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Orders - Cancelling and Rewriting Orders Following a Procedure or Transition of Care

Is there a Joint Commission standard that requires all orders to be cancelled, then rewritten following a procedure or when a patient is transferred from one level of care to another?

Any examples are for illustrative purposes.

No, there is no specific accreditation requirement that states all orders must be canceled, then rewritten following a procedure or when a patient is transferred from one level of care to the next.  Such a requirement would be an organizational decision, or when specifically required by individual state law/regulation.

During transitions of care, there must be a process in place to ensure coordination of care among care providers and that the most recent orders are being followed. However, such a process may not include the use of summary (blanket) orders for resuming medication (see MM.04.01.01 EP 8). During transitions of care, discussions between caregivers is an important step in making sure the orders implemented are the most recent.

Consider conducting a risk assessment as such an assessment allows organizations to identify risk points associated with options being considered. The introductory section of the Leadership (LD) chapter provides an example of a pro-active risk assessment model that an organization may use.  However, this specific approach is not mandated as there are other risk assessment tools available that may better meet the needs of the organization.

Manual: Hospital and Hospital Clinics
Chapter: Provision of Care Treatment and Services PC
Last reviewed by Standards Interpretation: April 27, 2022 Represents the most recent date that the FAQ was reviewed (e.g. annual review).
First published date: January 18, 2017 This Standards FAQ was first published on this date.
This page was last updated on July 25, 2022 with update notes of: Editorial changes only Types of changes and an explanation of change type: Editorial changes only: Format changes only. No changes to content. | Review only, FAQ is current: Periodic review completed, no changes to content. | Reflects new or updated requirements: Changes represent new or revised requirements.
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