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: 2023 National Patient Safety Goals
- Assisted Living Community: 2023 National Patient Safety Goals
- Behavioral Health Care and Human Services: 2023 National Patient Safety Goals
- Critical Access Hospital: 2023 National Patient Safety Goals
- Home Care: 2023 National Patient Safety Goals
- Hospital: 2023 National Patient Safety Goals
- Laboratory Services: 2023 National Patient Safety Goals
- Nursing Care Center: 2023 National Patient Safety Goals
- Office-Based Surgery: 2023 National Patient Safety Goals
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Prepublication Standards
- Prepublication Standards
- Revisions Related to CMS Final Rules
- The Term Licensed Independent Practitioner Eliminated for AHC and OBS
- New Requirements for Certified Community Behavioral Health Clinics
- Revision to MS.06.01.05, EP 7
- The Term Licensed Independent Practitioner Eliminated
- Updates to the Patient Blood Management Certification Program Requirements
- New Assisted Living Community Accreditation Memory Care Certification Option
- Revisions to PI.01.01.01, EP 4
- Health Care Equity Standard Elevated to National Patient Safety Goal
- New and Revised Emergency Management Standards
- New Health Care Equity Certification Program
- Updates to the Advanced Disease-Specific Care Certification for Inpatient Diabetes Care
- Updates to the Assisted Living Community Accreditation Requirements
- Updates to the Comprehensive Cardiac Center Certification Program
- R3 Report
- Standards FAQs
- Universal Protocol
- Patient Safety Systems PS Chapter
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