviations, acronyms and symbols used throughout the organization, including a list of abbreviations, acronyms and symbols not to use. [Scored at Standard IM.3.10, EP #2] |
| 3 |
Not applicable. |
| 4 |
Not applicable. |
| 5 |
Not applicable. |
| 6 |
Not applicable. |
| 7 |
Reduce the risk of health care-acquired infections |
| a |
Comply with current CDC hand hygiene guidelines. |
| b |
Manage as sentinel events all identified cases of unanticipated death or major permanent loss of function associated with a health care-acquired infection. |