Concentrated surgeon performing surgery with her team
The Universal Protocol
The Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery is part of the National Patient Safety Goals® chapter of the Joint Commission accreditation manual.
Universal Protocol Poster
The Universal Protocol provides guidance for health care professionals. It consists of three key steps: conducting a pre-procedure verification process, marking the procedure site, and performing a time-out.
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Standards
- About Our Standards
- Standards Field Reviews
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National Patient Safety Goals
- National Patient Safety Goals
- Ambulatory Health Care: 2024 National Patient Safety Goals
- Assisted Living Community: 2024 National Patient Safety Goals
- Behavioral Health Care and Human Services: 2024 National Patient Safety Goals
- Critical Access Hospital: 2024 National Patient Safety Goals
- Home Care: 2024 National Patient Safety Goals
- Hospital: 2024 National Patient Safety Goals
- Laboratory Services: 2024 National Patient Safety Goals
- Nursing Care Center: 2024 National Patient Safety Goals
- Office-Based Surgery: 2024 National Patient Safety Goals
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Prepublication Standards
- Prepublication Standards
- COVID-19 Staff Vaccination Standard Eliminated for Deemed Programs
- Note Removed from Medical Staff Requirement
- Sustainable Healthcare Certification Program
- The Term Licensed Independent Practitioner Eliminated for ALC, BHC and NCC
- Approved: Hospital Program Revisions to Align with Critical Access Hospital Changes and the Hospital Conditions of Participation
- Revised Requirements Related to Medication Compounding for Hospitals and Critical Access Hospitals
- New and Revised Requirements to Advanced Disease-Specific Care Stroke Certification Programs
- Revised Requirements for Medication Compounding to Align with USP Revisions
- Updates to the Advanced Certification in Heart Failure Program
- R3 Report
- Standards FAQs
- Universal Protocol
- Patient Safety Systems PS Chapter