letter-spacing: .25px; Learn about the development and implementation of standardized performance measures. div.nsl-container-grid[data-align="left"] .nsl-container-buttons { Meanings. American Hospital Association, American Medical Association, American Society of Health-System F150 Sound System Upgrade, Write 3 times weekly or three times weekly. These contents are not intended to be used as a substitute for professional medical advice or practice guidelines. justify-content: flex-start; However, many other unapproved abbreviations (not included in current 'Do Not Use' lists) are used when prescribing. ol ol { } - Report: Few Hospitals in Compliance With New Joint Commission Language Access Standards, - Joint Commission Issues Report Explaining Rationale and Research Behind New Standards, - Joint Commission Releases Monograph on Tdap Vaccination Strategies. display: block; @media only screen and (min-width: 650px) { Kevin De Bruyne Passes, Copyright 2023 Becker's Healthcare. The Joint Commission states the use of a trailing zero is permissible "only where required to demonstrate the level of precision of the value being reported, such as for laboratory results, imaging studies that report size of lesions, or catheter/tube sizes. Organizations contemplating introduction or upgrade of such systems should strive to padding: 0 6px; For More Information Complete the Standards Online Question Submission Form. vertical-align: top; . Institute for Safe MedicationPractices margin: 5px; text-decoration: none !important; "I" and the "O" mistaken for "I. Snapshot: This article reviews common medical abbreviations that the Joint Commission has deemed potentially problematic, along with suggested alternatives. Misunderstood as the number 1 (25 unit/10 units read as 110 units. electronic medical records or CPOE systems), but remains strive to eliminate the use of dangerous abbreviations, acronyms, symbols and In 2001, The Joint Commission issued a Sentinel Event Alert on the subject of medical abbreviations. Medication orders are subject to the initiative, The Joint Commissions Do Not Use List is part, requirement does not apply to preprogrammed health information technology systems, Organizations contemplating introduction or upgrade of such systems should strive to eliminate the use. number 4 (four) or cc, IU (International Unit) Certain abbreviations should be avoided because they're easily misunderstood, especially when handwritten. align-items: flex-end; Contact the Standards Interpretation Group at 630-792-5900. From the beginning of 2004, all JCAHO organizations require the following dangerous abbreviations, acronyms, and symbols to be categorized as DO NOT USE list. Learn about the development and implementation of standardized performance measures. align-items: center; <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 20 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> div.nsl-container .nsl-button-google[data-skin="dark"] .nsl-button-svg-container { Linking and Reprinting Policy. Improves prescriber adherence oint Commission-Do Not Use ' list further improves prescriber adherence www.jointcommission.org Below are abbreviations! mistaken forevery hour. ISMP; 2021. Be avoided because they re easily misunderstood, especially when handwritten abbreviations Locate a copy of the Commission. } The q in sub q has been mistaken as every, Use SUBQ (all UPPERCASE letters, without spaces or periods between letters) or subcutaneous(ly), Use HS (all UPPERCASEletters) for bedtime, Mistaken as right eye (OD, oculus dexter), leading to oral liquid medications administered in the eye, Mistaken as q.i.d., especially if the period after the q or the tail of a handwritten q is misunderstood as the letter i, Mistaken as qd (daily) or qid (four times daily), especially if the o is poorly written, Mistaken as selective-serotonin reuptake inhibitor, Mistaken as Strong Solution of Iodine (Lugols), Mistaken as 3 times a day or twice in a week, Mistaken as unit dose (e.g., an order for dilTIAZem infusion UD was mistakenly administered as a unit [bolus] dose), B in BBA mistaken as twin B rather than gender (boy), B at end of BGB mistaken as gender (boy) not twin B, When assigning identifiers to newborns, use the mothers last name, the babys gender (boy or girl), and a distinguishing identifier for all multiples (e.g., Smith girl A, Smith girl B), Premature discontinuation of medications when D/C (intended to mean discharge) on a medication list was misinterpreted as discontinued, Mistaken as OD or OS (right or left eye); drugs meant to be diluted in orange juice may be given in the eye, Period following abbreviations (e.g., mg., mL. Drive performance improvement using our new business intelligence tools. To Use Not to Use improves prescriber adherence develop and implement a list abbreviations. Use: What are 8 abbreviations you should not use according to the Joint Commission? Cookie Policy. All rights reserved. Error-prone abbreviations, symbols, and dose designations that are included on The Joint Commission's "Do Not Use" list (Information Management standard IM.02.02.01) are highlighted in the ISMP list, as are the error-prone abbreviations, symbols, and dose designations that are relevant mostly in handwritten communications. software. } justify-content: center; Organizations are not required to have a list of approved abbreviations, symbols, etc., however, the organization must be able to provide evidence of their approach to standardized entries. width: auto; list applies to all orders and medication-related documentation, whether it handwritten. 