Quality & Patient Safety

Proposed changes to Universal Protocol make goal more specific, add documentation requirements

Patient Safety Monitor, June 1, 2008

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Editor’s note: This is the second in a series about The Joint Commission’s proposed 2009 National Patient Safety Goals (NPSG).

The Joint Commission’s proposed changes to the Universal Protocol would make the NPSG much more prescriptive than it has been and require significantly more documentation. Perhaps most important of the proposed changes is the requirement that a staff member directly involved with performing the procedure mark the site with his or her initials.

“Most controversial is the insistence on having the surgeon mark the site,” says John Clarke, MD, professor of surgery at Drexel University in Philadelphia, clinical director for patient safety and quality initiatives at the ECRI Institute in Plymouth Meeting, PA, and clinical director of the Pennsylvania Safety Authority.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Patient Safety Monitor.

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