Label all medications, medication containers (e.g., syringes, medicine cups, basins), or other solutions on and off the sterile field in perioperative and other procedural settings.
Reduce the likelihood of patient harm associated with the use of anticoagulation therapy
Comply with current Centers for Disease Control and Prevention (CDC) hand hygiene guidelines.
Manage as sentinel events all identified cases of unanticipated death or major permanent loss of function associated with a health care-associated infection.
There is a process for obtaining and documenting a complete list of the patient’s current medications upon the patient’s admission to the organization and with the involvement of the patient. This process includes a comparison of the medications the organization provides to those on the list.
A complete list of the patient’s medications is communicated to the next provider of service when a patient is referred or transferred to another setting, service, practitioner or level of care within or outside the organization. The complete list of medications is also provided to the patient upon discharge from the facility.
Implement a fall reduction program and evaluate the effectiveness of the program.
Define and communicate the means for patients and their families to report concerns about safety and encourage them to do so.
Goal 15 (applies to patients who are being treated for emotional or behavioral problems)
The organization identifies patients at risk for suicide.
The organization selects a suitable method that enables health care staff members to directly request additional assistance from a specially trained individual(s) when the patient’s condition appears to be worsening.
The organization fulfills the expectations set forth in the Universal Protocol
Conduct a preoperative verification process at describe in the Universal Protocol
Mark the operative site as described in the Universal protocol
March 17, 2009