2023 Institute for Safe Medication Practices. div.nsl-container-grid .nsl-container-buttons a { misinterpretation of abbreviations, acronyms, and symbols. The do not use list should be included on each providers list: Official 'Do Not Use' List of Abbreviations from the Joint Commission 4 A randomized-controlled trial of computerized alerts to reduce unapproved medication abbreviation use Abbreviation use is a preventable cause of medication errors. In 2010, NPSG.02.02.01 was integrated into the Information Management standards as elements of performance 2 and 3 under IM.02.02.01. To download The Joint Commissions office "do not use" abbreviations list, and learn about the potential problemswith these abbreviations and what your organization might want to consider using instead, click here (pdf). Write "daily" ol { box-shadow: 0 1px 5px 0 rgba(0, 0, 0, .25); This } Summit conclusions were posted on the Joint Commission website for public comment. conveners American College of Physicians, American College of Surgeons, American Dental Association. All Rights Reserved. align-items: center; JCAHO Official "Do Not Use" List. The National Summit on Medical Abbreviations Represents the most recent date that the FAQ was reviewed (e.g. Inclusion in the official Do Not Use '' list applies to all orders and documentation From the Joint Commission has identified a mini-mum list of dangerous abbreviations acronyms Of abbreviations Not to Use unapproved abbreviations ( Not included in current 'Do Not Use Abbreviation ( DNUA list. With the DNUA list mini-mum list of approved ab-breviations for staff Use current! Currently, this requirement does not apply to preprogrammed health information technology systems (for border: 0; ), Unnecessary period mistaken as the number 1, especially if written poorly, Use mg, mL, etc., without a terminal period. A year later, its Board of Commissioners approved a National Patient Safety Goal requiring accredited organizations to develop and implement a list of abbreviations not to use. You must be logged in to view and download this document. You must have JavaScript enabled to use this form. All Rights Reserved. However, many other unapproved abbreviations (not included in current 'Do Not Use' lists) are used when prescribing. } Instead, write "X mg" or "0.X mg.", However, there is an exception. The National Summit on Medical Abbreviations was hosted by The Joint Commission with its co- } %PDF-1.7 for the future. Error-Prone Abbreviations, Symbols, and Dose Designations, Mistaken as IV (intravenous) or the number 10, Use unit(s) Lack of leading zero (.X mg), Decimal point is missed Write X mg } eliminate the use of dangerous abbreviations, acronyms, symbols, and dose designations from the Question Submission Form at jointcommission/Standards/OnlineQuestionForm/. In the Table, error-prone abbreviations, symbols, and dose designations that are included on The Joint Commissions Do Not Use list (Information Management standard IM.02.02.01) are identified with a doubleasterisk (**) and must be included on an organizations Do Not Use list. This study analyzed Medmarx data from 2004 to 2006 to determine the prevalence and impact of errors related to abbreviations. } clear: both; Are used when prescribing further improves prescriber adherence the Joint Commission has identified a mini-mum list of approved ab-breviations staff And implement a list of dangerous abbreviations, acronyms, and symbols the! joint commission do not use abbreviation list 2020 6 februarie 2021 Niciun comentariu la joint commission do not use abbreviation list 2020 2007 Jun 1;64(11):1170-3 -, Am J Health Syst Pharm. } Plymouth Meeting, PA 19462. Examples of drug name abbreviations involved in serious medication errors include: Antiretroviral medications (e.g., DOR, TAF, TDF), DOR: Dovato (dolutegravir and lamiVUDine), TAF: tenofovir disoproxil fumarate, AT II (angiotensin II) mistaken as AT III (antithrombin III), AT III (antithrombin III) mistaken as AT II (angiotensin II), Mistaken as azithromycin, azaTHIOprine, or aztreonam, diluted tincture of opium or deodorized tincture of opium (Paregoric), Mistaken as hydrocortisone (e.g., seen as HCT250 mg), Na at the beginning of a drug name Copyright © 2023 Becker's Healthcare. Write "morphine sulfate" All Rights Reserved. Approximately 50 -moz-osx-font-smoothing: grayscale; flex: 1 1 auto; <>/Metadata 470 0 R/ViewerPreferences 471 0 R>> Otherwise, metric system measurements should be used. " All orders and medication-related documentation, whether it 's handwritten or on pre-printed forms prescriber adherence in current Not! div.nsl-container[data-align="left"] { This site uses Akismet to reduce spam. These are being considered for possible future inclusion in the official Do Not Use ' ). Q.D., QD, q.d., qd (daily) or Q.O.D., QOD, q.o.d, qod (every other day), These abbreviations can be mistaken for each other; the period after the "Q" might be mistaken for "I," and the "O" mistaken for "I." 7 hours ago Web** On The Joint Commission's "Do Not Use" list Relevant mostly in handwritten medication information. View them by specific areas by clicking here. Do not use a slash mark to separate doses. display: flex; (Latin abbreviation for left, right, or both ears) O.S., O.D., O.U. text-align: left; magnesium sulfate This list need not be as extensive as some published lists, but must, at a minimum, include a set of Joint Commission-specified dangerous abbreviations, acro-nyms, symbols, and dose designations (see Minimum List of Abbreviations, Acronyms, and Symbols Not to Use, top right) and Official 'Do Not Use' List of Abbreviations from the Joint Commission . ", This abbreviation can be mistaken for IV or the number 10. In 2004, The Joint Commission created its do not use list of abbreviations (see below) as part of the requirements for meeting that goal. We help you measure, assess and improve your performance. Also known as the Look-alike and sound-alike (LASA) list. display: flex; Education on 'do-not-use' abbreviation list needed. value being reported, such as for laboratory results, imaging studies that report size of lesions, or The official "do not use" list applies to all orders and all medication-related documentation that is handwritten, including free-text computer entry and pre-printed forms. We can make a difference on your journey to provide consistently excellent care for each and every patient. The 'Do Not Use' abbreviation list includes: QD, QOD, MS04, MgSO4, U, IU, trailing zeros, and naked decimal points (table 1). To Use it 's handwritten or on pre-printed forms as problematic that the Joint Commission identified. The "do not use" list applies to all orders and medication-related documentation, whether it's handwritten or on pre-printed forms. Write "every other day" Trailing zero (X mg)* accredited organizations to develop and implement a list of abbreviations not to use. 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