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.
-
Standards
- About Our Standards
- Standards Field Reviews
-
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
-
Prepublication Standards
- Prepublication Standards
- COVID-19 Staff Vaccination Standard Eliminated for Deemed Programs
- 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
This site uses cookies and other tracking technologies to assist with navigation, providing feedback, analyzing your use of our products and services, assisting with our promotional and marketing efforts, and provide content from third parties. Get more information about cookies and how you can refuse them by clicking on the learn more button below. By not making a selection you will be agreeing to the use of our cookies.