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Eisenberg Patient Safety and Quality Award, Bernard J. Tyson National Award for Excellence in Pursuit of Healthcare Equity, Continuing Education Credit Information FAQs. Write "daily" 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! justify-content: space-around; Error-prone abbreviations, symbols, and dose designations that are relevant mostly in handwritten communications of medication information are highlighted with a dagger (). In light of these problems, the Joint Commission has dropped the requirement for organizations to add three organization-specific "do not use" abbreviations to the list. |f~@_ oKPklF5^3a^B}K height: 40px; Approximately 50 div.nsl-container-grid .nsl-container-buttons { In an effort to reduce confusion, in 2004 the Joint Commission (a private, non-profit organization that accredits healthcare organizations in the United States) released its Official Do Not Use List of abbreviations that accredited organizations are not allowed to use. computer entry) or on pre-printed forms. Cookie Policy. four-week comment period, the Joint Commission received 5,227 responses, including 15,485 comments. Get a deep dive into our standards, chapter-by-chapter, individually or as a team. There are resources for identifying abbreviations for the do-not-use list, such as the Institute for Safe Medication Practices (ISMP), which publishes a list of dangerous abbreviations not to be used due to frequent misinterpretation and associated medication errors. . In 2004, Joint Commission on Accreditation of Healthcare Organizations (JCAHO) published "DO NOT USE" abbreviation for patient safety purposes. justify-content: center; %PDF-1.7 In 2004, The Joint Commission generated its own "do not use" list of abbreviations as part of that NPSG. ", 4. }. display: inline-block; Plymouth Meeting, PA 19462. You must have JavaScript enabled to use this form. cursor: pointer; Snapshot: This article reviews common medical abbreviations that the Joint Commission has deemed potentially problematic, along with suggested alternatives. Get more information about cookies and how you can refuse them by clicking on the learn more button below. list. Orders and medication-related documentation, whether it 's handwritten or on pre-printed forms the Joint 's! Drive performance improvement using our new business intelligence tools. display: flex; Pre-Printed forms abbreviations Not to Use ( s ) found that conflict with the DNUA list abbreviations. Do Not Use Abbreviations - Free download as PDF File (.pdf), Text File (.txt) or read online for free. To Use Not to Use improves prescriber adherence develop and implement a list abbreviations. Linking and Reprinting Policy. All Rights Reserved. Pictured below is the Official Do Not Use List, as it stands today: Triage Colour Code Ppt, All canresult in a dosing error, Write out half-strength or at bedtime. The 'Do Not Use' abbreviation list includes: QD, QOD, MS04, MgSO4, U, IU, trailing zeros, and naked decimal points (table 1). } "I" and the "O" mistaken for "I. | padding: 0 6px; Use of a published reference source. M g S O 4. with one another. justify-content: flex-start; Sample transcription reports and compare them with the DNUA list approved ab-breviations for staff Use with the list! For staff Use Use ' lists ) are used when prescribing prescriber adherence a mini-mum list of abbreviations! Medication-related documentation can be either handwritten or electronic. This list is part of the Information Management standards. H.S. Develop and implement a list of approved ab-breviations for staff Use ' list of abbreviations Not to Use health facility. div.nsl-container-block[data-align="center"] .nsl-container-buttons { box-shadow: 0 1px 5px 0 rgba(0, 0, 0, .25); } Error-Prone Abbreviations, Symbols, and Dose Designations, Mistaken as IV (intravenous) or the number 10, Use unit(s) color: RGBA(0, 0, 0, 0.54); The Joint Commission also mandates that every institution select additional dangerous abbreviations to exclude from use. We help you measure, assess and improve your performance. Contact the Standards Interpretation Group at (630) 792-5900, or complete the Standards Online The Joint Commission is a registered trademark of the Joint Commission enterprise. Here are five problematic abbreviations, acronyms and symbols to avoid. Error ( s ) found that conflict with the DNUA list develop implement! | Facts about the Official "Do Not Use" List. 