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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: 2022 National Patient Safety Goals
- Assisted Living Community: 2022 National Patient Safety Goals
- Behavioral Health Care and Human Services: 2022 National Patient Safety Goals
- Critical Access Hospital: 2022 National Patient Safety Goals
- Home Care: 2022 National Patient Safety Goals
- Hospital: 2022 National Patient Safety Goals
- Laboratory Services: 2022 National Patient Safety Goals
- Nursing Care Center: 2022 National Patient Safety Goals
- Office-Based Surgery: 2022 National Patient Safety Goals
- Prepublication Standards
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R3 Report
- R3 Report
- R3 Report Issue 34: New and Revised Standards in Emergency Management
- R3 Report Issue 33: Nursing Care Center Accreditation Standards
- R3 Report Issue 32: New Standard for Water Management Program
- R3 Report Issue 31: New and Revised Performance Improvement Accreditation Standards
- R3 Report Issue 30: Workplace Violence Prevention Standards
- R3 Report Issue 29: Resuscitation Standards for Hospitals
- R3 Report Issue 28: Resuscitation Standards for Critical Access Hospitals
- R3 Report Issue 27: New and Revised Standards for Child Welfare Agencies
- R3 Report Issue 26: Advanced Total Hip and Total Knee Replacement Certification Standards
- R3 Report Issue 25: Enhanced Substance Use Disorders Standards for Behavioral Health Organizations
- R3 Report Issue 24: PC Standards for Maternal Safety
- R3 Report Issue 23: Antimicrobial Stewardship in Ambulatory Health Care
- R3 Report Issue 22: Pain Assessment and Management Standards for Home Health Services
- R3 Report Issue 21: Pain Assessment and Management Standards for Nursing Care Centers
- R3 Report Issue 20: Pain Assessment and Management Standards for Behavioral Health Care
- R3 Report Issue 19: National Patient Safety Goal for Anticoagulant Therapy
- R3 Report Issue 18: National Patient Safety Goal for Suicide Prevention
- R3 Report Issue 17: Distinct Newborn Identification Requirement
- R3 Report Issue 16: Pain Assessment and Management Standards for Office-Based Surgeries
- R3 Report Issue 15: Pain Assessment and Management Standards for Critical Access Hospitals
- R3 Report Issue 14: Pain Assessment and Management Standards for Ambulatory Care
- R3 Report Issue 13: Revised Outcome Measures Standard for Behavioral Health Care
- R3 Report Issue 12: Maternal Infectious Disease Status Assessment and Documentation Standards for Hospitals and Critical Access Hospitals
- R3 Report Issue 11: Pain Assessment and Management Standards for Hospitals
- R3 Report Issue 10: Housing Support Services Standards for Behavioral Health Care
- R3 Report Issue 9: New and Revised NPSGs on CAUTIs
- R3 Report Issue 8: New Antimicrobial Stewardship Standard
- R3 Report Issue 7: Eating Disorders Standards for Behavioral Health Care
- R3 Report Issue 6 - Memory care accreditation requirements for nursing care centers
- R3 Report Issue 5: Alarm System Safety
- R3 Report Issue 4: Patient Flow Through the Emergency Department
- R3 Report Issue 3: Influenza Vaccination
- R3 Report Issue 2: CAUTI
- R3 Report Issue 1: Patient-Centered Communication
- Standards FAQs
- Universal Protocol
- Patient Safety Systems PS Chapter
Background Image: Image: Concentrated surgeon performing surgery with her team
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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.
Safe Surgery Resources
Visit the Joint Commission Center for Transforming Healthcare website for safe surgery resources.
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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