New Goals and
Requirements are indicated in bold.
Improve the accuracy of
Use at least two
patient identifiers (neither to be the patient's room number) whenever
administering medications or blood products; taking blood samples
and other specimens for clinical testing, or providing any other
treatments or procedures.
effectiveness of communication among caregivers.
For verbal or
telephone orders or for telephonic reporting of critical test results,
verify the complete order or test result by having the person receiving
the order or test result "read-back" the complete order or test result.
Standardize a list of
abbreviations, acronyms and symbols that are not to be used throughout
and, if appropriate, take action to improve the timeliness of reporting,
and the timeliness of receipt by the responsible licensed caregiver, of
critical test results and values.
Improve the safety of
electrolytes (including, but not limited to, potassium chloride,
potassium phosphate, sodium chloride >0.9%) from patient care units.
Standardize and limit
the number of drug concentrations available in the organization.
Identify and, at a
minimum, annually review a list of look-alike/sound-alike drugs used in
the organization, and take action to prevent errors involving the
interchange of these drugs.
Improve the safety of
using infusion pumps.
protection on all general-use and PCA (patient controlled analgesia)
intravenous infusion pumps used in the organization.
Reduce the risk of
health care-associated infections.
Comply with current
Centers for Disease Control and Prevention (CDC) hand hygiene
Manage as sentinel
events all identified cases of unanticipated death or major permanent
loss of function associated with a health care-associated infection.
Goal: Accurately and
completely reconcile medications across the continuum of care.
During 2005, for
full implementation by January 2006, develop 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 it refers or transfers a patient to another setting,
service, practitioner or level of care within or outside the
Goal: Reduce the
risk of patient harm resulting from falls.
periodically reassess each patient's risk for falling, including the
potential risk associated with the patient's medication regimen, and
take action to address any identified risks.