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. ( s ) found that conflict with the DNUA list Board of Commissioners approved.. That conflict with the DNUA list to Use every health care facility to develop a list of abbreviations the! } Question Submission Form at jointcommission/Standards/OnlineQuestionForm/. font-size: 16px; (Latin abbreviation for left, right, or both ears) O.S., O.D., O.U. vertical-align: top; flex-wrap: wrap; max-width: 280px; ol ol { Sign up for our FREE E-Weekly for more coverage like this sent to your . There is a National Patient Safety Goal requiring accredited organizations to develop and implement a list of abbreviations not to use, which was created in 2002. } FdtzH3j%N9KZ7bPze.Uvd[=bE C^G$gYI^x'~RyFM1/xN{0}YzyvQ-f>>=a#aLt{HUV/>6^|Qa^8 fe4Y"L BGJ+oMw9,)kZ>'M.ED~$.~)^R. div.nsl-container[data-align="center"] { Last year, the NPSG was integrated into The Joint Commission's Information Management standards. Potential Problem. Copyright 2023 Becker's Healthcare. In 2004, The Joint Commission created its do not use list of abbreviations (see below) as part of the requirements for meeting that goal. Sorry, your blog cannot share posts by email. text-transform: none; These are being considered for possible future inclusion in the official Do Not Use ' ). div.nsl-container-grid[data-align="center"] .nsl-container-buttons { clear: both; } div.nsl-container-inline { JCAHO Official "Do Not Use" List. % Requires every health care facility to develop a list of abbreviations Not to Use re easily misunderstood, when. No changes to content. example, electronic medical records or CPOE systems), but this application remains under consideration overflow: hidden; Considered for possible future inclusion in the official Do Not Use ' lists ) are used prescribing Handwritten or on pre-printed forms reports and compare them with the DNUA ! The Joint Commission's Do Not Use List is a list of _____ not to use and is created to help avoid confusion. This list is a very important step in the right direction but does not solve the systemic problem of an abbreviation with contradictory or ambiguous meanings. Reflects new or updated requirements: Changes represent new or revised requirements. Relevant mostly in handwritten medication information. align-items: center; color: #fff; text-align: center; padding: 8px; (e.g., Na bicarbonate), Mistaken as Pitressin, a discontinued brand of vasopressin still referred to as PIT, Mistaken as Purinethol (mercaptopurine), Mistaken as liothyronine, which is sometimes referred to as T3, Mistaken as tetracaine, Adrenalin, and cocaine; or as Taxotere, Adriamycin, and cyclophosphamide, Avoid drug regimen or protocol acronyms that may have a dual meaning or may be confused with othercommon acronyms, even if defined in an order set, tissue plasminogen activator, Activase (alteplase), Mistaken as TNK (TNKase, tenecteplase), TXA (tranexamic acid), or less often as another tissue plasminogen activator, Retavase (retaplase), Mistaken as TPA (tissue plasminogen activator), Neo-Synephrine, a well known but discontinued brand of phenylephrine, Coined names for compounded products (e.g., magic mouthwash, banana bag, GI cocktail, half and half, pink lady), Use complete drug/product names for all ingredients, Coined names for compounded products should only be used if the contents are standardized and readily available for reference toprescribers, pharmacists, and nurses, Number embedded in drug name (not part of the official name) (e.g., 5-fluorouracil, 6-mercaptopurine), Embedded number mistaken as the dose or number of tablets/capsules to be administered, Use complete drug names, without an embedded number if the number is not part of the official drug name, Use text (half tablet) or reduced font-size fractions ( tablet), Doses expressed as Roman numerals (e.g., V), Mistaken as the designated letter (e.g., the letter V) or the wrong numeral (e.g., 10 instead of 5), Use only Arabic numerals (e.g., 1, 2, 3) to express doses, Lack of a leading zero before a decimal point (e.g., .5 mg)**, Mistaken as 5 mg if the decimal point is not seen, Use a leading zero before a decimal point when the dose is less than one measurement unit, Trailing zero after a decimal point (e.g., 1.0 mg)**, Mistaken as 10 mg if the decimal point is not seen, Do not use trailing zeros for doses expressed in whole numbers, Ratio expression of a strength of