| Goal 1 |
Improve the accuracy of client identification. |
| 1A |
Use at least two client identifiers when providing care, treatment or services. |
| 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 information record and "read-back" the complete order or test result. |
| 2B |
Standardize a list of abbreviations, acronyms, symbols, and dose designations that are not to be used throughout the organization. |
| 2C |
Measure and 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. |
| 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. |
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| 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 7 |
Reduce the risk of health care-associated infections. |
| 7A |
Comply with current World Health Organization (WHO) Hand Hygiene Guidelines or Centers for Disease Control and Prevention (CDC) hand hygiene guidelines when providing services to a high-risk population, or administering physical care. |
| 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 |
There is a process for comparing the client’s current medications with those ordered for the client while under the care of the organization. |
| 8B |
A complete list of the client’s medications is communicated to the next provider of service when a client is referred or transferred to another setting, service, practitioner or level of care within or outside the organization. The complete list of medications is also provided to the client on discharge from the facility. |
| Goal 13 |
Encourage clients’ active involvement in their own care as a client safety strategy. |
| 13A |
Define and communicate the means for clients and their families to report concerns about safety and encourage them to do so. |
| Goal 15 |
The organization identifies safety risks inherent in its client population. |
| 15A |
The organization identifies clients at risk for suicide. |