On February 14, the Joint Commission Center for Transforming Healthcare will launch its second project in the Targeted Solutions Tool™ (TST), which focuses on the Center’s Wrong Site Surgery project. Reducing the risk of wrong site, wrong procedure and wrong patient surgery is critical to patient safety and the reputation of any health care organization that performs these high risk procedures. While wrong site surgery events are rare, they can be life altering for the patients who sustain them. Since the occurrence of wrong site surgery is rare, with most organizations going years without an occurrence, it could take a long time to monitor the incidence of wrong site surgery for a project. However, it is possible to monitor surgical cases for weaknesses that might result in a wrong site surgery, and that is exactly what the TST for Wrong Site Surgery does. The TST for Wrong Site Surgery identifies specific areas of weakness on which improvement can be focused, and enables management to measure those weaknesses, both initially and over time. The TST currently features the Center’s Hand Hygiene project. Since its launch on September 13, 2010, the TST has more than 2,200 hand hygiene projects initiated in more than 1,250 health care organizations across the country. (Contact: Melody Dickerson, mdickerson@jointcommission.org)