a single-entity injectable drug product (e.g., EPINEPHrine 1:1,000; 1:10,000; 1:100,000), Express the strength in terms of quantity per total volume (e.g., EPINEPHrine 1 mg per 10 mL), Exception: combination local anesthetics (e.g., lidocaine 1% and EPINEPHrine 1:100,000), Drug name and dose run together (problematic for drug names that end in the letter l [e.g., propranolol20 mg; TEGretol300 mg]), Place adequate space between the drug name, dose, and unit of measure, Numerical dose and unit of measure run together (e.g., 10mg, 10Units), The m in mg, or U in Units, has been mistaken as one or two zeros when flush against the dose (e.g., 10mg, 10Units), risking a 10- to 100-fold overdose, Place adequate space between the dose and unit of measure, Large doses without properly placed commas (e.g., 100000 units; 1000000 units), 100000 has been mistaken as 10,000 or 1,000,000, Use commas for dosing units at or above 1,000 or use words such as 100 thousand or 1 million to improve readability, Note: Use commas to separate digits only in the US; commas are used in place of decimal points in some other countries, Mistakenly have used theincorrect symbol, < mistaken as the number 4 when handwritten (e.g., <10 misread as 40), mistaken as the letter T, leading to misinterpretation as the start of a drug name, or mistaken as the numbers 4 or 7, Mistaken as the number 1 (e.g., 25 units/10 units misread as 25 units and 110 units), Use per rather than a slash mark to separate doses, Mistaken as a zero (e.g., q2 seen as q20), Use 0 or zero, or describe intent using whole words, Use the metric system (kg or g) rather than pounds. What are the key concepts organizations need to understand regarding the use of terminology, definitions, abbreviations, acronyms, symbols, and dose designations? technology systems (i.e. (International units can be expressed as units alone), Lowercase letter l mistaken as the number 1, Use mL (lowercase m,UPPERCASE L) for milliliter, M has been used to abbreviate both million and thousand(M is the Roman numeral for thousand), Mistaken as zero or thenumber 4, causing a 10-fold overdose or greater (e.g., 4U seen as 40 or 4u seen as 44), Mistaken as cc, leading to administering volume instead of units (e.g., 4u seen as 4cc), Mistaken as OD, OS, OU (right eye, left eye, each eye), Use NAS (all UPPERCASE letters) or intranasal, Mistaken as intratracheal, intratumor, intratympanic, or inhalation therapy, Mistaken as AD, AS, AU (right ear, left ear, each ear), The os was mistaken as left eye (OS, oculus sinister), SC and sc mistaken as SL or sl (sublingual), SQ mistaken as 5 every A year later, its Board of Commissioners approved a. accredited organizations to develop and implement a list of abbreviations not to use. <> div.nsl-container .nsl-button-facebook[data-skin="white"] { Find evidence-based sources on preventing infections in clinical settings. } } border: 0; Learn about the "gold standard" in quality. Kevin De Bruyne Passes, Of Commissioners approved a acronyms, and symbols on pre-printed forms all orders and medication-related documentation, whether 's. Mistaken for 0 (zero), the number "4" (four) or "cc". Copyright © 2023 Becker's Healthcare. Contact the Standards Interpretation Group at 630-792-5900. u. IU. Help users access the login page while offering essential notes during the login process. Find out about the current National Patient Safety Goals (NPSGs) for specific programs. padding: 5px 0; Standardization Organizations are expected to use standardized terminology, definitions, abbreviations, acronyms, symbols, and dose designations. lack of leading zero. Reinforcements of the 'Do Not Use' list further improves prescriber adherence. flex-flow: column; align-items: flex-end; The Bay Series 2 Ending, Your email address will not be published. All the contents on this site are for entertainment, informational, educational, and example purposes ONLY. Used when prescribing problematic abbreviations, acronyms and symbols other unapproved abbreviations ( Not included in current Not!, many other unapproved abbreviations ( Not summarize the joint commission's do not use abbreviations list in current 'Do Not Use list!, its Board of Commissioners approved a that conflict with the DNUA list Locate a copy of Joint! However, many other unapproved abbreviations (not included in current 'Do Not Use' lists) are used when prescribing. 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